Official Website of the U.S. Railroad Retirement Board
Administering retirement/survivor and unemployment/sickness benefit programs for railroad workers and their families.

Medicare Information

Information about Medicare for railroad workers and their families

Palmetto GBA, RRB's Medicare Carrier
  • About Railroad Medicare Read RRB's external link disclaimer
  • Telephone Inquires - If you have questions about your Railroad Medicare Part B claim, you may call the Palmetto GBA toll-free Customer Service Unit at (800) 833-4455, Monday through Friday, 8:30 a.m. until 4:30 p.m. for all time zones with the exception of PST, which receives service from 8 a.m. to 4 p.m.

    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.
Medicare Premium Information
  • Part A Deductible and Part B Premium Amounts
  • Hold Harmless and the 2016 Part B Premium - The Part B standard premium rate for 2016 is $121.80. However, because there will be no cost of living increase in 2016 most RRB Medicare beneficiaries will be protected by the hold harmless provision and continue to pay $104.90. To be eligible for the hold harmless provision the RRB must withhold Part B premiums from the tier 1 portion of your Railroad Retirement benefits or from your Social Security benefits for payments dated December 1, 2015 and January 1, 2016. You will pay the full Part B premium rate of $121.80 if the RRB bills you for Part B premiums in December 2015 or January 2016, if you are enrolled in Part B with a 2016 effective date, if SSA determines you must pay an income-related monthly adjustment amount (IRMAA) or the RRB deducted Part B premiums from your tier 2 or vested dual benefit because the tier 1 portion of your Railroad Retirement benefit is too small to sustain the monthly premium deduction
  • Withholding Medicare Part C and Part D Premiums - Beginning with Medicare premiums due for June 2011, the RRB is able to withhold premiums for Medicare Part C (Medicare Advantage Plans) and Medicare Part D (prescription drug plans) from benefit payments.  Beneficiaries should contact their plans to request withholding of these premiums from their monthly benefit payment.

    Part C and Part D premiums vary according to the plan and provider. Effective January 2011, the Affordable Care Act of 2010 requires some Part D beneficiaries to also pay an income-related monthly adjustment amount (IRMAA), depending on a beneficiary's or married couple's modified adjusted gross income. Currently, Part D beneficiaries pay the regular premium to their Part D plan and the income-related monthly adjustment amount (IRMAA) directly to the RRB.

    While the RRB will now be able to deduct the regular Part D premiums for individuals who elect to have them withheld from their benefit payments, Part D enrollees subject to the IRMAA will continue to receive a separate bill for that portion from the RRB, because the agency is unable to deduct those amounts from benefits at this time.
  • Annual Enrollment Period Reminder - In accordance with information from the Centers for Medicare and Medicaid Services (CMS), beginning in the fall of 2011, the annual enrollment period for Part C and Part D coverage will begin and end earlier. Effective this year, the annual enrollment period will be from October 15 to December 7; previously, it ran from November 15 to December 31. However, changes and enrollments made during this period will still be effective on January 1 of the following year.
  • Medicare Part D IRMAA - Starting January 1, 2011, the Medicare Part D Monthly premium could be higher based on a beneficiary's income. This includes Part D coverage received from a Medicare Prescription Drug Plan, a Medicare Advantage Plan with prescription drug coverage, or a Medicare Cost Plan that includes prescription drug coverage.

    If your modified adjusted gross income as reported on your IRS tax return from 2 years ago was more than $85,000 (individuals and married individuals filing separately) and $170,000 (married individuals filing jointly), you will have to pay an extra amount for your Medicare Prescription Drug coverage. This extra amount is called the income-related adjustment amount. You will have to pay this extra amount in addition to your monthly Part D plan Premium.
  • Income-Related Monthly Adjustment Amount (IRMAA) for Medicare Prescription Drug Coverage Frequently Asked Questions PDF File Format
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U.S. Railroad Retirement Board
844 North Rush Street
Chicago IL, 60611-1275
Toll Free: (877) 772-5772
TTY: (312) 751-4701
Directory: (312) 751-4300
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