Terms of service

Website Terms and Conditions of Use

1. Colorado Medicaid Eligibility
•  Eyeglasses are a covered benefit for members under 21 years old with a valid eyeglass prescription.
•  New glasses are covered as needed. 

•  Replacement of frames or lenses is covered. This includes replacement of glasses that are beyond repair, replacement of lost glasses or replacement for any other reason that leaves a member without current glasses. 

•  Repairing broken glasses is a covered benefit.

•  There is no yearly maximum for eye exams or eyeglasses. All orders are subject to Colorado Medicaid eligibility verification. If a member is found not eligible at time of order, we’ll contact you to verify and/or correct information. If we still cannot verify member eligibility through the State of Colorado Provider Web Portal, the order will be cancelled. The State of Colorado Provider Web Portal will be our sole source for determining eligibility.

Eyeglasses orders must be specifically for the use of the covered member and must be MEDICALLY NECESSARY. Attempting to order extra pairs of glasses for any other reason or other person is NOT a covered benefit and is considered fraudulent. 
Appropriate medically necessity for new glasses:
    • Child has a new or updated prescription and needs new eyeglasses.
    • Child has no current eyeglasses. Glasses are lost or missing.
    • Child’s current eyeglasses are broken or damaged beyond repair.
We cannot fulfill an order when the order does not demonstrate sufficient medical necessity. Orders will be cancelled for the following reasons:
    • Child has a new pair of eyeglasses currently on order / out for delivery.
    • Multiple pairs were ordered.
    • Prescription is expired or incomplete.

2. Authorization
Authorization to bill insurance: Your acceptance of the Terms of Service on childrens-optical.com serves as your electronic signature, which may be used for all insurance billing purposes. 
With this acceptance, you are requesting that payment of authorized insurance benefits be made on your or your child’s behalf to Children’s Optical for goods and services furnished you or your child by Children’s Optical. Children’s Optical accepts the payment determined by the insurance carrier as the full payment, but you agree to be responsible for any co-pay, deductible and non-covered services.
You are authorizing payment be made to Children's Optical and you are authorizing the release of medical information necessary to pay the claim.  

3. Acknowledgement of Privacy Policy
Right to Notice:  As a patient, you have the right to adequate notice of the uses and disclosures of your protected health information. Under the Health Insurance Portability and Accessibility Act (HIPAA), Children's Optical can use your protected health information for treatment, payment and health care operations. 
Treatment - We may use or disclose your health information to a physician or other healthcare provider providing treatment to you. 
Payment - We may use and disclose your health information to obtain payment for services we provide you. 
Health care operations - We may use and disclose your health information in connection with our healthcare operations. Healthcare operations include quality assessment and improvement activities, reviewing the competency or qualifications of healthcare professionals, evaluating provider performance, conducting training programs, accreditation, certification, licensing or credentialing activities. 
Your Authorization:  Most uses and disclosures that do not fall under treatment, payment and/or health care operations will require your written authorization. Upon signing, you may revoke your authorization (in writing) through our practice at any time. 
Emergency Situations:  In the event of your incapacity or an emergency situation, we will disclose health information to a family member, or another person responsible for your care, using our professional judgment. We will only disclose health information that is directly relevant to the person's involvement in your healthcare. 
Marketing:  We will not use your personal or health information for marketing communications without your written authorization. 
Required by Law:  We may use or disclose your health information when we are required to do so by law. 
Abuse or Neglect:  We may disclose your health information to appropriate authorities if we reasonably believe that you are a possible victim of abuse, neglect, or domestic violence or the victim of other crimes. We may disclose your health information to the extent necessary to avert a serious threat to your or other people's health or safety. 
National Security:  We may disclose the health information of Armed Forces personnel to military authorities under certain circumstances. We may disclose health information to authorized federal officials required for lawful intelligence, counterintelligence and other national security activities. We may disclose health information of inmates or patients to the appropriate authorities under certain circumstances. 
Appointment Reminders:  We may use or disclose your health information to provide you with appointment reminders via phone, text, e-mail, postcard or letter. 
Your Rights as a Patient:  You have the right to restrict the disclosure of your protected health information (in writing). The request for restriction may be denied if the information is required for treatment, payment and/or health care operations. 
-You have the right to receive confidential communications regarding your protected health information. 
-You have the right to inspect and copy your protected health information. 
-You have the right to amend your protected health information. 
-You have the right to receive an account of disclosures of your protected health information. 
-You have the right to a paper copy of this notice of privacy practices. 
Legal Requirements: Children's Optical is required by law to maintain the privacy of your protected health information. We are required to abide by the terms of this notice as it is currently stated, and reserve the right to change this notice. The policies in any new notice will not be in effect until they are available within our office. 
Complaints:  If you have complaints regarding the way your protected health information was handled, you may submit a complaint in writing to our office. You will not be retaliated against in any manner for a complaint. 
Contact Information:  For further information about Children's Optical’s privacy policies, please contact Scott Arnold, O.D. at Children's Optical 14231 E 4th Ave, Suite 300 Aurora, CO 80011, by phone at 303-832-7002 or by email through our contact us page.

4. Terms
By accessing this Website, accessible from Children's-Optical.com, you are agreeing to be bound by these Website Terms and Conditions of Use and agree that you are responsible for the agreement with any applicable local laws. If you disagree with any of these terms, you are prohibited from accessing this site. The materials contained in this Website are protected by copyright and trade mark law.

5. Use License
Permission is granted to temporarily download one copy of the materials on Children's optical's Website for personal, non-commercial transitory viewing only. This is the grant of a license, not a transfer of title, and under this license you may not:
    •    modify or copy the materials;
    •    use the materials for any commercial purpose or for any public display;
    •    attempt to reverse engineer any software contained on Children's optical's Website;
    •    remove any copyright or other proprietary notations from the materials; or
    •    transferring the materials to another person or "mirror" the materials on any other server.
This will let Children's optical to terminate upon violations of any of these restrictions. Upon termination, your viewing right will also be terminated and you should destroy any downloaded materials in your possession whether it is printed or electronic format. 

6. Disclaimer
All the materials on Children's optical's Website are provided "as is". Children's optical makes no warranties, may it be expressed or implied, therefore negates all other warranties. Furthermore, Children's optical does not make any representations concerning the accuracy or reliability of the use of the materials on its Website or otherwise relating to such materials or any sites linked to this Website.

7. Limitations
Children's optical or its suppliers will not be hold accountable for any damages that will arise with the use or inability to use the materials on Children's optical's Website, even if Children's optical or an authorize representative of this Website has been notified, orally or written, of the possibility of such damage. Some jurisdiction does not allow limitations on implied warranties or limitations of liability for incidental damages, these limitations may not apply to you.

8. Revisions and Errata
The materials appearing on Children's optical's Website may include technical, typographical, or photographic errors. Children's optical will not promise that any of the materials in this Website are accurate, complete, or current. Children's optical may change the materials contained on its Website at any time without notice. Children's optical does not make any commitment to update the materials.

9. Links
Children's optical has not reviewed all of the sites linked to its Website and is not responsible for the contents of any such linked site. The presence of any link does not imply endorsement by Children's optical of the site. The use of any linked website is at the user's own risk.

10. Site Terms of Use Modifications
Children's optical may revise these Terms of Use for its Website at any time without prior notice. By using this Website, you are agreeing to be bound by the current version of these Terms and Conditions of Use.

11. Your Privacy
Please read our Privacy Policy.

12. Governing Law
Any claim related to Children's Optical Website shall be governed by the laws of us without regards to its conflict of law provisions.