Legal Notice

The wise choice in vision care
PLEASE READ THESE LEGAL NOTICES CAREFULLY BEFORE USING THIS SITE

By using this web site, you agree to these Terms of Use and all applicable laws. If you do not agree to these Terms of Use, please do not use this web site.

This web site, www.mesvision.com (“Site”) is owned and operated by Medical Eye Services, Inc. (MES). MESVision maintains this Site for personal information, education and communication. Please feel free to browse the Site. Any activity on this Site is subject to monitoring by MESVision at any time. Anyone who uses this Site consents to such monitoring and agrees that MESVision may internally use the results of such monitoring without limitation.

RESTRICTIONS OF USE OF MATERIALS

You should assume that everything you see or read on this Site is copyrighted unless otherwise noted and may not be used except as provided in these Terms of Use without the written consent of MESVision.

No material from this or any other web site owned, operated, licensed or controlled by MESVision, may be copied, reproduced, republished, uploaded, posted, transmitted, or distributed in any way, without the prior written consent of MESVision. Modification of MESVision material or use of MESVision material for any other purpose is a violation of MESVision’s copyright, service mark, and other proprietary rights.

You may download material displayed on the Site for non-commercial; personal use only, provided you also retain all copyright and other proprietary notices contained on the materials. Downloadable forms provided on this Site for use in receiving plan benefits or for plan administration may be used as needed.

LIMITATIONS OF LIABILITY

MESVision has taken reasonable steps to ensure that the information contained in this Site is accurate. MESVision makes no warranty of any kind, implied or express, as to its accuracy, completeness or appropriateness for any purpose. We will make efforts to correct errors brought to our attention.

Under no circumstances, including, but not limited to, negligence, shall MESVision be liable for any direct, indirect, incidental, special, consequential or punitive damages that result from the use of, or the inability to use, the material contained in the Site. You specifically acknowledge and agree that MESVision is not liable for any defamatory, offensive or illegal conduct of any user. If you are dissatisfied with any of the MESVision material or information, or with any of MESVision's Terms of Use, your sole and exclusive remedy is to discontinue using this Site.

Last Revised: January 7, 2003

HIPAA Compliance

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Health Insurance Portability and Accountability Act of 1996

In October of 2000, Medical Eye Services formed a HIPAA Core Committee as the first step in its commitment to comply with the Administrative Simplification Requirements by October 2003 and the Privacy Requirements by April 2003.

The Administrative Simplification Requirements of HIPAA (which were finalized in August of 2000) and the Privacy Requirements (which were amended in August of 2002) impact providers, employer groups, health plans, insurance companies, & billing services that exchange and/or maintain healthcare data electronically; including storing, printing, or sending data via computer that identifies a patient and their health condition, treatment, or payment.

This Federal Legislation has adopted industry standards in an effort to achieve uniform health information exchange through Electronic Data Interchange (EDI). Implementation guidelines for these standards include the following transactions:

  • Enrollment
  • Benefit Eligibility Inquiry
  • Health care claim submittal
  • Claim Status or Payment Inquiry
  • Group Premium Payment

Medical Eye Services is committed to working together with our business associates, trading partners, providers, and vendors toward implementation of the HIPAA Standards to protect individually identifiable health information and to improve the efficiency of electronic healthcare transactions. We will continue to update our website to inform you of our continual awareness and progress of this important legislation.

Privacy Policy

The wise choice in vision care

Effective Date: March 2004

This section sets forth the Medical Eye Services (MES) Online Privacy Policy for this website, www.mesvision. com (the “Site’). MESVision respects the privacy of visitors (“Users”) to our Site and is designed to serve the users of the vision plans (“Covered Persons”) for which MESVision is the plan sponsor and/or administrator. As a general policy, no personally identifiable information is automatically collected from visitors to this Site. Personally identifiable data is not shared with any third parties.

WHAT INFORMATION IS COLLECTED

Provider Look Up: When Users access the on-line directory to locate local participating providers, we collect non-personally identifiable information to search our database, primarily zip code, city and/or county. Provider Registration: When a participating provider registers to use on-line provider tools (eligibility verification, claims submission), we collect provider-specific information including provider number and password.

Provider’s Request for Covered Person Eligibility: Within the registered provider area of the Site, providers can request Covered Person eligibility from us which lets a provider know whether or not a Covered Person is eligible for vision services. During this process, we collect Covered Person’s name, primary subscriber (if Covered Person is a dependent), and an individually identifiable number assigned to each Covered Person (i.e. social security or other number) is order to verify a Covered Person’s eligibility.

Provider Claim Submission: Within the registered provider area of the Site, providers may send claims to us for reimbursement for providing services to Covered Persons. The same data collected to verify eligibility is used in this process along with services rendered.

Use of Cookies/Aggregate Data: This site does not utilize Cookies. This Site may use other forms of aggregate information gathering to track visitors to the site and which pages are being accessed and how long a visitor views a page. No personally identifiable information is collected for this use.

HOW MESVision USES YOUR INFORMATION

Benefits Administration: We utilize the information collected from this Site as noted above (“What Information is Collected”) to determine Covered Persons’ eligibility for covered services and to provide payment to participating providers from claims submissions.

Covered California

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California’s Health Insurance Marketplace

About Covered California
One of the important parts of the Affordable Care Act are state-run competitive health insurance ‘marketplaces’ (also known as ‘exchanges’) where individuals and small businesses (defined as companies with less than 50 employees) will be able to purchase affordable private health insurance for 2014. California’s health insurance marketplace is known as Covered California. In addition to buying coverage through Covered California, individuals and small businesses can also purchase health insurance the way they do today from brokers and directly through health insurance carriers.

Learn more about Covered California at www.coveredca.com.