Full Answer
Where can I find information about Medicare and Palmetto GBA?
Railroad retirement beneficiaries can find additional materials on the Medicare benefits page at RRB.gov, or the Medicare and Palmetto GBA information sources shown below. They can also contact the RRB toll-free at 1-877-772-5772 for general information on their Medicare coverage.
What does the railroad Medicare customer service center do?
Beneficiary Customer Service Center Assistance for people with Railroad Medicare. Benefit Integrity Responsible for deterring and detecting fraud, waste and abuse in the Railroad Medicare program. Claims Assistance with filing claims.
Where can I get help with my Medicare questions?
To get help with your Medicare questions, you can call Medicare's toll-free number or look on the website. If you are in the Original Medicare Plan and have questions about Medicare medical insurance (Part B) claims, you can call Palmetto GBA's toll-free number or visit the website for help.
How do I contact railroad Medicare?
Contact Railroad MedicareProvider Contact Center: 888-355-9165.IVR: 877-288-7600.TTY: 877-715-6397.
What is Medicare RR?
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 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.
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.
What is the difference between RR Medicare and 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 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.
What is the payer ID for railroad Medicare?
MR018Payer Name: Medicare - Railroad|Payer ID: MR018|Professional (CMS 1500)
How do I find 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.
How do I get Railroad Medicare Ptan?
If you are already enrolled with your local Part B Medicare Administrative Contactor (MAC) and have a claim to submit for a Railroad Medicare patient, you will request a Railroad Medicare PTAN using the Railroad Medicare PTAN Lookup and Request Tool at www.palmettogba.com/RR/PTAN.
How do I add a provider to my Medicare RR?
Please call our Provider Contact Center at 888-355-9165 for assistance. Choose option 3 for Provider Enrollment.
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.
Does Railroad Medicare require precertification?
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.
RRB Specialty MAC Providers
Effective immediately, the Railroad Medicare COVID-19 hotline can be reached at 888-882-7931 between the hours of 8:30 a.m. to 7 p.m. ET. Representatives can assist with provisional enrollment and information about accelerated payment requests. Learn More
Railroad Medicare COVID-19 Hotline
Effective immediately, the Railroad Medicare COVID-19 hotline can be reached at 888-882-7931 between the hours of 8:30 a.m. to 7 p.m. ET. Representatives can assist with provisional enrollment and information about accelerated payment requests. Learn More
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 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 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.
Who is Palmetto GBA?
Palmetto GBA, a subsidiary of Blue Cross and Blue Shield, processes medical insurance (Part B) claims for railroad retirement beneficiaries in the Original Medicare Plan. If you are in the Original Medicare Plan, your hospital, doctor, or other health care provider should submit Part B claims directly to: Palmetto GBA.
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, ...
