How long does it take for Medicare to update there files showing I have Medicaid?

If you have enrolled in Medicaid in your state, and are an active member when your Medicare eligibility matures, CMS will immediately know that you have the Medicaid coverage.

You must enroll in part B. Part A is automatic, so you don't have to enroll in part A.

When enrolling into part B, you will be asked if you currently have any other insurance. This is when you let them know you are already enrolled in Medicaid.

If you cannot afford part B coverage, you must formally decline. However, this does not mean you will never get part B. Medicare has what they call an, "open enrollment period," at the beginning of each year. So when you can finally afford part B, you can then enrol during that timeframe.

Usually, when your financial status changes and you can now afford part B Medicare coverage, you will no longer be eligible for Medicaid.

As you are probably already aware, the eligibility requirement for Medicaid is a very low, or non-existant income. So, if that changes, so does your eligibility. Then Medicaid could drop you.

If that happens, and you can afford the part B premium, I suggest you look at the available Medicare Advantage plans available in your state.

Medicare advantage plans offer supplemental coverage to Medicare, typically paying for those things left unpaid, such as your deductible and coinsurance amounts (and non-covered items like prescription drugs). Medicare Advantage plans cannot charge any more than the part B premium, so when you opt for this type of supplemental coverage you will make your premium payment to the advantage plan you chose, rather than directly to CMS.

They in turn will then pick up where Medicare left off, providing a more comprehensive coverage for you.

If you are not able to pay for the part B premium, Medicaid will be your primary coverage for all professional services. However, if you end up in the hospital, all facility fees must be processed by Medicare first, (because you do have part A, which is hospital coverage) and then they will automatically send the claim to Medicaid for their consideration.

I hope this helps answer your question. I am more than happy to assist further if necessary, just contact me through my profile.

Though your question confused me a bit, and not been I an expert in these matters, I will advice you though to go straight to social sec. office and ask. If they say it's not up to them, go to children and families office which is where you probably apply for Medicaid and tell them your concerns. Whatever you do, don't wait around; some times mistakes are made!