Medical Eye Services (MES)
All charges are to be entered in the patient’s ledger on the day of services, regardless of whether the patient or insurance will pay. The patient’s vision or medical insurance may affect the amount the patient will pay at the time of their visit to the Clinic. The financial class field on the patient’s computer record should reflect the patient’s insurance and, in some instances, the Billing Department will append an insurance screen to the patient screen in the computer.
Covers the exam and gives an allowance towards glasses or contacts. Prior to providing services, authorization obtained through MES website by staff. Check the authorization for co-pay and allowance amounts. UCBSO is Provider #2053 (pin #0945). Insurance subscriber’s Social Security number will be needed for authorization.
Students must be aware of patient’s copay, eligibility, and frame or contact lens allowance. Allowances vary for different group plans, so please call to verify before discussing with patient. The authorization form will list the allowances applicable to the patient. Patient pays for co-payments and overages at the time of service and/or material order. MES authorization is forwarded to billing.
Allowances (may vary for different group plans, so please call to verify before discussing with patient):
- One exam annually
- One standard frame in 24 consecutive months.
- One pair standard eyeglass lenses every 24 months (or 12 months if Rx change is greater than 0.50 diopters, a shift in axis of 15 degrees or a difference in vertical prism greater than 1 prism diopter.)
- In lieu of frames and lenses, one pair of contact lenses in 24 consecutive months, or 12 months if Rx so indicates. If cosmetic or convenience use only, plan will pay a certain amount toward cost. If medically necessary, an authorization must be requested.
- Contact lens benefits can only be used once per year so patient should use full contact lens allowance to avoid forfeiting remainder.