Medicare Blog

how to get medigap thru railroad medicare

by Katrina Hahn Published 2 years ago Updated 1 year ago
image

Most railroad workers enroll in Medicare by contacting their local Railroad Retirement Board

Railroad Retirement Board

The U.S. Railroad Retirement Board is an independent agency in the executive branch of the United States government created in 1935 to administer a social insurance program providing retirement benefits to the country's railroad workers.

office. You can find the nearest office using the field office link above. But if you have end-stage renal disease, you must enroll through the Social Security Administration.

Full Answer

How do I get Medicare if I work on the railroad?

Contact your local RRB to learn more. Also, if you qualify for Medicare due to End-Stage Renal Disease (ESRD), you should contact Social Security to enroll, even if you are a railroad worker. RRB will collect your Medicare premiums.

What is the difference between railroad Medicare and regular Medicare?

But there are a few differences. With railroad Medicare, more of your family members could qualify for coverage based on your working record. All Medicare beneficiaries’ spouses, divorced spouses, and surviving spouses may be eligible for Part A benefits. But railroad workers can add dependent parents to that list too.

Can a Railroad Retirement Board doctor bill Medicare?

The Railroad Retirement Board uses its own billing contractor, and your doctor can’t bill Medicare directly. Ensure your doctors know you have RRB Medicare benefits. While your Medicare card will say so, it never hurts to double-check to avoid payment delays.

How do I get Medicare if I am not receiving RRB?

If you are 65 and eligible for Medicare but not receiving RRB benefits at the time, contact your local field office to get enrolled in Medicare. • If you have a disability and are younger than 65, your eligibility for Medicare health care coverage differs from someone who is receiving Social Security benefits.

image

Is there a difference between Medicare and railroad 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 a Medicare Advantage Plan?

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

What is a railroad Medicare plan?

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.

How do I contact railroad Medicare?

Contact Railroad MedicareProvider Contact Center: 888-355-9165.IVR: 877-288-7600.TTY: 877-715-6397.

Who administers railroad Medicare?

As part of the retirement program, the RRB also has administrative responsibilities under the Social Security Act for certain benefit payments and railroad workers' Medicare coverage. In fiscal year 2021, the RRB paid retirement-survivor benefits of nearly $13.2 billion to about 519,000 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.

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. 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).

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 the maximum railroad retirement benefit?

In computing the benefit to be paid in the year of retirement, social security does not include earnings in the year of retirement. Such earnings may later increase the benefit under the recomputation rules. Note: Maximum taxable compensation during 2020 is $137,700 for tier 1 and $102,300 for tier 2.

Does Railroad Medicare have a provider portal?

Palmetto GBA Railroad Medicare is pleased to offer eServices, our free Internet-based, provider self-service portal. The application provides information access over the Web for the following online services: Eligibility.

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.

Where do I file a railroad Medicare claim?

You can either file electronic claims to Railroad Medicare through a clearinghouse or other third-party claims submitter, or you can submit paperless claims directly through Palmetto GBA's online provider portal eServices eClaims option.

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.

Step 1 – Decide which benefits you want, then decide which of the Medigap plans A–N meet your needs

Decide which benefits [glossary] you need and want while considering your current and future health care needs. You might not be able to switch policies later.

Step 4 – Buy the Medigap policy

Once you decide on the insurance company and the Medigap policy you want, you should apply. The insurance company must give you a clearly worded summary of your Medigap policy. Make sure you read it carefully. If you don't understand it, ask questions.

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.

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.

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.

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