The Troy Medicare Code of Business Conduct provides our commitments and ethical responsibilities that we expect our Company’s workforce, in whatever capacity, must adhere to when conducting business or other activities on the Company’s behalf. This document enables our workforce to be our eyes and ears and encourage our work force to report activities for investigation.
We are available 8am to 8pm Eastern Time
October 1 to March 31, 7 days a week
April 1 to September 30, Monday to Friday
Member Call Center Representatives are available 8am to 8pm Eastern Time, Monday to Friday (from October 1 to March 31, 8am to 8pm Eastern Time, 7 days a week).
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Troy Medicare is available to anyone who is eligible for Medicare Part A and Part B and resides in Alexander, Anson, Bladen, Buncombe, Burke, Caldwell, Catawba, Chatham, Columbus, Cumberland, Durham, Franklin, Granville, Harnett, Haywood, Henderson, Hoke, Iredell, Jackson, Lee, McDowell, Mitchell, Montgomery, Moore, Orange, Person, Polk, Richmond, Robeson, Sampson, Scotland, Swain, Transylvania, Vance, or Yancey counties in North Carolina.
Plans are offered through Troy Medicare, a Medicare Advantage HMO and HMO D-SNP organization with a Medicare contract. Enrollment in these plans depends on the planʼs contract renewal with Medicare. Troy Medicare HMO D-SNP also has a contract with state Medicaid.
Benefits, formulary, provider, pharmacy network, premium and/or copayments/coinsurance may change on January 1 of each year. Member premiums, copays, coinsurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
Troy does not discriminate or exclude people because of their race, color, national origin, ancestry, age, disability, ethnicity, sex, sexual orientation, gender, gender identity or expression, marital status, religion, or language.
The Formulary may change at any time. You will receive notice when necessary.
You must generally use network pharmacies to use your prescription drug benefit.
This information is not a complete description of benefits. Call 1-888-494-TROY (8769) (TTY 711) for more information.
This document is available in alternative formats. If you need this document in an alternative format, call Member Service at 1-888-494-TROY (8769) (TTY:711).
To report suspected incidents of non-compliance and/or fraud, waste or abuse, you can contact Troy Medicare directly or anonymously in the following ways:
Reporting portal: troymedicare.ethicspoint.com