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Medicare

 

 

 
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Medicare Enrollment Rules Simplified - Effective January 2023

Medicare Enrollment Rules Simplified - Effective January 2023

 

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Under the new law, starting in January 2023, when you enroll during your Initial Enrollment Period or you enroll during the General Enrollment Period, your Medicare coverage will begin the month after you enroll.  

Initial Enrollment Period
When you turn 65 you become eligible for Medicare.  This is called your Initial Enrollment Period (IEP).  It lasts for 7 months, starting 3 months before you turn 65, and ending 3 months after the month you turn 65. 

Current Law

If you enroll: Coverage starts:
Before the month you turn 65 The month you turn 65
The month you turn 65 The next month
1 month after you turn 65 2 months after you enroll
2 or 3 months after you turn 65 3 months after you enroll


New Law

If you enroll: Coverage starts:
Before the month you turn 65 The month you turn 65
The month you turn 65 The next month
1 month after you turn 65 The next month
2 or 3 months after you turn 65 The next month after you enroll


If you turn 65 in October 2022 or November 2022 you could be subject to the current IEP rule and the new rules taking effect in January 2023.  If an individual turns 65 in October 2022, their IEP would be July 2022 thru January 2023. 

If you enroll: Coverage starts:
In July, August or September 2022 October 1, 2022
In October 2022 November 1, 2022
November 2022 January 1, 2023
December 2022 February 1, 2023
January 2023 March 1, 2023


General Enrollment Period (GEP)
Beginning January 1, 2023 if you sign up for Part B coverage during the GEP, January 1 through March 31, your coverage will become effective the first day of the month after you enroll.  

If you enroll: Part B coverage starts:
In January 2023 February 1, 2023
In February 2023 March 1, 2023
In March 2023 April 1, 2023

 

Published by: Policy and Systems | Email: webmaster@rrb.gov

Railroad Retirement Handbook

Railroad Retirement Handbook

 

  • Read more about Railroad Retirement Handbook

CMS Offers Medicare Enrollment Relief for Americans Affected by Recent Disasters

CMS Offers Medicare Enrollment Relief for Americans Affected by Recent Disasters

 

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The Centers for Medicare & Medicaid Services (CMS) is providing immediate relief to people who want to make a Medicare Part A or Part B enrollment request, but may have been impeded by the recent hurricanes and the wildfires in California.

The Centers for Medicare & Medicaid Services (CMS) issued a press release providing guidance and instruction on this initiative (10/30/17):

  • CMS Offers Medicare Enrollment Relief for Americans Affected by Recent Disasters
  • Los CMS ofrecen alivio en la inscripción a Medicare para los estadounidenses afectados por los desastres de clima recientes

 

 

Published by: Policy and Systems | Email: webmaster@rrb.gov

New Medicare Cards Are Coming

New Medicare Cards Are Coming

 

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The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 mandates the removal of social security numbers from Medicare cards. As a result, every person with Medicare coverage will be receiving a replacement card displaying a new Medicare number that is unique to them. This change will better protect your identity. Railroad Retirement Board will mail you a new Medicare card by June of 2018.

The Centers for Medicare & Medicaid Services (CMS) issued a press release covering this initiative in greater detail (09/14/17):

  • CMS Reveals New Medicare Card Design
  • Los CMS Revelan el Nuevo Diseño de la Tarjeta de Medicare

 Chose the following link to view a sample of the RRB Medicare Card.

In the meantime, beware of anyone who contacts you about your new Medicare card. Medicare or the RRB will never ask you for personal or private information in order for you to receive your new Medicare number and card.

Report all instances of fraud or potential fraud to 1-800-MEDICARE.

 

Published by: Policy and Systems | Email: webmaster@rrb.gov

Q&A: Disability Annuities for Railroad Employees

Q&A: Disability Annuities for Railroad Employees
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The Railroad Retirement Act provides disability annuities for railroaders who become totally or occupationally disabled. Medicare coverage before age 65 is also available for totally disabled employees and those suffering from ALS (Amyotrophic Lateral Sclerosis) or chronic kidney disease.

  • Read more about Q&A: Disability Annuities for Railroad Employees

Q&A: Acting for Impaired Railroad Retirement Annuitants

Q&A: Acting for Impaired Railroad Retirement Annuitants
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Railroad Retirement Board (RRB) policy states that every railroad retirement annuitant has the right to manage their own benefit payments. However, when an annuitant cannot do so because of physical or mental impairment, or if the RRB determines that the annuitant’s interests require it, the agency can appoint a person or an organization to receive railroad retirement benefit payments on the annuitant’s behalf as a representative payee.

  • Read more about Q&A: Acting for Impaired Railroad Retirement Annuitants

Q&A: Medicare for Railroad Families

Q&A: Medicare for Railroad Families
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The federal Medicare program provides hospital and medical insurance protection for railroad workers and their families, just as it does for workers under social security. Medicare has the following parts:

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Medicare Part B Premiums and Deductibles Will Increase in 2026

Medicare Part B Premiums and Deductibles Will Increase in 2026
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The Centers for Medicare & Medicaid Services (CMS) has set the standard monthly Part B premium at $202.90 in 2026, an increase of $17.90, or just under 10 percent, from the 2025 premium of $185.00. However, some Medicare beneficiaries may pay less than this amount because, by law, Part B premiums for current enrollees cannot increase by more than the amount of the cost-of-living adjustment for social security (railroad retirement tier I) benefits. The annual deductible for all Medicare Part B enrollees in 2026 will be $283, an increase of $26 from the 2025 deductible of $257.

  • Read more about Medicare Part B Premiums and Deductibles Will Increase in 2026

Palmetto GBA, RRB's Medicare

Palmetto GBA, RRB's Medicare

 

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Palmetto GBA is the Railroad Specialty Medicare Administrative Contractor (RRB SMAC) and processes Part B claims for Railroad Retirement beneficiaries nationwide.  Palmetto GBA is contracted by the RRB.

Telephone Inquiries - If you would like to check the status of your Railroad Medicare Part B claim, you may call the Palmetto Interactive Voice Response (IVR) system toll-free at (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. If you need help while using the IVR, Customer Service Representative Representatives (CSRs) are available by pressing zero ‘0’. Claim status and CSR are available Monday thru Friday from 7 a.m. – 11 p.m. ET.

For the hearing impaired, call TTY/TDD at (877) 566-3572. This line is for the hearing impaired with the appropriate dial-up service and is available during the same hours Customer Service Representatives are available.

Spanish inquiries can be directed to (800) 833-4455.

 

Published by: Policy and Systems | Email: webmaster@rrb.gov

Medicare Premiums

Medicare Premiums

 

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Learn about the basic costs for Medicare: Part A (hospital insurance). Part B (medical insurance) including Income Related Monthly Adjustment Amount (IRMAA) and late enrollment penalty. Medicare Advantage Plans (Part C) and what factors contribute to how much you pay out-of-pocket. The different types of Medicare drug coverage (Part D) and the costs you will pay in a Medicare drug plan. The current Medicare Part A, Part B, Part C, and Part D costs for monthly premiums, deductibles, penalties, copayments, and coinsurance.

 

Published by: Policy and Systems | Email: webmaster@rrb.gov

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