How does Troy Medicare make money?
Troy Medicare's model is based on paying pharmacists directly for those care management services at a rate of between $30 to $50 per-member-per-month.May 12, 2019
What are the three types of Medicare?
There are four parts of Medicare: Part A, Part B, Part C, and Part D.Part A provides inpatient/hospital coverage.Part B provides outpatient/medical coverage.Part C offers an alternate way to receive your Medicare benefits (see below for more information).Part D provides prescription drug coverage.
What is not covered by Medicare?
Medicare does not cover: medical exams required when applying for a job, life insurance, superannuation, memberships, or government bodies. most dental examinations and treatment. most physiotherapy, occupational therapy, speech therapy, eye therapy, chiropractic services, podiatry, acupuncture and psychology services.Jun 24, 2021
What is Medicare Part F?
Medigap Plan F is a Medicare Supplement Insurance plan that's offered by private companies. It covers "gaps" in Original Medicare coverage, such as copayments, coinsurance and deductibles. Plan F offers the most coverage of any Medigap plan, but it's no longer available to most new Medicare enrollees.Feb 1, 2022
Coverage and Benefits
Troy Medicare (HMO) is available to anyone who is eligible for Medicare Part A and Part B and resides in Robeson, Cumberland, Harnett, Sampson, Catawba, Alexander, Iredell, Moore, Hoke, Scotland, Bladen, Columbus, Richmond, Montgomery, Anson, Rowan, or Cabarrus counties in North Carolina.
Extra Benefits
We have partnered with Hearing Care Solutions to provide hearing exams and if needed, hearing aids.
Documents and Forms
Want to sign up for a plan? Need to share your health information with a loved one? We've got forms for all that and more.
How much is the Troy Medicare plan?
The Troy Medicare plan MOOP is $5,900 . Once you reach this amount of spending on your copayments, all of your Medicare Part A and Part B services will be covered at no additional charge for the remainder of the year.
Does Troy Medicare have copays?
Most health services provided by Troy Medicare have a copayment or coinsurance that you must pay out-of-pocket when you receive the service . Copays for the most common health services are outlined in this table.
About us
Troy Medicare is a $0/month Medicare Advantage plan with $0 copays for generic medications at independent pharmacies. After seeing how big insurance companies treat seniors, physicians, and pharmacies, we had to build Troy Medicare, a data-driven Medicare Advantage company that treats people right.
Updates
A Troy Medicare member lost his home due to storm damage and has been living with family and friends. Our team (Sydney Davis and Deven Jackson) helped him take the next steps to secure housing. There are limited housing options in rural NC. We learned he was approved for a VA Home Loan but has not heard anything else.
Adrian Lowry
A Troy member told us she had stopped taking her Januvia and Eliquis because she couldn't afford it. Then she got on Troy and was able to afford both medications, which she told us saved her life. We sometimes forget what a difference it makes to helps seniors afford their prescriptions. #troymedicare #saveslives
The Troy Pharmacy Team
Josh is a pharmacy owner in Cabarrus County, NC. He helps thousands of seniors in the county evaluate Medicare plans and saves them thousands of dollars on their prescription medications.
What is the focus for the fellowship?
The fellow will be responsible for managing a population of Troy Medicare beneficiaries and coordinating interventions with local pharmacies and providers.
What skillsets will be important for a fellow to have to be successful in this role?
Ability to navigate pharmacy and provider collaborations/relationships and work on an interprofessional care team
