Medicare Advantage Plans (HMOs)

Yes, Railroad Medicare beneficiaries can choose to enroll in Medicare Advantage plans.

Last Reviewed: 12/16/2024

Since Railroad Medicare beneficiaries will have Railroad Medicare cards even when enrolled in a Medicare Advantage plan, we suggest the following:

• Ask your patients to present all of their insurance cards on each visit
• Ask your patients if they have recently enrolled in any new health insurance plans
• Prior to submitting Medicare Part B claims to Railroad Medicare, verify patient eligibility through the Palmetto GBA eServices internet portal tool 

Last Reviewed: 02/03/2025

Yes. The Eligibility, Plan Coverage tab provides information regarding the beneficiary's enrollment under Medicare Advantage (MA) plans, Part D plans and/or MA Managed Care Plans (Part C contracts) that provide Part A and B benefits for beneficiaries enrolled under a contract. For more information, see the eServices User Manual (PDF). 

eServices returns the eligibility information that is currently available to Railroad Medicare. Because there may be a time lag between the effective date of a patient’s Medicare Advantage plan enrollment/disenrollment and Medicare records being updated, it is important to also ask the patient about all health insurance plans they may have.

Last Reviewed: 12/16/2024