This section explains deductions from your monthly annuity for other Federal
programs.
Medicare Coverage
General Information About Medicare
Medicare is a two part Federal health insurance program, administered by the
Centers for Medicare & Medicaid Services (CMS), for people who are age 65 or
older; who are totally and permanently disabled, or who have permanent kidney
failure. One part of Medicare is Hospital Insurance (also known as Part A). The
other part is Medical Insurance (also known as Part B).
If you are eligible for Medicare because of permanent kidney failure (End
Stage Renal Disease), you must call or visit your local Social Security
Administration office or call the Social Security Administration at
1-800-772-1213 to enroll in Medicare Part A and Part B. For all other Medicare
eligibility, the RRB can help you enroll in Medicare Part A and Part B.
Medical Insurance (Part B) at Age 65 or
Older
Enrollment for Medical Insurance (Part B) depends on your age when you file
your spouse or divorced spouse annuity application.
- If you are under age 64 years and 5 months when you file your annuity
application, you will be automatically enrolled in Medical Insurance (Part B)
at age 65, unless you decline this coverage.
- If you are at least age 64 years and 5 months, when you file your annuity
application, you can use your annuity application to enroll for Medical
Insurance (Part B).
If you want Medical Insurance (Part B) at age 65, you must pay a premium for
each month you have this insurance. If you receive an annuity, the premium will
usually be deducted from your monthly annuity rate.
If you do not want Medical Insurance (Part B) at age 65 and then decide at a
later date that you do want to sign up, your protection may be delayed and your
premiums may be more expensive.
If at any time, you wish to cancel the election that you make on your annuity
application, you must contact the nearest office of the RRB.
Special Enrollment Period (SEP) -
You may delay enrolling in Medical Insurance (Part B) coverage without
penalty if you are covered under a Group Health Plan (GHP) at age 65. The GHP
may be based on your own employment or the employee's employment. You may enroll
in Medical Insurance (Part B) at any time while you are covered under the GHP or
you can enroll during a Special Enrollment Period (SEP). Your SEP begins when
the employment on which the GHP is based ends or the first month you are no
longer covered under the GHP, whichever comes first. The SEP lasts for eight
months.
The beginning date of your Medical Insurance (Part B) coverage depends on the
status of your GHP enrollment when you file for the Medical Insurance (Part B).
- If you file for Medical Insurance (Part B) during any month in which you
are enrolled in an GHP, or in the first month of your SEP, you can choose the
effective date of your Medical Insurance (Part B). The effective date can be
the first day of the month you file or the first day of any of the following
three months after the month of filing.
Example 1 - If your GHP coverage
based on current employment has not ended and you file for Medical Insurance
(Part B) in May, you can chose May 1, June 1, July 1, or August 1 for you
Medical Insurance (Part B) effective date.
Example 2 - If you GHP coverage based on current employment ends on March 19,
and you file for Medical Insurance (Part B) the following applies:
- If you file anytime after March 19, but before April 1, you can choose
the effective date of March 1, April 1, May 1, or June 1, for your Medical
Insurance (Part B); or,
- If you file anytime in April, you can choose the effective date of April
1, May 1, June 1, or July 1, for your Medical Insurance (Part B).
- If you file for Medical Insurance (Part B) during the other seven months
of your SEP, your Medical Insurance (Part B) will begin the first day of the
month after the month you file. The beginning date can be no later than the
ninth month after the start of your SEP.
Example - If your GHP coverage based on current employment ends on March 19,
and you file for Medical Insurance (Part B) anytime during the period May 1
through November 30, your Medical Insurance (Part B) will begin the month
after the month in which you file your annuity application.
If you are already enrolled in Medical Insurance (Part B) and are paying
higher premiums due to late enrollment, and you had GHP coverage at age 65, you
may use your annuity application to request a review of the Medical Insurance
(Part B) premium rate you are paying.
Prescription Drugs -
In 2003, new Medicare legislation was enacted. Among other things, the
legislation provides for a prescription drug benefit for Medicare beneficiaries.
Until that benefit goes into effect in 2006, Medicare beneficiaries will be able
to purchase a prescription drug discount card. Individuals with incomes below
certain levels may qualify for $600 credit to be added to the discount card that
may be used to help pay for prescription drugs.
Early Medicare Based on Disability -
The RRA does not provide a spouse annuity or divorced spouse annuity based on
disability. If you are totally disabled for all employment, you may be covered
by early Medicare before age 65 on your own earnings record. If you have at
least 120 months of railroad service, or 60-119 months of railroad service with
at least 60 months of railroad service after 1995, refer to Booklet RB-1D
Employee Disability Benefits for an explanation of the disability requirements.
Otherwise, you should contact SSA to file for early Medicare on you own earnings
record.
More Information About Medicare -
If you need more information about Medicare, contact the nearest RRB office.
Toll Free: |
1-800-MEDICARE
(1-800-633-4227) |
TTY/TDD: |
1-877-486-2048 |
Website: |
www.medicare.gov |
Federal Income
Tax Withholding
Withholding for Federal Income Tax may occur, either based on your election
filed on Form W-4P "Withholding Election Form", or, if you do not file a Form
W-4P, based on a status of "Married with three dependents."
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