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BenefitsLink > Q&A Columns >

Stop, Look & Listen: Railroad Retirement Benefits Q&A

Answers are provided by Robert S. Kaufman

Dispute Between Medicare and Group Insurance: Neither One is Paying Medical Bills!

(Posted September 26, 2013)

Question 1058: I am 59 with 30 years of service, and was awarded a permanent disability benefit 3 years ago. My last vacation pay was February 2013. I receive Medicare and am still covered by my employer's health plan. Medicare tells me they are secondary payer for my medical care but my employer's insurance said Medicare should be first. Meanwhile my bills are not being covered. Can you shed some light on this situation?e
situation?

Answer: If you are no longer working and entitled to early Medicare because of Disability, Medicare should be the primary payer and your group insurance the secondary payer. You should call Palmetto GBA, the Railroad Retirement Part B Medicare Carrier, to resolve this. Their toll-free number is: (800) 833-4455.


Important notice:

Answers are provided as general guidance on the subjects covered in the question and are not provided as legal advice to the questioner or to readers. Any legal issues should be reviewed by your legal counsel to apply the law to the particular facts of this and similar situations.

The law in this area changes frequently. Answers are believed to be correct as of the posting dates shown. The completeness or accuracy of a particular answer may be affected by changes in the law (statutes, regulations, rulings, court decisions, etc.) that occur after the date on which a particular Q&A is posted.


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