www.eyeconic.com Open in urlscan Pro
204.141.89.201  Public Scan

URL: https://www.eyeconic.com/?utm_medium=email&utm_source=vcessential&utm_campaign=Vc_Em_T3b_M_0_Gen_0_0_0_0_0_0&utm_content=...
Submission: On July 31 via api from US — Scanned from DE

Form analysis 10 forms found in the DOM

Name: simpleSearchGET /search

<form role="search" action="/search" method="get" name="simpleSearch" novalidate="novalidate">
  <label for="q-tablet">Search</label>
  <input type="text" id="q-tablet" role="combobox" aria-owns="search-suggestions" aria-autocomplete="both" aria-label="search" name="q" value="" placeholder="SEARCH" autocomplete="off" aria-expanded="false">
  <input type="submit" value="Submit" class="submit">
</form>

POST https://www.eyeconic.com/sign-in

<form action="https://www.eyeconic.com/sign-in" method="post" id="headerLoginForm" novalidate="novalidate">
  <input type="hidden" value="" id="rememberEmail">
  <input type="hidden" name="headerLogin" value="true" id="headerLogin">
  <div class="form-row  email-input email-div  required " data-required-text="Please enter your e-mail address" aria-required="true">
    <label for="dwfrm_login_username">
      <span> Email Address </span>
      <span class="required-indicator" aria-hidden="true">*</span>
    </label>
    <input class="input-text email-input email required" id="dwfrm_login_username" type="email" name="dwfrm_login_username" placeholder="" value="" maxlength="2147483647" aria-required="true">
    <span class="form-caption d-none"></span>
  </div>
  <a id="password-reset" class="password-reset" href="/pwdresetdialog" title="Forgot Password?" data-dlg-action="{&quot;test&quot;:100}" data-dlg-options="{&quot;width&quot;:700,&quot;height&quot;:250}">
Forgot Password?
</a>
  <div class="password-box">
    <div class="form-row  password-input password-div  required " data-required-text="Please enter your password" aria-required="true">
      <label for="dwfrm_login_password">
        <span> Password </span>
        <span class="required-indicator" aria-hidden="true">*</span>
      </label>
      <input class="input-text password-input password required" id="dwfrm_login_password" type="password" name="dwfrm_login_password" placeholder="" value="" maxlength="2147483647" autocomplete="off" aria-required="true">
      <span class="form-caption d-none"></span>
    </div>
    <div class="form-row form-row-button mx-0 d-block">
      <div class="form-row  label-inline login-rememberme   ">
        <input class="input-checkbox " type="checkbox" checked="checked" name="dwfrm_login_rememberme" id="dwfrm_login_rememberme" value="true">
        <label for="dwfrm_login_rememberme"> Keep me signed in </label>
      </div>
      <button type="submit" class="btn btn-block btn-primary" value="Sign In" name="dwfrm_login_login"> Sign In </button>
    </div>
    <input type="hidden" name="dwfrm_login_securekey" value="321699098">
  </div>
</form>

GET https://www.eyeconic.com/sign-up

<form action="https://www.eyeconic.com/sign-up" method="GET" id="createAccountLink" novalidate="novalidate">
  <div class="form-row form-row-button mx-0 d-block">
    <button type="submit" class="btn btn-block btn-secondary" value="Create An Account" name="register"> Create an account </button>
  </div>
</form>

Name: simpleSearchGET https://www.eyeconic.com/search

<form role="search" action="https://www.eyeconic.com/search" method="get" name="simpleSearch" novalidate="novalidate">
  <label for="q">Search</label>
  <input type="text" id="q" name="q" value="" role="combobox" aria-owns="search-suggestions" aria-autocomplete="both" aria-label="search" aria-expanded="false" placeholder="SEARCH" autocomplete="off" aria-invalid="false" class="valid">
  <input type="submit" value="Submit" class="submit" title="Click to Search">
</form>

Name: simpleSearchGET /search

<form role="search" action="/search" method="get" name="simpleSearch" novalidate="novalidate">
  <label for="q-mobile">Search</label>
  <input type="text" id="q-mobile" role="combobox" aria-owns="search-suggestions" aria-autocomplete="both" aria-label="search" name="q" value="" placeholder="SEARCH" autocomplete="off" aria-expanded="false">
  <input type="submit" value="Submit" class="submit">
</form>

POST https://www.eyeconic.com/on/demandware.store/Sites-eyeconic-Site/default/Subscription-NewsLetter

<form action="https://www.eyeconic.com/on/demandware.store/Sites-eyeconic-Site/default/Subscription-NewsLetter" id="subscribeform" method="POST" novalidate="novalidate"><label class="sign-up-heading text-uppercase" for="subscribe">Receive News and
    Offers</label> <input class="email-addr" id="subscribe" maxlength="50" name="email-address" placeholder="EMAIL ADDRESS" type="text" value="">
  <div><button aria-label="Submit" class="email-button" name="email-address-arrow" type="submit" value=""></button></div>
  <p class="message">&nbsp;</p>
</form>

<form id="lookupBenefitsForm" class="needs-validation lookupInsuranceForm p-2 h-100 suppress" novalidate="novalidate" data-action="https://www.eyeconic.com/on/demandware.store/Sites-eyeconic-Site/default/OOSBenefits-LookupMemberBenefits">
  <input type="text" id="policyHolderInfoCarrier" name="carrier" class="d-none">
  <div class="row pt-3 pt-lg-0">
    <span class="col-11 text-left mx-auto"> Check Your Policy Coverage to Apply Benefits </span>
  </div>
  <div class="row">
    <div class="input-group form-label-group col-11 mx-auto">
      <input type="text" class="form-input form-control" id="policyHolderInfo-firstName" name="firstName" placeholder="First Name" required="" aria-required="true">
      <label for="policyHolderInfo-firstName">First Name</label>
      <div class="ml-1 invalid-feedback">
        <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
          data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
          data-yo-loaded="true">
        <p class="float-left ml-3">Enter First Name</p>
      </div>
    </div>
    <div class="input-group form-label-group col-11 mx-auto">
      <input type="text" class="form-input form-control" id="policyHolderInfo-lastName" name="lastName" placeholder="Last Name" required="" aria-required="true">
      <label for="policyHolderInfo-lastName">Last Name</label>
      <div class="ml-1 invalid-feedback">
        <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
          data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
          data-yo-loaded="true">
        <p class="float-left ml-3">Enter Last Name</p>
      </div>
    </div>
    <div class="input-group form-label-group col-11 mx-auto">
      <div class="w-100 js-dob-datepicker-container row">
        <input type="text" class="js-mobile-datepicker form-control dateOfBirth-field w-100 form-input form-control bg-white" name="mobileDob1" id="mobileDob1" placeholder="Date of Birth (mm/dd/yyyy)"
          pattern="(((0)[0-9])|((1)[0-2]))(\/)([0-2][0-9]|(3)[0-1])(\/)\d{4}" data-missing-error="Enter date of birth" data-pattern-mismatch="Enter a valid date of birth (mm/dd/yyyy)" data-futuredate-error="Date of Birth cannot be a future date."
          data-olddate-error="Date of Birth cannot be so far in the past." encoding="off" aria-required="true">
        <label for="mobileDob1" class="dob-mobile-label">Date of Birth (mm/dd/yyyy)</label>
        <input type="hidden" name="mobileDob" class="mobileDob" required="" aria-required="true">
        <div class="ml-1 invalid-feedback">
          <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
            data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
            data-yo-loaded="true">
          <p class="float-left ml-3">Enter Date of Birth</p>
        </div>
        <div class="ml-1 invalid-future-dob-feedback-datepicker" style="display: none;">
          <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
            data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
            data-yo-loaded="true">
          <p class="float-left text-left ml-3">Date of birth selected is for a future date. Please enter a valid date of birth.</p>
        </div>
      </div>
    </div>
    <div class="input-group form-label-group col-11 mx-auto">
      <input type="text" class="form-input form-control" id="policyHolderInfo-last4" name="last4" placeholder="Enter Last 4 SSN or Member ID" pattern="^[a-zA-Z0-9]*$" maxlength="30" minlength="2" required="" aria-required="true">
      <label for="policyHolderInfo-last4">Last 4 SSN or Member ID</label>
      <div class="ml-1 invalid-feedback">
        <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
          data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
          data-yo-loaded="true">
        <p class="float-left ml-3">Enter Last 4 SSN or Member ID</p>
      </div>
      <span class="tool-tip float-left mt-3 ml-lg-2 position-absolute last4-tooltip">
        <button class="tooltip-button p-0" aria-labelledby="tooltip-label" type="button">
          <img alt="icon help" id="vision-insurance-tooltip"
            src="https://cdn-eu-ec.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw04bdd901/images/cart/whiteQuestionMark_GreyBackground.png?yocs=1_5_" data-yo-delaytype="lazy"
            data-yo-src="https://cdn-eu-ec.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw04bdd901/images/cart/whiteQuestionMark_GreyBackground.png?yocs=1_5_" data-yo-loaded="true">
        </button>
        <span class="tooltip" role="status" id="tooltip-label" tabindex="-1">
          <span class="d-inline-block text-left">There are a few ways we can look up your insurance benefit information:</span>
          <span class="d-inline-block text-left">1. The full unique Member ID given to the primary policyholder by an employer or health plan</span>
          <span class="d-inline-block text-left">2. The primary policyholder’s Policy ID (a 9-digit number or Social Security Number)</span>
          <span class="d-inline-block text-left">3. The last 4 digits of the primary policyholder’s Policy ID</span>
          <span class="d-inline-block text-left">Have questions? Feel free to give us a call at 1-855-EYECONIC (855-393-2664).</span>
        </span>
      </span>
    </div>
  </div>
  <div class="row mt-3">
    <div class="col-11 text-left mx-auto">
      <span id="serviceError" class="error d-none"></span>
    </div>
  </div>
  <div class="row mt-3">
    <div class="col-11 text-center mx-auto">
      <input id="submitPolicyHolderInfo" type="submit" class="col modal-button modal-confirm-button text-white text-capitalize" value="Look Up Policy">
    </div>
  </div>
  <div id="orSignInWithVSP">
    <div class="row mt-2">
      <div class="col-11 text-center mx-auto">
        <span>or</span>
      </div>
    </div>
    <div class="row mt-2">
      <div class="col-11 text-center mx-auto">
        <input id="signInWithVSP" type="button" class="col modal-button modal-cancel-button text-nostyle bg-white" value="Sign in with VSP"
          onclick="window.location='https://api.vspglobal.com/as/authorization.oauth2?response_type=code&amp;client_id=demandware&amp;scope=auth_member%20openid%20profile&amp;state=&amp;redirect_uri=https://www.eyeconic.com/pingfed'">
      </div>
    </div>
  </div>
</form>

<form id="selectPolicyHolderForm" class="needs-validation suppress" data-action="https://www.eyeconic.com/on/demandware.store/Sites-eyeconic-Site/default/OOSBenefits-ApplyMemberBenefits" novalidate="novalidate">
  <div class="row mb-3">
    <div class="col-7 mx-auto">
      <div class="input-group form-label-group">
        <select class="form-input form-control w-100 mb-3" id="selectPolicyHolderDropdown">
        </select>
        <div class="invalid-feedback ml-1">
          <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
            data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
            data-yo-loaded="true">
          <p class="float-left ml-1">Choose the person you want to shop for.</p>
        </div>
      </div>
    </div>
  </div>
  <div class="row mb-4">
    <div class="col-7 mx-auto">
      <button type="button" id="selectPolicyHolderContinue" title="Shopping Cart|Order Summary|Use my vision insurance" class="btn w-100 text-capitalize text-white modal-button modal-confirm-button promo-data"> Connect </button>
    </div>
  </div>
  <div class="row mb-4">
    <div class="col-7 mx-auto d-none js-addDependentLink" id="addDependentLink">
      <p> Don't see your eligible dependents? <span class="ml-2 link"> Add them </span>
      </p>
    </div>
    <div class="col-7 mx-auto d-none js-callDependentLink">
      <span class="ml-2 dependent vsp d-none"> Don’t see your eligible dependents? Please call VSP at 800.877.7195 </span>
      <span class="dependent cigna d-none"> Don’t see your eligible dependents? Please call Cigna Vision at 877.478.7557 </span>
    </div>
  </div>
</form>

<form id="selectMemberToShopForForm" class="needs-validation suppress" data-action="https://www.eyeconic.com/on/demandware.store/Sites-eyeconic-Site/default/OOSBenefits-ApplyMemberBenefits" novalidate="novalidate">
  <div class="row mb-3">
    <div class="col-7 mx-auto">
      <div class="input-group form-label-group">
        <div class="invalid-feedback ml-1">
          <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
            data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
            data-yo-loaded="true">
          <p class="float-left ml-1">Choose the person you want to shop for.</p>
        </div>
      </div>
    </div>
  </div>
  <div class="row mb-4">
    <div class="col-7 mx-auto">
      <button type="button" id="selectMemberToShopForContinue" class="btn w-100 text-capitalize text-white modal-button modal-confirm-button"> Connect </button>
    </div>
  </div>
</form>

https://www.eyeconic.com/on/demandware.store/Sites-eyeconic-Site/default/OOSBenefits-AddDependent

<form class="needs-validation suppress" novalidate="novalidate" id="addQualifiedDependentForm" action="https://www.eyeconic.com/on/demandware.store/Sites-eyeconic-Site/default/OOSBenefits-AddDependent">
  <input hidden="" id="qualifiedDependent-encryptedMemberId" name="qualifiedDependentEncryptedMemberId" value="" class="js-qualifiedDependent-encryptedMemberId">
  <div class="row">
    <div class="col-8 m-auto">
      <div class="modal-body">
        <div class="row">
          <span class="ml-md-1">Qualified Dependent Information</span>
        </div>
        <div class="row">
          <div class="input-group form-label-group col-12">
            <input type="text" id="qualifiedDependent-firstName" name="qualifiedDependentFirstName" class="form-input form-control mt-2 w-100" placeholder="Enter First Name" required="" aria-required="true">
            <label for="qualifiedDependent-firstName">Enter First Name</label>
            <div class="invalid-feedback ml-1">
              <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
                data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
                data-yo-loaded="true">
              <p class="float-left ml-1">Enter First Name</p>
            </div>
          </div>
          <div class="input-group form-label-group col-12">
            <input type="text" id="qualifiedDependent-lastName" name="qualifiedDependentLastName" class="form-input form-control mt-2 w-100" placeholder="Last Name" required="" aria-required="true">
            <label for="qualifiedDependent-lastName">Enter Last Name</label>
            <div class="invalid-feedback ml-1">
              <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
                data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
                data-yo-loaded="true">
              <p class="float-left ml-1">Enter Last Name</p>
            </div>
          </div>
          <div class="input-group form-label-group js-qualifiedDependent-dob col-12" id="qualifiedDependent-dob">
            <div class="w-100 js-dob-datepicker-container row">
              <input type="text" class="js-mobile-datepicker form-control dateOfBirth-field w-100 form-input form-control bg-white" name="mobileDob1" id="qualifiedDependent" placeholder="Date of Birth (mm/dd/yyyy)"
                pattern="(((0)[0-9])|((1)[0-2]))(\/)([0-2][0-9]|(3)[0-1])(\/)\d{4}" data-missing-error="Enter date of birth" data-pattern-mismatch="Enter a valid date of birth (mm/dd/yyyy)"
                data-futuredate-error="Date of Birth cannot be a future date." data-olddate-error="Date of Birth cannot be so far in the past." encoding="off" aria-required="true">
              <label for="qualifiedDependent" class="dob-mobile-label">Date of Birth (mm/dd/yyyy)</label>
              <input type="hidden" name="mobileDob" class="mobileDob" required="" aria-required="true">
              <div class="ml-1 invalid-feedback">
                <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
                  data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
                  data-yo-loaded="true">
                <p class="float-left ml-3">Enter Date of Birth</p>
              </div>
              <div class="ml-1 invalid-future-dob-feedback-datepicker" style="display: none;">
                <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
                  data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
                  data-yo-loaded="true">
                <p class="float-left text-left ml-3">Date of birth selected is for a future date. Please enter a valid date of birth.</p>
              </div>
            </div>
          </div>
          <div class="input-group col-12">
            <select id="qualifiedDependent-relationship" name="qualifiedDependentRelationship" class="form-input form-control mt-2 w-100 js-qualifiedDependent-relationship">
            </select>
            <div class="invalid-feedback ml-1">
              <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
                data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
                data-yo-loaded="true">
              <p class="float-left ml-1">Enter Relationship</p>
            </div>
          </div>
        </div>
        <div class="row">
          <div class="form-group col-12">
            <div class="form-check mt-3">
              <input class="form-check-input form-control" type="checkbox" id="qualifiedDependentAgreementCheckbox" value="" required="" aria-required="true">
              <label class="form-check-label" for="qualifiedDependentAgreementCheckbox"> I declare that the person I am adding is eligible as my legal dependent for my vision insurance benefits. If you are unsure whether your legal dependents are
                eligible under your vision insurance plan, please check your benefit information. </label>
              <div class="invalid-feedback mt-3 mb-5">
                <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
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                  data-yo-loaded="true">
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    <div class="col-8 mx-auto mb-4 d-none js-addDependentGenericError add-dependent-error" id="addDependentGenericError">
      <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
        data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
        data-yo-loaded="true">
      <p class="text-red ml-4">Sorry, there was a problem adding your dependent. Please try again.</p>
    </div>
    <div class="col-8 mx-auto mb-4 d-none js-addDependentDOBError add-dependent-error" id="addDependentDOBError">
      <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
        data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.ad1/on/demandware.static/Sites-eyeconic-Site/-/default/dw6b5f11be/images/common/errorExclamation.png?yocs=1_5_"
        data-yo-loaded="true">
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</form>

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GET AN EXTRA $40

Use your vision insurance to get an extra $40 toward
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FEATURED STYLES

‹


 * CALVIN KLEIN CK20527
   
   
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   USD 258.00


 * CALVIN KLEIN CK21123
   
   
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   USD 270.00


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   USD 223.00


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USE MY VISION INSURANCE

Success! You've added your dependent.

We currently accept VSP, MetLife, Cigna Vision Insurance.
Select your insurance provider VSP METLIFE CIGNA VISION
Continue
Need Help? Call us at 1.855.EYECONIC. | Legal Terms of Use


WELCOME, VSP MEMBER!

Use your vision insurance on Eyeconic to get exclusive savings and perks. It's
certainly not required, but here's what you'll get:

 * An easier, streamlined shopping experience
 * The ability to save and share your favorite looks
 * 20% off any additional eyewear purchases if you've already used your
   benefits.


WELCOME, METLIFE MEMBER!

Thanks for shopping on Eyeconic! We know you'll love it here. Helpful hint:
While you certainly don't have to, syncing your vision benefits will get you
exclusive savings and perks. Link your benefits now for:

 * An easier, streamlined shopping experience
 * The ability to save and share your favorite looks
 * 20% off any additional eyewear purchases if you've already used your
   benefits.


WELCOME, CIGNA VISION MEMBER!

Thanks for shopping on Eyeconic! We know you'll love it here. Helpful hint:
While you certainly don't have to, syncing your vision benefits will get you
exclusive savings and perks. Link your benefits now for:

 * An easier, streamlined shopping experience
 * The ability to save and share your favorite looks
 * 20% off any additional eyewear purchases if you've already used your
   benefits.

Check Your Policy Coverage to Apply Benefits
First Name

Enter First Name

Last Name

Enter Last Name

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Enter Date of Birth

Date of birth selected is for a future date. Please enter a valid date of birth.

Last 4 SSN or Member ID

Enter Last 4 SSN or Member ID

There are a few ways we can look up your insurance benefit information: 1. The
full unique Member ID given to the primary policyholder by an employer or health
plan 2. The primary policyholder’s Policy ID (a 9-digit number or Social
Security Number) 3. The last 4 digits of the primary policyholder’s Policy ID
Have questions? Feel free to give us a call at 1-855-EYECONIC (855-393-2664).


or

Need Help? Call us at 1.855.EYECONIC. | Legal Terms of Use

Choose the person you want to shop for.

Choose the person you want to shop for.

Connect

Don't see your eligible dependents? Add them

Don’t see your eligible dependents? Please call VSP at 800.877.7195 Don’t see
your eligible dependents? Please call Cigna Vision at 877.478.7557

Choose the person you want to shop for.

Connect
Qualified Dependent Information
Enter First Name

Enter First Name

Enter Last Name

Enter Last Name

Date of Birth (mm/dd/yyyy)

Enter Date of Birth

Date of birth selected is for a future date. Please enter a valid date of birth.

Enter Relationship

I declare that the person I am adding is eligible as my legal dependent for my
vision insurance benefits. If you are unsure whether your legal dependents are
eligible under your vision insurance plan, please check your benefit
information.

You must acknowledge the accuracy of information in order to continue.

Sorry, there was a problem adding your dependent. Please try again.



Add Dependent

If you need to add additional dependents, please contact us at 1-855-EYECONIC
(855-393-2664) If you need to add additional dependents, please contact us at
1-855-EYECONIC (855-393-2664)

Remove Vision Insurance

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Cancel
Has null null used their insurance during the current benefit period to purchase
eyewear or contact lenses?
Yes
No
Need Help? Call us at 1.855.EYECONIC. | Legal Terms of Use
Has null null received a contact lens exam?
Yes
No
Need Help? Call us at 1.855.EYECONIC. | Legal Terms of Use
Did null null pay out of pocket for the contact lens exam?
Yes
No
Need Help? Call us at 1.855.EYECONIC. | Legal Terms of Use
Insurance Benefits Not Available
Your benefits are unavailable because you have used your material insurance. You
still receive a member discount on your purchase.
Ok
Need Help? Call us at 1.855.EYECONIC. | Legal Terms of Use


INSURANCE BENEFITS NOT AVAILABLE FOR {0}

You are connected to {0}’s benefits, but they are currently showing as
unavailable because there is a hold on them from a doctor. Please contact our
Customer Service team at 855.393.2664 for assistance.

Shop Eyeglasses
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OK


YOUR INSURANCE IS LINKED WITH EYECONIC.COM

Now that we've connected your vision insurance, let's start shopping!
We'll show you exactly how much of the retail price is covered with your
benefits.

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