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Non-discrimination Notice

Discrimination is Against the Law

Troy Medicare complies with all applicable federal civil rights laws, including Section 1557 of the Affordable Care Act (Section 1557). Troy Medicare does not discriminate on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex (including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity, and sex stereotypes).

Troy Medicare:

  • Provides people with disabilities reasonable modifications and free appropriate auxiliary aids and services to communicate effectively with us, such as: 
    • Qualified sign language interpreters 
    • Written information in other formats (large print, audio, accessible electronic formats, other formats). 
  • Provides free language assistance services to people whose primary language is not English, which may include: 
    • Qualified interpreters
    • Information written in other languages.  

If you need reasonable modifications, appropriate auxiliary aids and services, or language assistance services, contact: Troy Medicare Member Services at 1-888-494-8769 (TTY:711). We are available 8am-8pm Eastern Time, Monday – Friday, and from October 1 through March 31, we are available 7 days a week.

If you believe that Troy Medicare has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

‍Troy Medicare
Attn: Appeals & Grievances
PO Box 1265 
Westborough, MA 01581

Phone: 1-888-494-TROY (8769) or TTY 711

Fax: 910-839-8320

Email: compliance@troymedicare.com

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You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Troy Medicare Member Services is available to help you.  

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: 

U.S. Department of Health and Human Services 
200 Independence Avenue, SW 
Room 509F, HHH Building 
Washington, D.C. 20201 

Phone: 1-800-368-1019, 800-537-7697 (TDD) 

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Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. 

This notice is available at Troy Medicare's website.

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Notice of Availability of Language Assistance Services and Auxiliary Aids and Services (§ 92.11) 

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English

ATTENTION: If you speak English, free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call 1-888-494-8769 (TTY: 711) or speak to your provider.

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Español / Spanish

ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También están disponibles de forma gratuita ayuda y servicios auxiliares apropiados para proporcionar información en formatos accesibles. Llame al 1-888-494-8769 (TTY: 711) o hable con su proveedor.

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中文 / Chinese

 注意：如果您说 中文 ，我们将免费为您提供语言协助服务。我们还免费提 供适当的辅助工具和服务，以无障碍格式提供信息。致电 1-888-494-8769（文本电话：711）或咨询您的服务提供商。

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Việt / Vietnamese

LƯU Ý: Nếu bạn nói tiếng Việt, chúng tôi cung cấp miễn phí các dịch vụ hỗ trợ ngôn ngữ. Các hỗ trợ dịch vụ phù hợp để cung cấp thông tin theo các định dạng dễ tiếp cận cũng được cung cấp miễn phí. Vui lòng gọi theo số 1-888-494-8769 (Người khuyết tật: 711) hoặc trao đổi với người cung cấp dịch vụ của bạn.

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한국어 / Korean 

주의: [한국어]를 사용하시는 경우 무료 언어 지원 서비스를 이용하실 수 있습니다. 이용 가능한 형식으로 정보를 제공하는 적절한 보조 기구 및 서비스도 무료로 제공됩니다. 1-888-494-8769 (TTY: 711)번으로 전화하거나 서비스 제공업체에 문의하십시오.

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Français / French

ATTENTION : Si vous parlez Français, des services d'assistance linguistique gratuits sont à votre disposition. Des aides et services auxiliaires appropriés pour fournir des informations dans des formats accessibles sont également disponibles gratuitement. Appelez le 1-888-494-8769 (TTY : 711) ou parlez à votre fournisseur.

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العربي / Arabic

تنبيه: إذا كنت تتحدث اللغة العربية، فستتوفر لك خدمات المساعدة اللغوية المجانية. كما تتوفر وسائل اعدة وخدمات مناسبة لتوفير المعلومات بتنسيقات يمكن الوصول إليها مجانًا. اتصل على الرق 1-888-494-8769 (711 :TTY)أو تحدث إلى مقدم الخدمة.

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Hmoob Dawb / Hmong

LUG CEEV TSHWJ XEEB: yog has tas koj has lug Hmoob muaj cov kev paab cuam txhais lug pub dlawb rua koj. Cov kev paab hab cov kev paab cuam ntxiv kws tsim nyog txhawm rua muab lug qha paub ua cov hom ntaub ntawv kws tuaj yeem nkaag cuag tau rua los kuj yeej tseem muaj paab dlawb tsis xaam tug nqe dlaab tsi tuab yaam nkaus. Hu rua 888-494-8769 (TTY: 711) los yog thaam nrug koj tug kws muab kev saib xyuas khu mob.

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Русский / Russian

ВНИМАНИЕ: Если вы говорите на русский, вам доступны бесплатные услуги языковой поддержки. Соответствующие вспомогательные средства и услуги по предоставлению информации в доступных форматах также предоставляются бесплатно. Позвоните по телефону 1-888-494-8769 (TTY: 711) или обратитесь к своему поставщику услуг.

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Tagalog / Tagalog

PAALALA: Kung nagsasalita ka ng Tagalog, magagamit mo ang mga libreng serbisyong tulong sa wika. Magagamit din nang libre ang mga naaangkop na auxiliary na tulong at serbisyo upang magbigay ng impormasyon sa mga naaaccess na format. Tumawag sa 1-888-494-8769 (TTY: 711) o makipag-usap sa iyong provider.

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ગુજરાતી / Gujarati

ધ્યાન આપો: જો તમે ગુજરાતી બોલતા હોવ તો, મફત ભાષાકીય સહાયતા સેવાઓ તમારા માટે ઉપલબ્ધ છે. યોગ્ય ઑક્ઝિલરી સહાય અને ઍક્સેસિબલ ફૉર્મેટમાં માહિતી પૂરી પાડવા માટેની સેવાઓ પણ વિના મૂલ્યે ઉપલબ્ધ છે. 888-494-8769 (TTY: 711) પર કૉલ કરો અથવા તમારા પ્રદાતા સાથે વાત કરો.

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ភាសាខ្មែរ / Mon-Khmer, Cambodian

ការយកចិត្តទុកដាក់: ប្រសិនបើអ្នកនិយាយភាសាខ្មែរ សេវាកម្មជំនួយភាសាឥតគិតថ្លៃមានសម្រាប់អ្នក។ ជំនួយ និងសេវាកម្មជំនួយសមស្របដើម្បីផ្តល់ព័ត៌មានជាទម្រង់ដែលអាចចូលប្រើបានក៏មានដោយឥតគិតថ្លៃផងដែរ។ សូមទូរស័ព្ទទៅលេខ 1-888-494-8769 (TTY: 711) ឬនិយាយជាមួយអ្នកផ្តល់សេវារបស់អ្នក។

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Deutsch / German

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlose Sprachassistenzdienste zur Verfügung. Entsprechende Hilfsmittel und Dienste zur Bereitstellung von Informationen in barrierefreien Formaten stehen ebenfalls kostenlos zur Verfügung. Rufen Sie 1-888-494-8769 (TTY: 711) an oder sprechen Sie mit Ihrem Provider. 

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ह िंदी / Hindi

ध्यान दें: यदद आप द िंदी बोलते ैं, तो आपकेदलए दनिः शुल्क भाषा स ायता सेवाएिं उपलब्ध ोती ैं। सुलभ प्रारूपोिंमेंजानकारी प्रदान करनेकेदलए उपयुक्त स ायक साधन और सेवाएँभी दनिः शुल्क उपलब्ध ैं। 1-888-494-8769 (TTY: 711) पर कॉल करेंया अपनेप्रदाता सेबात करें । 

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ລາວ / Laotian

ເຊີນຊາບ: ຖ້າທ່ານເວົ້າພາສາ ລາວ, ຈະມີບໍລິການຊ່ວຍດ້ານພາສາແບບບໍ່ເສຍຄ່າໃຫ້ທ່ານ.  ມີເຄື່ອງຊ່ວຍ ແລະ ການບໍລິການແບບບໍ່ເສຍຄ່າທີ່ເໝາະສົມເພື່ອໃຫ້ຂໍ້ມູນໃນຮູບແບບທີ່ສາມາດເຂົ້າເຖິງໄດ້. ໂທຫາເບີ 888-494-8769 (TTY: 711) ຫຼື ລົມກັບຜູ້ໃຫ້ບໍລິການຂອງທ່ານ.

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日本語 / Japanese

重要なお知らせ：日本語を話される方には、無料の言語支援サービスをご利用いただけます。アクセスしやすい形式で情報を提供するための適切な補助具やサービスも無料でご利用いただけます。1-888-494-8769 (TTY: 711) までお電話いただくか、担当の医療提供者にご相談ください。

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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.

Find the form you need

Quick Links

Want to learn more about Troy Medicare?

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

Call us:
1-888-494-TROY (8769)
TTY:711

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).

Toll-free number
1-888-494-TROY (8769)
TTY:711
Fax: 1-919-375-3533
Plan Information
About Us
Policies
Policies
PO Box 1378, Westborough, MA 01581
Last Updated: 10.14.2024

Powered by Troy.AI © 2023 Troy Health, Inc. All Rights Reserved.

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.

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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.

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This information is not a complete description of benefits. Call 1-888-494-TROY (8769) (TTY 711) for more information.

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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).

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To report suspected incidents of non-compliance and/or fraud, waste or abuse, you can contact Troy Medicare directly or anonymously:

→ Troy Ethics & Compliance Reporting Portal

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Your assistance may help curtail the costs of healthcare to our members.

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Medicare beneficiaries may also enroll in Troy Medicare through the CMS Medicare Online Enrollment Center located at https://www.medicare.gov.

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ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call 1-888-494-TROY (8769) (TTY 711).

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Troy Medicare(HMO)’s pharmacy network includes limited, lower-cost, preferred pharmacies in our service areas. You can go to all pharmacies listed in our Pharmacy Directory, but your costs for some drugs may be less at pharmacies in this list that offer preferred cost sharing. We have marked these pharmacies with "PREFERRED" under the Cost Sharing column in our Pharmacy Directory to distinguish them from other pharmacies in our network that offer standard cost sharing. An updated Pharmacy Directory can be located on our website. You may also call Troy Medicare (HMO) or Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) Pharmacy Member Service at 1-866-423-8065 (TTY/TDD users should call 711) for updated information.

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