Medicare Blog

how does one get railroad medicare vs medicare

by Ana Kling Published 2 years ago Updated 1 year ago
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• Your enrollment in Original Medicare is handled by the RRB rather than by Social Security. 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.

RRB will collect your Medicare premiums. 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.

Full Answer

What does railroad Medicare cover?

Basically, there is no significant difference that you will see with Railroad insurance coverage and traditional Medicare. The only difference is that Railroad health insurance plans are usually given to railroad retirement annuitants and their families. Try to think of it as just like getting social security benefits when you retire.

What is Medicare for railroad workers?

• Your enrollment in Original Medicare is handled by the RRB rather than by Social Security. 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.

What is Railroad Retirement Medicare?

Jan 14, 2022 · You can get the number for your State by dialing 1-800-MEDICARE (1-800-633-4227) and asking for information about the Medicare Savings Program. Signing Up for Medicare If you are already getting railroad retirement or social security benefits, you will receive information about the Medicare program a few months before you become eligible for coverage.

Does railroad Medicare require authorization?

You are typically eligible for Medicare if you are eligible for either Social Security benefits or Railroad Retirement benefits. There are a few important differences when you enroll in Medicare if you are or were a railroad worker. Your enrollment will be processed by the Railroad Retirement Board (RRB) instead of by Social Security.

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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.

Who is entitled to railroad Medicare?

age 65
You are eligible at age 65 if you receive or are eligible to receive railroad retirement or social security benefits. (Although the age requirements for some unreduced railroad retirement benefits have risen just like the social security requirements, beneficiaries are still eligible for Medicare at age 65.)Jan 14, 2022

Is railroad Medicare primary or secondary?

Railroad Providers - Medicare Secondary Payer (MSP)

Who is eligible for railroad retirement benefits?

In order to qualify for railroad retirement benefits, you must have been a railroad worker for at least 10 years, or for at least 5 years after 1995. Workers can receive full retirement benefits at age 60 with 30 years of service. The RRB also pays benefits to family members and survivors of railroad workers.

What is the average railroad retirement benefit?

The average age annuity being paid by the Railroad Retirement Board (RRB) at the end of fiscal year 2020 to career rail employees was $3,735 a month, and for all retired rail employees the average was $2,985. The average age retirement benefit being paid under social security was approximately $1,505 a month.

What is railroad Medicare?

The Federal Medicare program provides hospital and medical insurance protection for railroad retirement annuitants and their families, just as it does for social security beneficiaries.

Is Railroad Retirement considered Social Security?

The Railroad Retirement Accounts cover Tier I and Tier II benefits that exceed Social Security.

Is railroad Medicare a Medicare Advantage Plan?

Yes, Railroad Medicare beneficiaries can choose to enroll in Medicare Advantage plans.Mar 28, 2022

Does railroad Medicare require prior authorization?

Prior authorization may be required for Part B services provided to Railroad Medicare patients when the claim for the service will be billed to and processed by another Medicare Administrative Contractor.

How many years does it take to be vested in railroad retirement?

Employees with at least 10 years (120 months) of creditable railroad service, or at least 5 years (60 months) of creditable railroad service after 1995, are vested in Railroad Retirement and eligible for retirement and disability annuities.

Why is railroad retirement separate from Social Security?

While the Social Security system was in the planning stage, railroad workers sought a separate Railroad Retirement system to continue and broaden the existing railroad programs under a uniform national plan.

Can you lose your railroad retirement?

Once a current connection is established at the time the railroad retirement annuity begins, an employee never loses it, no matter what kind of work is performed thereafter.

Does Medicare cover railroad workers?

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. Though you’re paying into the Medicare program during your working years, and will probably rely on its services in the future, ...

Is Medicaid the same as Medicare?

You may think that Medicaid and Medicare are two different names for the same program. Actually, they are two different programs. Medicaid is a State-run program designed primarily to help those with low income and few resources. Each State has its own rules about who is eligible and what is covered under Medicaid.

What is the enrollment period for Medicare?

Special Enrollment Period for People Covered Under a Group Health Plan#N#If you are age 65 or older and covered under a group health plan, either from your own or your spouse’s current employment, you have a special enrollment period in which to sign up for Medicare Part B. This means that you may delay enrolling in Medicare Part B without having to wait for a general enrollment period and paying the 10 percent premium surcharge for late enrollment. The special enrollment period rules allow you to: 1 enroll in Medicare Part B anytime while you are covered under the group health plan based on current employment; or 2 enroll in Medicare Part B during the 8-month period that begins the month after your group health coverage ends or employment ends, whichever comes first.

What age does Medicare cover?

Medicare is our country’s health insurance program for people age 65 or older, certain people with disabilities who are under age 65, and people of any age who have permanent kidney failure.

What is the RRB?

The Railroad Retirement Board (RRB) enrolls railroad retirement beneficiaries in the program, deducts Medicare premiums from monthly benefit payments, and assists in certain other ways.

What is Medicare Part A?

Hospital Insurance ( Medicare Part A ), which helps pay for inpatient care in hospitals and skilled nursing facilities (following a hospital stay), some home health care services, and hospice care.

Is Medicare Part D the same as Medicaid?

Prescription Drug Coverage ( Medicare Part D ), as described in more detail under Prescription Drug Coverage. A Word about Medicaid. You may think that Medicaid and Medicare are two different names for the same program. Actually, they are two different programs.

Is Railroad Retirement Board the same as Social Security?

Railroad Retirement Board benefits are a lot like Social Security benefits. Your Medica re benefits are generally the same as well, except for a few perks. For example, you may be able to obtain coverage under Part A in Canada, and you may be able to cover dependent parents based on your work record instead of theirs.

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 ...

Is Medicare deductible from Social Security?

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. These are the same for all workers: 1.45% of your income in 2020. 1

Does Medicare cover Canada?

Generally, Medicare doesn’t cover health care costs in foreign countries, but RRB beneficiaries can use Medicare Part A for covered hospital expenses incurred in Canada . However, you may not receive coverage for Part B medical expenses, such as doctor visits, lab work, and preventative care.

Does Medicare cover hospital expenses in Canada?

Generally, Medicare doesn’t cover health care costs in foreign countries, but RRB beneficiaries can use Medicare Part A for covered hospital expenses incurred in Canada. However, you may not receive coverage for Part B medical expenses, such as doctor visits, lab work, and preventative care.

What is the RRB?

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.

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.

What is Medicare for railroads?

The Federal Medicare program provides hospital and medical insurance protection for railroad retirement annuitants and their families, just as it does for social security beneficiaries. Medicare has the following parts: 1 Medicare Part A (hospital insurance) helps pay for inpatient care in hospitals and skilled nursing facilities (following a hospital stay), some home health care services, and hospice care. Part A is financed through payroll taxes paid by employees and employers. 2 Medicare Part B (medical insurance) helps pay for medically-necessary services like doctors' services and outpatient care. Part B also helps cover some preventive services. Part B is financed by premiums paid by participants and by Federal general revenue funds. 3 Medicare Part C (Medicare Advantage Plans) is another way to get Medicare benefits. It combines Part A, Part B, and sometimes, Part D (prescription drug) coverage. Medicare Advantage Plans are managed by private insurance companies approved by Medicare. 4 Medicare Part D (Medicare prescription drug coverage) offers voluntary insurance coverage for prescription drugs through Medicare prescription drug plans and other health plan options.

How to contact Medicare for railroad retirement?

General information on Medicare coverage for railroad retirement beneficiaries is available under Benefits (Medicare) or by contacting an RRB field office toll-free at 1-877-772-5772.

Does Medicare cover kidney transplants?

Medicare coverage at any age on the basis of permanent kidney failure requiring hemodialysis or receipt of a kidney transplant is also available to employee annuitants, employees who have not retired but meet certain minimum service requirements, spouses, and dependent children.

Do you have to pay a premium for Medicare Part A?

Yes . While individuals don't have to pay a premium to receive Medicare Part A, recipients of Part A benefits are billed by the hospital for a deductible amount ($1,364 in 2019), as well as any coinsurance amount due and any noncovered services.

How much is Medicare premium in 2019?

The standard premium is $135.50 in 2019. However, some Medicare beneficiaries will not pay this amount because of a provision in the law that states Part B premiums for current enrollees cannot increase by more than the amount of the cost-of-living increase for social security (railroad retirement tier I) benefits.

Can you see a doctor on Medicare?

Yes. Under the Original Medicare Plan, the fee-for-service Medicare plan that is available nationwide, a beneficiary can see any doctor or provider who accepts Medicare from qualified railroad retirement beneficiaries and is accepting new Medicare patients.

What is Medicare Advantage Plan?

Medicare Advantage Plans combine Medicare Part A and Part B coverage, and are available in most areas of the country. An individual must have Medicare Part A and Part B to join a Medicare Advantage Plan, and must live in the plan's service area.

Can Medicare cards be similar?

A: This can easily happen as the two Medicare cards are very similar. The doctor’s office should pay close attention to the specific details printed on your Railroad Medicare card.

Does Medicare pay for hearing aids?

A: No, Medicare does not pay for hearing aids or hearing exams, when the purpose of the exam is to determine whether you need hearing aids or for fitting hearing aids.

Does Medicare cover injectable cancer drugs?

A: Only in limited instances will Medicare Part B provide for prescription drug coverage, such as for certain injectable cancer drugs or immunosuppressive drugs. All other Medicare benefits for prescription drugs require enrollment in a Part D Prescription Drug Program.

Does Medicare cover dental implants?

A: In most cases, Medicare does not cover dental services, specifically, services related to the care, treatment, filling, removal, or replacement of teeth, or structures directly supporting teeth. This would include check-ups, cleanings, and dental devices (such as dentures, dental plates, dental implants, or bridges) as well as extractions or other procedures performed to prepare the mouth for dentures (including reconstruction of the ridge) or titanium implants.

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:

What is railroad retirement?

Railroad retirement is a retirement and disability plan for railroad workers who spent enough of their careers in the industry to qualify. Designed and administered by the Railroad Retirement Board (RRB) since the 1930s, railroad retirement is the only private retirement system administered by the federal government.

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.

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.

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 ...

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