Troy Medicare Marks Seven Years of Serving North Carolina with Renewed Focus on Whole-Person Care

CHARLOTTE, NC — Seven years after launching with a pharmacy-first premise, Troy Medicare is marking its anniversary with a renewed commitment to whole-person care for seniors across 34 North Carolina counties.

Since its founding in 2019, Troy Medicare has grown from a startup into a fully operational Medicare Advantage plan with an integrated care management team, deep provider partnerships across the state, and enterprise technology infrastructure built on Microsoft Azure. The company now offers two plans — a standard HMO and a Dual-Eligible Special Needs Plan (D-SNP) — both with $0 premiums and $0 copays for primary and specialist care. To learn more about the company's history and mission, visit the About Troy Medicare page.

The Pharmacy-First Foundation

The question Troy Medicare set out to answer seven years ago — why would a pharmacy company start a health plan? — has a clear answer in 2026. Pharmacists see Medicare beneficiaries more frequently than any other healthcare provider. That relationship is the foundation for everything Troy Medicare does, from catching medication interactions to screening for cognitive decline to coaching members through chronic disease management. This pharmacy-first approach remains at the core of the company's care model.

Expanded Care Management Programs

Over the past year, Troy Medicare has expanded its care management programs to address the health challenges most pressing for North Carolina's senior population: fall prevention, heart health, COPD management, and mental wellness. The company's Care Managers conduct proactive outreach to members, using pharmacy data and health risk assessments to intervene early rather than waiting for an emergency room visit.

These programs have produced measurable results. Members enrolled in Troy Medicare's chronic disease management initiatives have seen improvements in medication adherence, fewer avoidable hospitalizations, and higher satisfaction scores on annual member surveys. The company attributes much of this success to the trust that community pharmacists have built with their patients over years — trust that translates into willingness to engage with care management recommendations.

A Community-Anchored Provider Network

Troy Medicare's provider network includes partnerships with major health systems across the state, including Mission Health in western North Carolina and FirstHealth of the Carolinas in the Sandhills region. The company continues to prioritize community-anchored providers — the hospitals, clinics, and pharmacies that North Carolina seniors already know and trust. Members can find a provider in their area through Troy Medicare's online directory.

The network strategy reflects Troy Medicare's belief that healthcare is inherently local. In rural communities where a single hospital or pharmacy may serve an entire county, relationships between providers and patients run deep. Troy Medicare works to strengthen those relationships rather than disrupt them, collaborating with local providers on care coordination, quality improvement, and data sharing that benefits both the provider and the member.

Looking Ahead

Looking ahead, Troy Medicare plans to deepen its investments in technology-enabled care, expand supplemental benefits for members managing chronic conditions, and continue growing its presence in underserved rural markets where access to quality healthcare remains a challenge. The company is also exploring new benefit designs that address the social determinants of health — nutrition, transportation, and housing costs — that directly affect health outcomes for seniors living on fixed incomes.

Troy Medicare's leadership team sees the next chapter as an opportunity to demonstrate that a smaller, community-focused Medicare Advantage plan can deliver outcomes that rival — and in many cases exceed — those of the national carriers. By staying close to the communities it serves and investing in the people and technology that make personalized care possible, Troy Medicare aims to set a new standard for what Medicare Advantage can look like in rural America. The company maintains rigorous compliance standards to ensure it meets all CMS regulatory requirements.

Troy Medicare members and prospective enrollees can call 1-888-494-TROY (8769). Current members can access plan documents and forms online, or contact Troy Medicare with questions.

About Troy Medicare
Troy Medicare is a pharmacy-powered Medicare Advantage plan serving North Carolina. Founded by pharmacists, physicians, and technologists, Troy Medicare combines data-driven care management with deep community relationships to deliver better outcomes for seniors.