Troy Medicare offers independent pharmacies a customized health plan and digital platform that enhances access to healthcare services for vulnerable patients. This solution improves medication management and patient care by streamlining service delivery and ensuring timely access to essential treatments.
Funding
$36M raised to dateRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.
Founders
Product
Problem
Many Medicare beneficiaries face challenges navigating complex healthcare plans and accessing affordable care, particularly those with dual eligibility for Medicare and Medicaid. Traditional Medicare plans often lack comprehensive benefits and personalized support, leading to suboptimal health outcomes and increased costs for vulnerable populations. Independent pharmacies, which are often trusted healthcare providers in their communities, may lack the resources to effectively manage the care of these patients.
Solution
Troy Medicare offers Medicare Advantage plans designed to simplify healthcare access and improve outcomes for beneficiaries, particularly those who are dual-eligible. These plans feature straightforward benefits, including $0 copays for primary care and specialist visits, as well as comprehensive dental, vision, and hearing coverage. Troy Medicare leverages its Troy.AI technology platform to empower local, independent pharmacies, enabling them to provide enhanced medication management and personalized support to members. The platform facilitates cost-saving opportunities, ensuring members receive the lowest prices on generic medications and access to other valuable benefits.
Target Audience
The primary target audience includes Medicare beneficiaries, particularly those who are dual-eligible for Medicare and Medicaid, and independent pharmacies seeking to enhance their service offerings and patient care management.
Features
- Two simple Medicare Advantage plan options (HMO and HMO D-SNP) with comprehensive coverage
- $0 premiums and $0 deductibles for both plans
- $0 copays for primary care physician (PCP) and specialist visits (no referrals required)
- $0 copays for urgent care services
- $3,000 routine dental benefit
- $825 routine hearing benefit
- $250 routine vision benefit
- Gym membership reimbursement
- Up to $2,200 in over-the-counter (OTC), food, and utility benefits for Dual-eligible (HMO D-SNP) beneficiaries
- $5 generic insulin available at preferred pharmacies (HMO plan)
- Troy.AI technology platform for independent pharmacies to optimize member care and reduce costs