Medicare Blog

how do railroad benefits work with medicare

by Sofia Schoen Published 2 years ago Updated 1 year ago
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How Medicare enrollment works with Railroad Retirement benefits

  • Your enrollment will be processed by the Railroad Retirement Board (RRB) instead of by Social Security. If you are...
  • If you are under 65 and have a disability, you will have to fulfill different eligibility requirements to qualify for...
  • RRB will collect your Medicare premiums. If you receive Railroad...

Full Answer

What is the difference between Medicare and Medicare railroad?

You can get Medicare Part A at age 65 without paying any premiums if:

  • You receive Railroad Retirement Board benefits; or
  • You are eligible to receive Railroad Retirement Board benefits or Social Security benefits but have not yet filed for them; or
  • You or your spouse had Medicare-covered government employment.

Is railroad Medicare different than Medicare?

There is not much difference between Railroad Medicare and regular Medicare. The first difference is that Railroad Medicare is given to railroad retirement annuitants. This type if Medicare extends to their families as well. You will want to think of this Medicare as basically like receiving Social Security benefits upon retirement.

What does railroad Medicare cover?

Railroad Medicare covers the cost of insulin pumps and the insulin used in the pumps. However, if you inject your insulin with a needle (syringe), Medicare Part B does not cover the cost of the insulin, but your Medicare prescription drug benefit (Part D) covers the insulin and the supplies necessary to inject it.

What are Railroad Retirement Benefits?

Tier 1 Railroad Benefits

  • Retirement. Retirement benefits are calculated the same way as Social Security retirement benefits, but the eligibility requirements differ.
  • Disability Benefits. The RRB follows the same definition of disability as the SSA. ...
  • Spousal Benefits. ...
  • Children's Benefits. ...
  • Survivors Benefits. ...

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Is railroad Medicare different from regular Medicare?

A: The only difference is that retired railroad beneficiaries have their Part B benefits administered by the Palmetto GBA Railroad Retirement Board Specialty Medicare Administrative Contractor (RRB SMAC) regardless of where they live. Members should be certain to advise providers of this when they receive treatment.

Is railroad Medicare the same as Social Security Medicare?

The Medicare program covers railroad workers just like workers under social security. Railroad retirement payroll taxes include a Medicare hospital insurance tax just like social security payroll taxes.

Is railroad Medicare a Medicare Advantage Plan?

Yes, Railroad Medicare beneficiaries can choose to enroll in Medicare Advantage plans.

Can you draw both social security and railroad retirement?

Answer: Yes, you can apply for and receive both benefits, but the Tier 1 portion of your Railroad Retirement Annuity will be reduced by the amount of your Social Security benefit, so you may not receive more in total benefits.

Can you get railroad benefits and Social Security?

6. Another unique characteristic of RRB 's benefit structure is that to receive benefits under the Railroad Retirement Act an individual must cease all employment in RRB -covered positions. 7. Some workers are eligible for both Social Security and RRB benefits.

Are railroad retirement benefits for life?

Both the railroad retirement and social security systems provide a lump-sum death benefit. The railroad retirement lump-sum benefit is generally payable only if survivor annuities are not immediately due upon an employee's death.

How do you bill railroad Medicare?

Getting Started With Railroad Medicare BillingStep 1: Ensure your enrollment information is correct with your local Part B Medicare Administrative Contractor (MAC) ... Step 2: Request a Railroad Medicare PTAN. ... Step 3: Receive your Railroad Medicare PTAN. ... Step 4: File Electronically. ... Step 5: Go Green — Electronic Remits.

How do I contact railroad Medicare?

Provider Contact Center: 888-355-9165 Representatives are available Monday through Friday from 8:30 a.m. to 4:30 p.m. for all time zones with the exception of PT, which provides service from 8 a.m. to 4 p.m.

How do I check my railroad Medicare claims?

If you'd like to use the IVR, you can do so by calling 800–833–4455. From the main menu, press one (1) for claim status. You will need your Railroad Medicare number, date of birth, name, and date of service for the claim you are searching for. Claim status is available Monday thru Friday from 7 a.m. through 11 p.m. ET.

What happens to your Social Security when you work for the railroad?

We will include your railroad earnings in counting your Social Security credits and calculating your Social Security benefit. 10 or more years of railroad work or you have five or more years of work after 1995, you may qualify for a pension from the Railroad Board.

Which is better railroad retirement or Social Security?

Employers and employees covered by the Railroad Retirement Act pay higher retirement taxes than those covered by the Social Security Act, so that railroad retirement benefits remain higher than social security benefits, especially for “career” employees who have 30 or more years of service.

At what age is railroad retirement no longer taxed?

This is age 60 with 30 or more years of railroad service or age 62 with less than 30 years of railroad service. beginning date. Partition payments are not subject to tax-free calculations using the EEC amount. Note - The RRB does not provide or compute the tax-free amount of railroad retirement annuities.

Where is the railroad retirement board on my Medicare card?

Your Medicare card is similar to the new Medicare cards that all beneficiaries receive, with the exception that “Railroad Retirement Board” is printed in a red banner at the bottom of the card .

What happens if you receive a railroad retirement?

If you receive Railroad Retirement benefits or disability annuity benefits from the railroad at the time of eligibility for Medicare, you are automatically enrolled in Medicare Parts A and B by the RRB. After the RRB automatically enrolls you, you receive your Medicare card together with a letter from the RRB explaining ...

What is the RRB?

The RRB administers insurance and retirement benefits to all railroad workers in the country. Instead of getting retirement benefits from the U.S. Social Security Administration as other workers do, the RRB provides railroad workers and their families with retirement benefits, along with unemployment and sickness benefits, ...

Do you have to go through the Social Security Administration if you are employed by the railroad?

However, if you have end-stage renal disease (ESRD) and qualify for Medicare, you must go through the Social Security Administration even if you are employed by the railroad.

Does Medicare cover railroad employees?

Medicare offers coverage to railroad employees just as it does for people who have Social Security. The payroll taxes of railroad employees include railroad retirement and Medicare hospital insurance taxes.

What Medicare Parts does RRB automatically enroll you in?

If you are receiving Railroad Retirement benefits or railroad disability annuity checks when you become eligible for Medicare, RRB should automatically enroll you in Medicare Parts A and B . You should receive your red, white, and blue Medicare card and a letter from RRB explaining that you have been enrolled in Medicare.

What to do if you are not collecting Railroad Retirement?

If you are not collecting Railroad Retirement benefits when you turn 65, you should contact your local RRB field office to enroll in Medicare. If you are under 65 and have a disability, you will have to fulfill different eligibility requirements to qualify for Medicare.

Does Medicare Part B get deducted from your check?

If you receive Railroad Retirement benefits or railroad disability annuity checks, your Medicare Part B premium should be automatically deducted from your check each month. If you do not qualify for premium-free Part A, it will also be deducted from your check.

What is the number to call a railroad retirement board?

Call a Licensed Agent: 833-271-5571. Due to COVID-19, the Railroad Retirement Board closed offices as of March 16, 2020. We’ll keep you updated on when offices reopen. In the meantime, visit RRB.gov to learn about your online self-serve options.

How long do you have to enroll in Medicare if you have end stage renal disease?

Whether you become eligible for Medicare via age or disability, you’ll have seven months, called your Initial Enrollment Period (IEP), in which to enroll.

What is the RRB in 2020?

Licensed Insurance Agent and Medicare Expert Writer. June 15, 2020. Before the Social Security Administration (SSA) was formed, the Railroad Retirement Board (RRB) developed retirement, disability, and unemployment benefits for railroad workers who were hit hard by the Great Depression. Today, the RRB offers railroad workers a similar safety net.

When do you become eligible for Medicare?

Typically, you’ll become eligible when you turn 65 or reach your 25th month of receiving disability benefits. The main difference is that the RRB classifies disability differently than the SSA does, so check with a representative ...

Does Medicare pay through the RRB?

Generally, your Medicare costs through the RRB will be the same as those paid by people who qualify for Medicare via Social Security. Just like workers outside the railroad industry, you’ll see Medicare deductions from your paycheck during your working years.

Does RRB have Medicare?

Today, the RRB offers railroad workers a similar safety net. RRB beneficiaries can tap into Medicare benefits, much like Social Security beneficiaries, with a few differences. If you are a railroad worker, learn what you can expect from Medicare in terms of eligibility, enrollment, costs, and health benefits—and how your RRB benefits differ ...

Do you pay Medicare Part D premiums through RRB?

If you add Medicare Part D, Medigap, or Medicare Advantage, you’ll pay additional premiums for these as well, but not through your RRB income checks. You’ll pay for each of these coverages separately, directly to the insurance company that provides each plan.

What are the benefits of railroad retirement?

One of the enormous benefits of receiving railroad retirement is how well it works with Social Security and Medicare. Quick history lesson: The Railroad Retirement Act of 1934 didn’t just protect railroad workers–it laid the groundwork for Social Security the following year. Because of this, the Social Security and the Railroad Retirement Board ...

When can I start collecting railroad benefits?

You can begin receiving your benefits: At age 60, if you have 30 or more years of qualified work, or. At age 62.

What is the RRB?

The Railroad Retirement Board (RRB) works with Social Security to provide retirement and disability benefits for qualified railroad workers and their qualified survivors. If you’re already receiving railroad benefits or Social Security, you’ll be automatically enrolled in Medicare. Original Medicare is a fee-for-service health insurance program ...

How old do you have to be to retire from the railroad?

You can start drawing railroad retirement at age 60 with 30 years of experience, but applying before full retirement age means you’ll receive a reduction if you don’t have enough years of service.

Does Railroad Retirement work with Social Security?

Remember, railroad retirement works with Social Security, not in addition to it. That means your RRB benefit subtracts the amount you receive from Social Security. For example, let’s say your RRB monthly annuity payment is $1,000, and your Social Security payment is $800 per month. The RRB will reduce its amount by $800.

Do you get Social Security if you work for the railroad?

You do–one of the benefits of working for the railroad is that your time worked and taxes paid are automatically transferred to the regular Social Security system if you leave the industry and don’t qualify for railroad retirement benefits.

Is Medicare easier for railroad retirees?

If you receive railroad retirement benefits, chances are the Medicare process will be easier for you than most. Because Social Security doles out Medicare benefits, that close relationship between the RRB and Social Security typically means:

How to contact the Railroad Retirement Board?

You should contact a Railroad Retirement Board office or the Board’s toll-free telephone number at 877-772-5772 (TTY 312-751-4701) for information about railroad pension benefits based on those earnings.

How long did you work in the railroad industry?

Worked in the railroad industry for less than 10 years and you have less than five years of railroad earnings after 1995.

Do railroad earnings count toward Social Security?

If you do not meet the minimum qualifications for a Railroad pension, your railroad industry earnings will count toward your Social Security credits. Below are examples of how earnings in the railroad industry may affect your retirement:

How many years of railroad service is considered retirement?

Like Social Security, the retirement benefit amount is based on your highest 35 years of railroad service income. An additional benefit that is not available through Social Security the Supplemental Annuity .

What did railroaders want?

Railroaders wanted a separate system that would create a uniform national retirement plan for railroad workers and were able to successfully lobby for the 1937 Railroad Retirement and Carriers’ Taxing Act , which established the National Railroad Retirement program. Later legislation in the early 1970’s restructured the retirement plan into 2 tiers, ...

How long do you have to be on the railroad to get supplemental annuity?

It means you have 12 months of railroad service in the 30 month period before you start your annuity. You can start receiving the supplemental annuity at age 60 if you have 30 years of service. You’ll receive the annuity at age 65 if you have 25-29 years of creditable service. Included in Tier 1 benefits are also Spousal Benefits, Disability, ...

What is the RRB?

The Railroad Retirement Board (RRB) is an independent agency in the Executive Branch of the Federal Government. It was started in the 1930s to nationalize railroad retirement. Railroaders already had individual company pension plans, but the Great Depression shook up that unstable system and created a retirement crisis for railroad retirees.

What is Tier 2 Social Security?

Tier 2 - Tier 2 is an additional benefit for Railroaders that is not available in the Social Security system. It is built to resemble a defined benefit pension and is based on the tenure you have in the railroad system. This benefit is in addition to any pension, 401k, deferred compensation, or other retirement benefits you are entitled to by ...

How much is the Railroad Retirement Act?

The Railroad Retirement Act also provides supplemental railroad retirement annuities of between $23 and $43 a month , which are payable to employees with railroad service prior to October 1981 who retire directly from the rail industry with 25 or more years of service. 2.

How much do disabled railroad workers get paid in 2020?

Disabled railroad workers retiring directly from the railroad industry in fiscal year 2020 were awarded $3,160 a month on average while awards for disabled workers under social security averaged $1,415. While both the Railroad Retirement and Social Security Acts provide benefits to workers who are totally disabled for any regular work, ...

What is the Medicare tax rate for 2021?

An additional 0.9 percent in Medicare taxes (2.35 percent in total) will be withheld from employees on earnings above $200,000. In addition, rail employees and employers both pay tier II taxes which are used to finance railroad retirement benefit payments over and above social security levels. In 2021, the tier II tax rate on earnings up ...

How much is the average retirement benefit for 2020?

The average age retirement benefit being paid under social security was approximately $1,505 a month.

What is the full retirement age?

Full retirement age is age 66 for those born 1943 through 1954 and is gradually rising to age 67 for those born in 1960 or later, the same as under social security. Under social security, a worker cannot begin receiving retirement benefits based on age until age 62, regardless of how long he or she worked, and social security retirement benefits ...

What is the tier 1 tax rate for rail workers?

Rail employees and employers pay tier I taxes at the same rate as social security taxes, 7.65 percent, consisting of 6.20 percent for retirement on earnings up to $142,800 in 2021, and 1.45 percent for Medicare hospital insurance on all earnings.

Does Social Security pay for railroad retirement?

Social security does pay certain types of benefits that are not available under railroad retirement. For example, social security provides children’s benefits when an employee is disabled, retired or deceased, whereas the RRB only pays children’s benefits if the employee is deceased. However, the Railroad Retirement Act includes a special minimum ...

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