Q: A friend has Medicare from Railroad Retirement, not from Social Security. Is the coverage the same?
A: Yes. Medicare coverage is the same for everyone entitled to it, no matter how that coverage was obtained. Details about what is covered by Medicare are on the Medicare website, www.medicare.gov.
Railroad employment is not covered by Social Security. Legislation enacted in 1934, 1935, and 1937 established a separate retirement system, now administered by the Railroad Retirement Board. The Medicare program covers railroad workers just like workers covered under Social Security.
Although railroad employment is part of a separate retirement system from Social Security, the two systems coordinate benefits when a person has employment through both.