Plan Information

For Providers

Tools and support for providers

Claims Processing Transition Effective 1/1/2024.

Click here for additional information.

Quick Links

Join Our Network

Thank you for your interest in becoming a Troy Medicare network provider. Please click here to complete the Provider Contracting Form and we will send you the necessary information immediately.

We look forward to working with you to improve the health of members in the community. You can also email us at

As a Troy Medicare provider, you will have access to:

  • A comprehensive approach to care for your patients with meaningful collaboration with pharmacists and disease management programs
  • Initial and ongoing provider education through orientation, office visits, and updates
  • A dedicated claims team to ensure prompt and accurate payment
  • No referral requirements and minimum prior authorizations
  • A dedicated provider relations team to keep you informed
  • An online Secure Provider Web portal where you can check member eligibility

Secure Provider Web Portal

If you are a contracted Troy Medicare provider, you can register by emailing the provider request form to If you are a non-contracted provider, you will be able to register after you submit your first claim. Once you have created an account, you can use:

  • Verify member eligibility
  • Verify Claim Status
  • View Payment History

Provider Resources

Troy Medicare provides the tools and support you need to deliver the best quality of care.

View our listing of available resources below, that covers forms, guidelines, helpful links, and training.

  • Manuals, Forms and Resources
  • Eligibility Verification
  • Electronic transactions
  • Covered drugs list
  • Provider Training
  • Provider welcome reference guide