Railroad Medicare Quick Reference Guide

Medicare Part A and Part B MAC for Jurisdiction 11; comprised of North Carolina, South Carolina, Virginia and West Virginia. Medicare Part A and Part B MAC for Jurisdiction 1; comprised of California, Hawaii and Nevada. Palmetto GBA is the national carrier contracted by the Railroad Retirement Board to administer Medicare Part B health insurance for railroad retirees and their dependents. Because they are independent from the local Part B Medicare carriers or Medicare Administrative Contractors (MAC’s), there are many important things to remember when billing Railroad Medicare. This guide is designed to help you get started and to clarify how to bill.