Medicare Blog

how is railroad medicare different from regular medicare

by Heath Quitzon Published 2 years ago Updated 1 year ago
image

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.

Full Answer

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.

Does Medicare Advantage cost less than traditional Medicare?

UnitedHealth Group, for example, discovered that Medicare Advantage costs beneficiaries 40 percent less than traditional Medicare does.

What is the difference between OASDI and Medicare?

senior citizens and the disabled also known as Medicare (Med). The amounts deducted are set Annually by the Social Security Administration (SSA). OASDI is currently 6.2% of Taxable Gross and MED is 1.45% of Taxable Gross. Each year the SSA set limits on the Taxable Gross amount to be taxed for OASDI.

image

Is railroad Medicare a Medicare Advantage Plan?

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

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.

Can you receive social security and railroad retirement at the same time?

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.

Are railroad retirement benefits better than social security?

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

Who is entitled to railroad Medicare?

age 65 or older-- Most people age 65 or older who are citizens or permanent residents of the United States are eligible for free Medicare hospital insurance (Part A). You are eligible at age 65 if you receive or are eligible to receive railroad retirement or social security benefits.

How do I verify eligibility for railroad Medicare?

Verifying Railroad Medicare enrollment is easy using our online PTAN Lookup and Request Tool. This tool first validates the provider identification information you enter — local Part B MAC PTAN, National Provider Identifier (NPI) and Tax Identification Number (TIN) — against enrollment information in our files.

Why is railroad retirement separate from Social Security?

Workers whose jobs required that they cross State lines sometimes found that they were not eligible for benefits in any of the States in which they worked. It was therefore recommended that railroad workers be covered by a separate plan. Congress enacted the Railroad Unemployment Insurance Act in June 1938.

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.

Do you have to pay federal income tax on railroad retirement?

no Federal taxes be withheld from your railroad retirement payments, Federal taxes be withheld based on the marital status and the number of allowances you want to claim, or. an additional amount be withheld from your railroad retirement payments.

Why do railroad workers not get Social Security?

Although the plan to create Social Security was already in the works, it wouldn't cover work before 1937 and wouldn't begin paying benefits for several years. In 1934, a year before Social Security was signed into law, Congress passed the Railroad Retirement Act to establish a national railroad retirement system.

What is the difference between tier 1 and tier 2 railroad retirement benefits?

Tier 1 benefits are adjusted for the cost of living by the same percentage as Social Security benefits. Tier 2 benefits are based on the employee's service in the rail- road industry and are payable in addition to the tier 1 benefit amount.

What is full retirement age for railroad retirement?

Full retirement age for a railroad employee with less than 30 years of service is age 66 for those born in 1943 through 1954, and gradually increases to age 67 for those born in 1960, or later.

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 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.

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 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 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.

Can a spouse get Medicare if they are divorced?

Under certain conditions, your spouse, divorced spouse, surviving divorced spouse, widow (er), or a dependent parent may be eligible for Medicare hospital insurance based on your work record when he or she turns 65. Eligibility for family members under age 65.--.

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, ...

When does the enrollment period start for a 401(k)?

If you are eligible at age 65, your initial enrollment period begins 3 months before the month of your 65th birthday; includes the month you turn age 65; and ends 3 months after the month of your 65th birthday.

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 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.

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.

Is Medicare the same as Social Security?

Benefits. Generally, Medicare benefits are the same whether you qualify via Social Security or the Railroad Retirement Board. But there are a few differences.

What is the difference between Medicare Part B and Medicare Part B?

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. Also, be sure to provide your Railroad Medicare card at time of service as the information on the card identifies you as a Railroad Medicare beneficiary to the provider.

When can I disenroll from Medicare Advantage?

A: You can generally disenroll from a Medicare Advantage plan only during the Medicare open enrollment period of October 15-December 7, the Medicare Advantage Plan disenrollment period of January 1-February 14, or when you qualify for a Special Enrollment Period (SEP). For more information on SEPs, go to www.Medicare.gov.

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.

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.

Do I need to sign up for Medicare Part B?

A: As an active employee covered under the active employee H&W Plan, you do not need to sign up for Medicare Part B. You should, however, sign up for Medicare Part A (for which there is no cost) to avoid any future Medicare enrollment problems. It is strongly recommended that you contact the Railroad Retirement Board three (3) months before you turn age 65 to start the Medicare enrollment process.

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.

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9