# Troy Medicare

**Canonical:** https://apis.io/providers/troy-medicare/  
**Website:** https://troymedicare.com  
**APIs profiled:** 2

Troy Medicare, operated by Troy Health, Inc. of Charlotte, North Carolina, is a Medicare Advantage HMO and HMO D-SNP organization serving Medicare-eligible beneficiaries across 35 North Carolina counties under CMS contract H4676. Founded by pharmacists and software engineers, it runs a pharmacy-first chronic disease management model that places community pharmacists at the center of care coordination, supported by its proprietary Troy.AI technology and by local provider partnerships. Troy Medicare publishes no developer program, no API reference and no machine-readable API contract; the only machine-readable surfaces it serves anonymously are two OAuth 2.0 / OpenID Connect authorization servers — one in front of its secure provider portal and one in front of the health plan's FHIR data surface at fhir.troymedicare.com.

## Kin Score — 30.0 / 100 (thin)

Scored 2026-09-01 under rubric 0.17.2. Trend: flat (+0.0 from 30.0).

| Facet | Score |
|---|---|
| Discoverability | 68.5 |
| Contract Quality | 0.0 |
| Governance | 18.2 |
| Contract Governance | 18.2 |
| Operational Transparency | 0.0 |
| Developer Ergonomics | 19.0 |
| Commercial Clarity | 52.6 |
| Access Clarity | 52.6 |

Regulatory layer — **Insurance**: 71.2 (matched via tags).

## Agent readiness — 13.3 (agent-aware)

| Dimension | Value |
|---|---|
| Spec Presence | no |
| Agentic Access | no |
| Reversibility Documented | no |
| MCP Server | no |
| Auth Clarity | served |
| Idempotency | no |
| Error Semantics | no |
| OpenAPI Examples | no |
| Rate Limit Signal | documented |
| Event Surface Described | no |
| Agent Skills | no |
| Well Known Catalog | no |
| Consent Identity | no |
| Agent Card | no |
| Dry Run Mode | no |
| Delegated Identity | served |
| Protected Resource Metadata | no |
| Dynamic Client Registration | no |
| Agentic Commerce | no |

## APIs (2)

- **Troy Medicare Provider Portal Identity Service** — The OpenID Connect authorization server behind Troy Medicare's secure provider portal, which contracted providers use for member eligibility verification, claim status and payme...
- **Troy Medicare FHIR Authorization Surface** — A Troy-Medicare-branded OAuth 2.0 authorization surface at fhir.troymedicare.com, serving an OpenID Connect discovery document and a JWKS anonymously, with a member username/pas...

## Security (2)

- **Troy Medicare Authentication** — 2 schemes
- **Troy Medicare Domain Security** — TLSv1.3 · HSTS · DNSSEC · DMARC

## Plans (1)

- **Troy Medicare Plans Pricing**

## Tags

Health Insurance, Medicare, Medicare Advantage, Health Plans, Healthcare, Pharmacy, Care Management, Insurance, Identity, OpenID Connect

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Profiled by [API Evangelist](https://apievangelist.com) and published on [APIs.io](https://apis.io/providers/troy-medicare/). Scores are computed from the provider's own public artifacts under a published rubric.