Final Update on Medicaid Situation

I finally got an answer for my problem with Medicaid. To recap, I had taken my 21 year old son the the emergency room becasue I thought he broke his wrist. He only answers yes and no questions, and all I knew was his wrist was swollen, red, hurt real bad (enough to make him cry) and it involved a 20 pound dumbbell. Baylor Garland, Tx, sent me a bill because it wasn't covered under Superior Health (STARR program, Medicaid). Baylor told me that Superior determined it wasn't a true emergency. We challenged that, and it got denied again. I filed a complaint with the state, and even mentioned it on the John David Wells Radio show. At first Superior just told me Baylor didn't accept my insurance. I told them what Baylor said, and that's when they said they could file a complaint with the state. I got phone calls twice wanting more details. I mean, how many times can you say I thought his wrist was broke, so I took him to the nearest emergency room. They asked why I didn't take him to his primary care Physician. I said, "IT WAS A SATURDAY, AFTER HOURS." What was I supposed to do, wait until Monday? If it had been broken, and I'd waited, they would take him away from me for negligence. I was told they have a free Nurse hotline. I asked if they could determine if the wrist was broken over the phone. Last time I checked, it took an X-ray to do that. I had lost my copy of the manual, or didn't get one. I don't ever remember getting a copy, so it was probably a go to this website for a copy small print afterthought in some letter. They made a ruling, and determined that it was an actual emergency. They gave a reference page from the manual, so I did an internet search to get a copy of the manual. It was the page that explained I had a right to complain about any ruling they made. OK, so why did they not reference the part about how to determine it was an emergency? They actually say if anyone of average intelligence with average medical knowledge believes life or limb is at risk, it's an emergency. I'm sorry, but I'm probably a bit above average intelligence (I scored 125 in high school on the intelligence test) and half my family is in the medical field. Plus I've been dealing with my son's heart condition and other medical issues for 21 years. I knew you can't tell a broken wrist without X-rays. And I don't take my kid to the emergency room, or even his primary care doctor, every time he gets a cold. I know there is no cure for the common cold. Unless it looks like it's not getting better, and might be the flu, I treat it with over the counter meds. So, why did they decide it was an emergency? Was it just because I caught them and decided to fight it? I wonder how many people just go ahead and pay it, so that Medicaid doesn't have to? Is this how Obama plans to pay for his ObamaCare? By denying services? I'm worried about my Tricare now. I keep seening commercials for a supplimental insurace to go with Tricare. I don't have a high premium, or high copays and no deductible. That's supposed to be a benefit of serving your country for 20 years (24 if you count my service, too). I don't mind it going up with the cost of living. Things I buy now don't cost what they did 12 years ago. Of course, my husband hasn't gotten a raise in 4 years either, but that's beside the point. I wonder if everyone out there on Medicaid and SSI realize they could refuse to pay at anytime? Are you listening?