www.glasses.com Open in urlscan Pro
2a02:26f0:480:36::212:401f  Public Scan

Submitted URL: https://staging.goasses.com/
Effective URL: https://www.glasses.com/gl-us/eyeglasses?cjdata=MXxZfDB8WXww&cid=PM-ACJ_000000-7753339_Siteplug_12203424&cjevent=8da2bbb...
Submission: On December 11 via api from US — Scanned from NL

Form analysis 7 forms found in the DOM

Name: personalInfoPOST

<form class="form-insurance" method="post" id="personalInfo" name="personalInfo" novalidate="novalidate">
  <div class="insurance-modal-container-column-top">
    <div class="gl-typeahead" data-source="insuranceProvidersList"><label class="input-label">Select or type your insurance carrier</label><input type="text" class="gl-typeahead-select" name="insuranceProviderSelect" aria-required="true"
        maxlength="50" tabindex="0" title="Select or type your insurance carrier" placeholder="Select or type your insurance carrier" autocomplete="off"><label class="generic-eyemed-safety-message hide">You can only use EyeMed Safety benefits for
        safety eyewear. <a href="https://www.glasses.com/gl-us/contact-us">Contact Customer Service</a> for more information.</label><input type="hidden" class="gl-typeahead-value" id="insuranceProvider" name="insuranceProvider">
      <div class="icon-div error"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
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        </svg></div>
      <div class="icon-div check"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
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            d="M12 20.5C16.6944 20.5 20.5 16.6944 20.5 12C20.5 7.30558 16.6944 3.5 12 3.5C7.30558 3.5 3.5 7.30558 3.5 12C3.5 16.6944 7.30558 20.5 12 20.5ZM12 22C17.5228 22 22 17.5228 22 12C22 6.47715 17.5228 2 12 2C6.47715 2 2 6.47715 2 12C2 17.5228 6.47715 22 12 22Z"
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          <path fill-rule="evenodd" clip-rule="evenodd"
            d="M15.6678 9.2318C16.0595 9.58537 16.1124 10.2159 15.786 10.6402L11.9399 15.6402C11.7739 15.856 11.5317 15.9862 11.2726 15.999C11.0135 16.0117 10.7614 15.9058 10.578 15.7071L8.27036 13.2071C7.90988 12.8166 7.90988 12.1834 8.27036 11.7929C8.63085 11.4024 9.2153 11.4024 9.57579 11.7929L11.1687 13.5186L14.3678 9.35984C14.6941 8.93556 15.2762 8.87824 15.6678 9.2318Z"
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      <div class="icon-div arrow"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
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      <div class="icon-div up-arrow" style="display: none;"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg" transform="rotate(180)">
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      <div id="new-error-message-container" style="display: none;">
        <div id="error-safety-benefits" class="error-insurance-1" tabindex="0" style="display: none;">
          <p class="error-top">You can only use safety insurance benefits for safety eyewear.</p>
          <p class="error-bottom">The insurance carrier you selected is applicable to safety products only.</p>
        </div>
        <div id="error-not-safety-benefits" class="error-insurance-1" tabindex="0" style="display: none;">
          <p class="error-top">You can only use safety insurance benefits for safety eyewear.</p>
          <p class="error-bottom">The insurance carrier you selected is not applicable to safety products.<br> Please select <a href="#" id="change-Provider-Eyemed-Safety">EyeMed Safety</a> or
            <a href="#" id="change-Provider-SightProtect-by-Essilor">SightProtect by Essilor</a> and enter the required information.</p>
        </div>
        <div id="error-not-incompatible-plan" class="error-insurance-2" tabindex="0" style="display: none;"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none">
            <g clip-path="url(#clip0_2258_22506)">
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              <path
                d="M23.3879 21.9705L12.9444 1.084C12.7499 0.6945 12.3744 0.5 11.9994 0.5C11.6244 0.5 11.2489 0.6945 11.0544 1.084L0.610857 21.9705C0.259857 22.673 0.770357 23.5 1.55636 23.5H22.4429C23.2284 23.5 23.7394 22.673 23.3879 21.9705ZM22.4909 22.473C22.4744 22.5 22.4559 22.5 22.4424 22.5H1.55636C1.54286 22.5 1.52486 22.5 1.50786 22.473C1.49136 22.446 1.49936 22.4295 1.50536 22.418L11.9484 1.5315C11.9569 1.5155 11.9644 1.5 11.9994 1.5C12.0344 1.5 12.0419 1.5155 12.0504 1.5315L22.4934 22.418C22.4994 22.4295 22.5074 22.446 22.4909 22.473Z"
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          <p class="error-bottom">To buy safety products, you need to have a specific insurance carrier. Please select <a href="#" id="change-Provider-Eyemed-Safety-m2">EyeMed Safety</a> or
            <a href="#" id="change-Provider-SightProtect-by-Essilor-m2">SightProtect by Essilor</a> and enter the required information to determine if you are enrolled in one of these safety plans.</p>
        </div>
        <div class="insurance-modal-container-change-provider" style="float: right"><button class="regSubmit tps_btn tps_btn-small tps_btn-violet-outline focus-actived" id="close-provider-button" aria-label="Cancel">CANCEL</button><button
            type="reset" class="tps_btn tps_btn-small tps_btn-violet focus-actived" id="change-provider-button">CHANGE CARRIER</button></div>
      </div>
      <div class="gl-typeahead-box"><span role="option" tabindex="0" ins_type="default" title="Eyemed">Eyemed</span><span role="option" tabindex="0" ins_type="default" title="Davis Vision">Davis Vision</span><span role="option" tabindex="0"
          ins_type="default" title="Superior Vision">Superior Vision</span><span role="option" tabindex="0" ins_type="default" title="VSP">VSP</span><span role="option" tabindex="0" ins_type="default" title="NVA (National Vision Administrators)">NVA
          (National Vision Administrators)</span><span role="option" tabindex="0" ins_type="default" title="UnitedHealthcare Vision (UHC)">UnitedHealthcare Vision (UHC)</span><span role="option" tabindex="0" ins_type="safety"
          title="Eyemed - Safety">Eyemed - Safety</span><span role="option" tabindex="0" ins_type="safety" title="SightProtect by Essilor">SightProtect by Essilor</span>
        <hr><span role="option" tabindex="0" ins_type="default" title="Aetna Vision Preferred">Aetna Vision Preferred</span><span role="option" tabindex="0" ins_type="default" title="AllWays Health Partners">AllWays Health Partners</span><span
          role="option" tabindex="0" ins_type="default" title="Alterwood Health">Alterwood Health</span><span role="option" tabindex="0" ins_type="default" title="Ameritas Life Insurance Company">Ameritas Life Insurance Company</span><span
          role="option" tabindex="0" ins_type="default" title="Anthem Blue View Vision">Anthem Blue View Vision</span><span role="option" tabindex="0" ins_type="default" title="Avesis">Avesis</span><span role="option" tabindex="0" ins_type="default"
          title="BayCare">BayCare</span><span role="option" tabindex="0" ins_type="default" title="BCBS FEP Vision">BCBS FEP Vision</span><span role="option" tabindex="0" ins_type="default" title="BCBS Kansas City - Blue Vue">BCBS Kansas City - Blue
          Vue</span><span role="option" tabindex="0" ins_type="default" title="BCBS of Illinois">BCBS of Illinois</span><span role="option" tabindex="0" ins_type="default" title="BCBS of Kansas">BCBS of Kansas</span><span role="option" tabindex="0"
          ins_type="default" title="BCBS of Louisiana">BCBS of Louisiana</span><span role="option" tabindex="0" ins_type="default" title="BCBS of Massachusetts- Blue 20/20">BCBS of Massachusetts- Blue 20/20</span><span role="option" tabindex="0"
          ins_type="default" title="BCBS of Minnesota">BCBS of Minnesota</span><span role="option" tabindex="0" ins_type="default" title="BCBS of Montana">BCBS of Montana</span><span role="option" tabindex="0" ins_type="default"
          title="BCBS of New Mexico">BCBS of New Mexico</span><span role="option" tabindex="0" ins_type="default" title="BCBS of North Carolina - Blue 20/20">BCBS of North Carolina - Blue 20/20</span><span role="option" tabindex="0"
          ins_type="default" title="BCBS of Oklahoma">BCBS of Oklahoma</span><span role="option" tabindex="0" ins_type="default" title="BCBS of South Carolina - Healthy Vision">BCBS of South Carolina - Healthy Vision</span><span role="option"
          tabindex="0" ins_type="default" title="BCBS of Tennessee - VisionBlue">BCBS of Tennessee - VisionBlue</span><span role="option" tabindex="0" ins_type="default" title="BCBS of Texas">BCBS of Texas</span><span role="option" tabindex="0"
          ins_type="default" title="BCBS of Wyoming">BCBS of Wyoming</span><span role="option" tabindex="0" ins_type="default" title="BCBS Rhode Island BlueCross Vision">BCBS Rhode Island BlueCross Vision</span><span role="option" tabindex="0"
          ins_type="default" title="BCS Financial">BCS Financial</span><span role="option" tabindex="0" ins_type="default" title="BEST Life and Health Insurance Company">BEST Life and Health Insurance Company</span><span role="option" tabindex="0"
          ins_type="default" title="Blue Cross Blue Shield FEP Vision">Blue Cross Blue Shield FEP Vision</span><span role="option" tabindex="0" ins_type="default" title="Blue Shield of CA">Blue Shield of CA</span><span role="option" tabindex="0"
          ins_type="default" title="Blue Shield of NE New York">Blue Shield of NE New York</span><span role="option" tabindex="0" ins_type="default" title="Bright Health Reseller">Bright Health Reseller</span><span role="option" tabindex="0"
          ins_type="default" title="Care N Care Insurance Company">Care N Care Insurance Company</span><span role="option" tabindex="0" ins_type="default" title="CareFirst">CareFirst</span><span role="option" tabindex="0" ins_type="default"
          title="CareSource">CareSource</span><span role="option" tabindex="0" ins_type="default" title="Champion Health">Champion Health</span><span role="option" tabindex="0" ins_type="default" title="Cigna">Cigna</span><span role="option"
          tabindex="0" ins_type="default" title="Cigna Healthspring Life &amp; Health Insurance Co.">Cigna Healthspring Life &amp; Health Insurance Co.</span><span role="option" tabindex="0" ins_type="default" title="Community Eye Care">Community Eye
          Care</span><span role="option" tabindex="0" ins_type="default" title="Companion Life Vision">Companion Life Vision</span><span role="option" tabindex="0" ins_type="default" title="Concorde, Inc.">Concorde, Inc.</span><span role="option"
          tabindex="0" ins_type="default" title="Connecticare, Inc.">Connecticare, Inc.</span><span role="option" tabindex="0" ins_type="default" title="Culinary Union">Culinary Union</span><span role="option" tabindex="0" ins_type="default"
          title="Dearborn National - HCSC">Dearborn National - HCSC</span><span role="option" tabindex="0" ins_type="default" title="Delta Dental Arkansas">Delta Dental Arkansas</span><span role="option" tabindex="0" ins_type="default"
          title="Delta Dental of Missouri">Delta Dental of Missouri</span><span role="option" tabindex="0" ins_type="default" title="Delta Dental of New Mexico">Delta Dental of New Mexico</span><span role="option" tabindex="0" ins_type="default"
          title="Delta Dental of Oklahoma">Delta Dental of Oklahoma</span><span role="option" tabindex="0" ins_type="default" title="DeltaVision Arizona">DeltaVision Arizona</span><span role="option" tabindex="0" ins_type="default"
          title="DeltaVision Illinois">DeltaVision Illinois</span><span role="option" tabindex="0" ins_type="default" title="DeltaVision Iowa">DeltaVision Iowa</span><span role="option" tabindex="0" ins_type="default"
          title="DeltaVision Minnesota">DeltaVision Minnesota</span><span role="option" tabindex="0" ins_type="default" title="DeltaVision Northeast">DeltaVision Northeast</span><span role="option" tabindex="0" ins_type="default"
          title="DeltaVision Puerto Rico">DeltaVision Puerto Rico</span><span role="option" tabindex="0" ins_type="default" title="DeltaVision Wisconsin">DeltaVision Wisconsin</span><span role="option" tabindex="0" ins_type="default"
          title="Dental Select">Dental Select</span><span role="option" tabindex="0" ins_type="default" title="Dentist Direct">Dentist Direct</span><span role="option" tabindex="0" ins_type="default" title="Devoted Health, Inc.">Devoted Health,
          Inc.</span><span role="option" tabindex="0" ins_type="default" title="EmblemHealth">EmblemHealth</span><span role="option" tabindex="0" ins_type="default" title="Envolve Vision">Envolve Vision</span><span role="option" tabindex="0"
          ins_type="default" title="Eternal Health">Eternal Health</span><span role="option" tabindex="0" ins_type="default" title="Fallon Community Health Plan">Fallon Community Health Plan</span><span role="option" tabindex="0" ins_type="default"
          title="Fidelity Security Life Insurance">Fidelity Security Life Insurance</span><span role="option" tabindex="0" ins_type="default" title="Florida Blue">Florida Blue</span><span role="option" tabindex="0" ins_type="default"
          title="GEHA">GEHA</span><span role="option" tabindex="0" ins_type="default" title="Global Health">Global Health</span><span role="option" tabindex="0" ins_type="default" title="Group Vision Service">Group Vision Service</span><span
          role="option" tabindex="0" ins_type="default" title="Guardian by Avesis">Guardian by Avesis</span><span role="option" tabindex="0" ins_type="default" title="Harvard Pilgrim Healthcare">Harvard Pilgrim Healthcare</span><span role="option"
          tabindex="0" ins_type="default" title="HCSC - BCBS IL">HCSC - BCBS IL</span><span role="option" tabindex="0" ins_type="default" title="HCSC - BCBS MT">HCSC - BCBS MT</span><span role="option" tabindex="0" ins_type="default"
          title="HCSC - BCBS NM">HCSC - BCBS NM</span><span role="option" tabindex="0" ins_type="default" title="HCSC - BCBS OK">HCSC - BCBS OK</span><span role="option" tabindex="0" ins_type="default" title="HCSC - BCBS TX">HCSC - BCBS
          TX</span><span role="option" tabindex="0" ins_type="default" title="Health Alliance Plan">Health Alliance Plan</span><span role="option" tabindex="0" ins_type="default" title="Health Economic Group">Health Economic Group</span><span
          role="option" tabindex="0" ins_type="default" title="Health Markets">Health Markets</span><span role="option" tabindex="0" ins_type="default" title="Health New England">Health New England</span><span role="option" tabindex="0"
          ins_type="default" title="Health Plan of Nevada">Health Plan of Nevada</span><span role="option" tabindex="0" ins_type="default" title="Healthfirst">Healthfirst</span><span role="option" tabindex="0" ins_type="default"
          title="HealthMarkets">HealthMarkets</span><span role="option" tabindex="0" ins_type="default" title="Healthnow New York">Healthnow New York</span><span role="option" tabindex="0" ins_type="default" title="Heritage Vision Plans">Heritage
          Vision Plans</span><span role="option" tabindex="0" ins_type="default" title="Highmark Blue Edge">Highmark Blue Edge</span><span role="option" tabindex="0" ins_type="default" title="HighMark Blue Vision">HighMark Blue Vision</span><span
          role="option" tabindex="0" ins_type="default" title="HMSA">HMSA</span><span role="option" tabindex="0" ins_type="default" title="Hometown Healthcare">Hometown Healthcare</span><span role="option" tabindex="0" ins_type="default"
          title="Horizon Vision">Horizon Vision</span><span role="option" tabindex="0" ins_type="default" title="Humana Vision">Humana Vision</span><span role="option" tabindex="0" ins_type="default" title="Independence Blue Cross">Independence Blue
          Cross</span><span role="option" tabindex="0" ins_type="default" title="Independent Health">Independent Health</span><span role="option" tabindex="0" ins_type="default" title="IU Health Plans">IU Health Plans</span><span role="option"
          tabindex="0" ins_type="default" title="Magnacare Vision">Magnacare Vision</span><span role="option" tabindex="0" ins_type="default" title="MCS - Puerto Rico">MCS - Puerto Rico</span><span role="option" tabindex="0" ins_type="default"
          title="Medical Mutual of Ohio">Medical Mutual of Ohio</span><span role="option" tabindex="0" ins_type="default" title="Medical Mutual Vision Plan">Medical Mutual Vision Plan</span><span role="option" tabindex="0" ins_type="default"
          title="Mega Life and Health Insurance Co.">Mega Life and Health Insurance Co.</span><span role="option" tabindex="0" ins_type="default" title="MES">MES</span><span role="option" tabindex="0" ins_type="default"
          title="MetLife">MetLife</span><span role="option" tabindex="0" ins_type="default" title="MMM - Puerto Rico">MMM - Puerto Rico</span><span role="option" tabindex="0" ins_type="default" title="Mutual of Omaha">Mutual of Omaha</span><span
          role="option" tabindex="0" ins_type="default" title="MVP Health Plan, Inc.">MVP Health Plan, Inc.</span><span role="option" tabindex="0" ins_type="default" title="NBN (Northwest Administrators)">NBN (Northwest Administrators)</span><span
          role="option" tabindex="0" ins_type="default" title="Network Health">Network Health</span><span role="option" tabindex="0" ins_type="default" title="Nippon">Nippon</span><span role="option" tabindex="0" ins_type="default"
          title="Northeast Delta Dental">Northeast Delta Dental</span><span role="option" tabindex="0" ins_type="default" title="Oscar Health Insurance">Oscar Health Insurance</span><span role="option" tabindex="0" ins_type="default"
          title="Pacific Life">Pacific Life</span><span role="option" tabindex="0" ins_type="default" title="Paramount">Paramount</span><span role="option" tabindex="0" ins_type="default" title="Physician`s Health Plan">Physician`s Health
          Plan</span><span role="option" tabindex="0" ins_type="default" title="Point 32 Health">Point 32 Health</span><span role="option" tabindex="0" ins_type="default" title="Premera Blue Cross">Premera Blue Cross</span><span role="option"
          tabindex="0" ins_type="default" title="Priority Health">Priority Health</span><span role="option" tabindex="0" ins_type="default" title="SCAN Health Plan">SCAN Health Plan</span><span role="option" tabindex="0" ins_type="default"
          title="SelectHealth">SelectHealth</span><span role="option" tabindex="0" ins_type="default" title="Sentara">Sentara</span><span role="option" tabindex="0" ins_type="default" title="Shared Health">Shared Health</span><span role="option"
          tabindex="0" ins_type="default" title="Solstice Health Plans">Solstice Health Plans</span><span role="option" tabindex="0" ins_type="default" title="Sonder Health">Sonder Health</span><span role="option" tabindex="0" ins_type="default"
          title="Starmount">Starmount</span><span role="option" tabindex="0" ins_type="default" title="Surency Vision">Surency Vision</span><span role="option" tabindex="0" ins_type="default" title="Triple S - Puerto Rico">Triple S - Puerto
          Rico</span><span role="option" tabindex="0" ins_type="default" title="Tufts Health Plan">Tufts Health Plan</span><span role="option" tabindex="0" ins_type="default" title="United Concordia">United Concordia</span><span role="option"
          tabindex="0" ins_type="default" title="UNUM Vision Insurance">UNUM Vision Insurance</span><span role="option" tabindex="0" ins_type="default" title="UPMC">UPMC</span><span role="option" tabindex="0" ins_type="default"
          title="Usable/WellSpent">Usable/WellSpent</span><span role="option" tabindex="0" ins_type="default" title="USHealth Group Premier Vision">USHealth Group Premier Vision</span><span role="option" tabindex="0" ins_type="default"
          title="VBA">VBA</span><span role="option" tabindex="0" ins_type="default" title="Verda Health">Verda Health</span><span role="option" tabindex="0" ins_type="default" title="Western Health Advantage">Western Health Advantage</span><span
          role="option" tabindex="0" ins_type="default" title="Zing Health">Zing Health</span>
      </div>
    </div>
  </div>
  <div class="clear"></div>
  <div class="insurance-column-middle in-network">
    <div class="insurance-info-in-network">
      <div class="insurance-title-in-network">Your insurance is in-network</div>
      <div class="insurance-details-in-network"><span>Fill in your details below to sync your insurance. Your benefits will be displayed on the product page, when you add your lenses, and in your cart during checkout.</span></div>
    </div>
    <div class="insurance-modal-container-column-left_middle">
      <div class="insurance-input-container">
        <div class="input-x-container"><label class="input-label">First Name</label><input aria-required="true" type="text" maxlength="32" tabindex="0" id="firstNameInsurance" title="First name"
            class="input-common input-white blur realtime-validation" name="firstNameInsurance" autocomplete="off">
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          </svg><svg class="icon-error" width="24" height="24" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
            <path fill-rule="evenodd" clip-rule="evenodd"
              d="M21.276 17.075 13.617 4.374a1.93 1.93 0 0 0-3.234 0L2.726 17.072a1.5 1.5 0 0 0-.029 1.492 1.87 1.87 0 0 0 1.627.936h15.362a1.87 1.87 0 0 0 1.625-.91 1.5 1.5 0 0 0-.031-1.509l-.004-.006zm1.334 2.265A3.37 3.37 0 0 1 19.67 21H4.33a3.37 3.37 0 0 1-2.94-1.7 3 3 0 0 1 .05-3L9.11 3.58a3.43 3.43 0 0 1 5.78 0l7.67 12.72a3 3 0 0 1 .05 3.04z"
              fill="#D84C45"></path>
            <path d="M12 17a1 1 0 1 0 0-2 1 1 0 0 0 0 2zM12 8a1 1 0 0 0-1 1v4a1 1 0 0 0 2 0V9a1 1 0 0 0-1-1z" fill="#D84C45"></path>
          </svg>
        </div>
        <div class="line line-checkout"></div><label for="firstNameInsurance" generated="true" class="required"></label>
      </div>
      <div class="insurance-input-container">
        <div class="input-x-container"><label class="input-label">Last Name</label><input aria-required="true" type="text" maxlength="32" tabindex="0" id="lastNameInsurance" title="Last name" class="input-common input-white blur realtime-validation"
            name="lastNameInsurance" autocomplete="off">
          <div></div><svg class="icon-check" width="24" height="24" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
            <path fill-rule="evenodd" clip-rule="evenodd"
              d="M12 20.5C16.6944 20.5 20.5 16.6944 20.5 12C20.5 7.30558 16.6944 3.5 12 3.5C7.30558 3.5 3.5 7.30558 3.5 12C3.5 16.6944 7.30558 20.5 12 20.5ZM12 22C17.5228 22 22 17.5228 22 12C22 6.47715 17.5228 2 12 2C6.47715 2 2 6.47715 2 12C2 17.5228 6.47715 22 12 22Z"
              fill="#247534"></path>
            <path fill-rule="evenodd" clip-rule="evenodd"
              d="M15.6678 9.2318C16.0595 9.58537 16.1124 10.2159 15.786 10.6402L11.9399 15.6402C11.7739 15.856 11.5317 15.9862 11.2726 15.999C11.0135 16.0117 10.7614 15.9058 10.578 15.7071L8.27036 13.2071C7.90988 12.8166 7.90988 12.1834 8.27036 11.7929C8.63085 11.4024 9.2153 11.4024 9.57579 11.7929L11.1687 13.5186L14.3678 9.35984C14.6941 8.93556 15.2762 8.87824 15.6678 9.2318Z"
              fill="#247534"></path>
          </svg><svg class="icon-error" width="24" height="24" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
            <path fill-rule="evenodd" clip-rule="evenodd"
              d="M21.276 17.075 13.617 4.374a1.93 1.93 0 0 0-3.234 0L2.726 17.072a1.5 1.5 0 0 0-.029 1.492 1.87 1.87 0 0 0 1.627.936h15.362a1.87 1.87 0 0 0 1.625-.91 1.5 1.5 0 0 0-.031-1.509l-.004-.006zm1.334 2.265A3.37 3.37 0 0 1 19.67 21H4.33a3.37 3.37 0 0 1-2.94-1.7 3 3 0 0 1 .05-3L9.11 3.58a3.43 3.43 0 0 1 5.78 0l7.67 12.72a3 3 0 0 1 .05 3.04z"
              fill="#D84C45"></path>
            <path d="M12 17a1 1 0 1 0 0-2 1 1 0 0 0 0 2zM12 8a1 1 0 0 0-1 1v4a1 1 0 0 0 2 0V9a1 1 0 0 0-1-1z" fill="#D84C45"></path>
          </svg>
        </div>
        <div class="line line-checkout"></div><label for="lastNameInsurance" generated="true" class="required"></label>
      </div>
    </div>
    <div class="insurance-modal-container-column-right_middle">
      <div class="insurance-input-container">
        <div class="input-x-container"><label class="input-label">Date of birth (MM/DD/YYYY)</label><input aria-required="true" class="input-common input-white blur realtime-validation input-calendar" tabindex="0" id="dateBirth" name="dateBirth"
            title="Date of birth" type="text" maxlength="10">
          <div></div><svg id="dob-datepicker-cta" class="icon-calendar" xmlns="http://www.w3.org/2000/svg" width="16" height="16" viewBox="0 0 16 16" fill="none">
            <g clip-path="url(#clip0_2726_19064)">
              <path
                d="M11.8333 1.33333V1.83333H12.3333H15C15.2752 1.83333 15.5 2.05814 15.5 2.33333V15C15.5 15.2752 15.2752 15.5 15 15.5H1C0.724809 15.5 0.5 15.2752 0.5 15V2.33333C0.5 2.05814 0.724809 1.83333 1 1.83333H3.66667H4.16667V1.33333V0.5H4.5V1.33333V1.83333H5H7.33333H7.83333V1.33333V0.5H8.16667V1.33333V1.83333H8.66667H11H11.5V1.33333V0.5H11.8333V1.33333ZM4.16667 2.66667V2.16667H3.66667H1.33333H0.833333V2.66667V5.33333V5.83333H1.33333H14.6667H15.1667V5.33333V2.66667V2.16667H14.6667H12.3333H11.8333V2.66667V3.5H11.5V2.66667V2.16667H11H8.66667H8.16667V2.66667V3.5H7.83333V2.66667V2.16667H7.33333H5H4.5V2.66667V3.5H4.16667V2.66667ZM0.833333 14.6667V15.1667H1.33333H14.6667H15.1667V14.6667V6.66667V6.16667H14.6667H1.33333H0.833333V6.66667V14.6667Z"
                fill="#222222" stroke="#222222"></path>
            </g>
            <defs>
              <clipPath id="clip0_2726_19064">
                <rect width="16" height="16" fill="white"></rect>
              </clipPath>
            </defs>
          </svg><svg class="icon-check" width="24" height="24" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
            <path fill-rule="evenodd" clip-rule="evenodd"
              d="M12 20.5C16.6944 20.5 20.5 16.6944 20.5 12C20.5 7.30558 16.6944 3.5 12 3.5C7.30558 3.5 3.5 7.30558 3.5 12C3.5 16.6944 7.30558 20.5 12 20.5ZM12 22C17.5228 22 22 17.5228 22 12C22 6.47715 17.5228 2 12 2C6.47715 2 2 6.47715 2 12C2 17.5228 6.47715 22 12 22Z"
              fill="#247534"></path>
            <path fill-rule="evenodd" clip-rule="evenodd"
              d="M15.6678 9.2318C16.0595 9.58537 16.1124 10.2159 15.786 10.6402L11.9399 15.6402C11.7739 15.856 11.5317 15.9862 11.2726 15.999C11.0135 16.0117 10.7614 15.9058 10.578 15.7071L8.27036 13.2071C7.90988 12.8166 7.90988 12.1834 8.27036 11.7929C8.63085 11.4024 9.2153 11.4024 9.57579 11.7929L11.1687 13.5186L14.3678 9.35984C14.6941 8.93556 15.2762 8.87824 15.6678 9.2318Z"
              fill="#247534"></path>
          </svg><svg class="icon-error" width="24" height="24" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
            <path fill-rule="evenodd" clip-rule="evenodd"
              d="M21.276 17.075 13.617 4.374a1.93 1.93 0 0 0-3.234 0L2.726 17.072a1.5 1.5 0 0 0-.029 1.492 1.87 1.87 0 0 0 1.627.936h15.362a1.87 1.87 0 0 0 1.625-.91 1.5 1.5 0 0 0-.031-1.509l-.004-.006zm1.334 2.265A3.37 3.37 0 0 1 19.67 21H4.33a3.37 3.37 0 0 1-2.94-1.7 3 3 0 0 1 .05-3L9.11 3.58a3.43 3.43 0 0 1 5.78 0l7.67 12.72a3 3 0 0 1 .05 3.04z"
              fill="#D84C45"></path>
            <path d="M12 17a1 1 0 1 0 0-2 1 1 0 0 0 0 2zM12 8a1 1 0 0 0-1 1v4a1 1 0 0 0 2 0V9a1 1 0 0 0-1-1z" fill="#D84C45"></path>
          </svg>
        </div>
        <div class="line line-checkout"></div><label for="dateBirth" generated="true" class="required"></label>
      </div>
      <div class="insurance-input-container">
        <div class="input-x-container"><label class="input-label">Zip code or SSN (last 4)</label><input aria-required="true" class="input-common input-white blur realtime-validation" tabindex="0" name="zip_input" id="zip_input"
            title="Zipcode or SSN (last 4)" maxlength="5" type="text" oninput="process(this)">
          <div></div><svg class="icon-check" width="24" height="24" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
            <path fill-rule="evenodd" clip-rule="evenodd"
              d="M12 20.5C16.6944 20.5 20.5 16.6944 20.5 12C20.5 7.30558 16.6944 3.5 12 3.5C7.30558 3.5 3.5 7.30558 3.5 12C3.5 16.6944 7.30558 20.5 12 20.5ZM12 22C17.5228 22 22 17.5228 22 12C22 6.47715 17.5228 2 12 2C6.47715 2 2 6.47715 2 12C2 17.5228 6.47715 22 12 22Z"
              fill="#247534"></path>
            <path fill-rule="evenodd" clip-rule="evenodd"
              d="M15.6678 9.2318C16.0595 9.58537 16.1124 10.2159 15.786 10.6402L11.9399 15.6402C11.7739 15.856 11.5317 15.9862 11.2726 15.999C11.0135 16.0117 10.7614 15.9058 10.578 15.7071L8.27036 13.2071C7.90988 12.8166 7.90988 12.1834 8.27036 11.7929C8.63085 11.4024 9.2153 11.4024 9.57579 11.7929L11.1687 13.5186L14.3678 9.35984C14.6941 8.93556 15.2762 8.87824 15.6678 9.2318Z"
              fill="#247534"></path>
          </svg><svg class="icon-error" width="24" height="24" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
            <path fill-rule="evenodd" clip-rule="evenodd"
              d="M21.276 17.075 13.617 4.374a1.93 1.93 0 0 0-3.234 0L2.726 17.072a1.5 1.5 0 0 0-.029 1.492 1.87 1.87 0 0 0 1.627.936h15.362a1.87 1.87 0 0 0 1.625-.91 1.5 1.5 0 0 0-.031-1.509l-.004-.006zm1.334 2.265A3.37 3.37 0 0 1 19.67 21H4.33a3.37 3.37 0 0 1-2.94-1.7 3 3 0 0 1 .05-3L9.11 3.58a3.43 3.43 0 0 1 5.78 0l7.67 12.72a3 3 0 0 1 .05 3.04z"
              fill="#D84C45"></path>
            <path d="M12 17a1 1 0 1 0 0-2 1 1 0 0 0 0 2zM12 8a1 1 0 0 0-1 1v4a1 1 0 0 0 2 0V9a1 1 0 0 0-1-1z" fill="#D84C45"></path>
          </svg>
        </div>
        <div class="line line-checkout"></div>
      </div>
    </div>
    <div class="clear-both"></div>
    <div class="error_policy_insurance"> To proceed, tick the box above to certify you're 18 years or older. If you're not, you cannot proceed with this step. </div><input type="hidden" id="storeId" name="storeId" value="15951"><input type="hidden"
      name="catalogId" value="23201"><input type="hidden" name="langId" value="-1"><input type="hidden" name="infoForm" value="personal"><input type="hidden" id="insuranceRequestTimeout" name="requestTimeout" value="50000">
    <div id="error-no-user-found" class="insurance-error-no-user-found hide" tabindex="0">
      <p class="error-title">Oops! Looks like we're having trouble finding you.</p>
      <p class="error-text">Make sure the information you entered matches your insurance plan, or add a few more details to help us find you. <br class="desktop-only"> After 5 wrong attempts we block your look-up for 5 minutes, you have <strong><span
            class="remainingAttempts"></span> attempts remaining</strong>.</p>
    </div>
    <div class="input-plan-member-container hide">
      <div class="input-plan-container">
        <div class="input-x-container"><label class="input-label">Insurance Plan ID</label><input aria-required="true" type="text" maxlength="32" id="planID" title="Insurance Plan ID" class="input-common input-white blur" name="planID"><span
            class="iconglasses-x"></span></div>
        <div class="line line-checkout"></div>
      </div>
      <div class="input-member-container">
        <div class="input-x-container"><label class="input-label">Insurance Member ID</label><input aria-required="true" type="text" maxlength="32" id="memberID" title="Insurance Member ID" class="input-common input-white blur" name="memberID"><span
            class="iconglasses-x"></span></div>
        <div class="line line-checkout"></div>
      </div>
    </div>
    <div class="insurance-modal-container-button">
      <div class="insurance-modal-container-submit"><button type="reset" class="regSubmit tps_btn tps_btn-small tps_btn-violet-outline" id="button-cancel-insurance" aria-label="Cancel" data-analytics_available_call="0">Cancel</button><button
          class="tps_btn tps_btn-small tps_btn-violet" id="personal-info-submit" aria-label="Submit" data-element-id="X_X_InsurancePanel_Submit">Submit</button></div>
    </div>
  </div>
</form>

<form id="forgot-password-form"><input type="hidden" name="challengeAnswer" value="-" id="WC_PasswordResetForm_FormInput_challengeAnswer_In_ResetPasswordForm_1"><input type="hidden" name="storeId" value="15951"
    id="WC_PasswordResetForm_FormInput_storeId_In_ResetPasswordForm_1"><input type="hidden" name="catalogId" value="23201" id="WC_PasswordResetForm_FormInput_catalogId_In_ResetPasswordForm_1"><input type="hidden" name="langId" value="-1"
    id="WC_PasswordResetForm_FormInput_langId_In_ResetPasswordForm_1"><input type="hidden" name="state" value="passwdconfirm" id="WC_PasswordResetForm_FormInput_state_In_ResetPasswordForm_1"><input type="hidden" name="URL"
    value="ResetPasswordAjaxView" id="WC_PasswordResetForm_FormInput_URL_In_ResetPasswordForm_1"><input type="hidden" name="errorViewName" value="ResetPasswordAjaxView" id="WC_PasswordResetForm_FormInput_errorViewName_In_ResetPasswordForm_1"><input
    type="hidden" name="currentID" value="" id="currentID">
  <div class="login-email-container">
    <div class="input-x-container utagpiimask"><label class="input-label" for="login-email-forgot-password">E-mail address*</label><input aria-required="true" id="login-email-forgot-password" name="logonId" type="text" maxlength="64"
        class="input-common input-custoGray" title="Sign in email address" onblur="ForgotPasswordHandler.validate(this);">
      <div class="input-icon-container"><img class="input-alert-redesign"
          srcset="/wcsstore/GlassesStorefrontAssetStore/images/alert@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/alert@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/alert.png 1x "
          src="/wcsstore/GlassesStorefrontAssetStore/images/alert.png" crossorigin="anonymous"></div><label for="login-email" class="field-error-message empty-field-message">The e-mail address field cannot be empty.</label><label for="login-email"
        class="field-error-message syntax-error-message">Please enter a valid e-mail address.</label><label for="login-email" class="field-error-message email-field-message">This e-mail is not associated with an account.</label>
    </div>
  </div>
  <div class="forgot-password-container-submit"><button id="forgot-password-submit" class="tps_btn btn-lg tps_btn-violet logonSubmitRedesign submit" onclick="ForgotPasswordHandler.submitForm(this, event)" aria-label="Forgot password"> SUBMIT <div
        id="loader-container-forgot-password" class="sk-circle">
        <div class="sk-circle1 sk-child"></div>
        <div class="sk-circle2 sk-child"></div>
        <div class="sk-circle3 sk-child"></div>
        <div class="sk-circle4 sk-child"></div>
        <div class="sk-circle5 sk-child"></div>
        <div class="sk-circle6 sk-child"></div>
        <div class="sk-circle7 sk-child"></div>
        <div class="sk-circle8 sk-child"></div>
        <div class="sk-circle9 sk-child"></div>
        <div class="sk-circle10 sk-child"></div>
        <div class="sk-circle11 sk-child"></div>
        <div class="sk-circle12 sk-child"></div>
      </div></button></div>
</form>

POST reset-password-form

<form id="reset-password-form" method="post" action="reset-password-form"><input type="hidden" name="storeId" value="15951" id="WC_PasswordUpdateForm_FormInput_storeId_In_Logon_1_Reset_Password"><input type="hidden" name="catalogId" value="23201"
    id="WC_PasswordUpdateForm_FormInput_catalogId_In_Logon_1_Reset_Password"><input type="hidden" name="langId" value="-1" id="WC_PasswordUpdateForm_FormInput_langId_In_Logon_1_Reset_Password"><input type="hidden" name="URL" value="LogonAjaxView"
    id="WC_PasswordResetForm_FormInput_URL_In_ResetPasswordUpdateForm_1_Reset_Password"><input type="hidden" name="errorViewName" value="LogonAjaxView"
    id="WC_PasswordResetForm_FormInput_errorViewName_In_ResetPasswordUpdateForm_1_Reset_Password"><input type="hidden" name="isResetPasswordRequest" value="true"><input type="hidden" name="logonId" value="" id="logonId-reset-modal"><input
    type="hidden" name="reLogonURL" value="LogonAjaxView" id="reLogonURL"><input type="hidden" name="differentErrorMessgaeRequired" value="true" id="differentErrorMessgaeRequired"><input type="hidden" name="rememberMe" value="true"
    id="rememberMe"><input type="hidden" name="temp_signinPassword" value="" id="temp_signinPassword">
  <div class="reset-password-form-container">
    <div class="reset-password-temporary-password">
      <div class="input-x-container utagpiimask"><label for="password-temporary-reset" class="input-label">Temporary Password*</label><input aria-required="true" type="password" maxlength="32" name="logonPassword"
          class="password-creation logonPassword_landing passwordField input-common input-white " onkeyup="ResetPasswordFormHandler.validate(this);" id="password-temporary-reset" value="" title="Create password" data-matching-field="password-confirm"
          order-matching-field="first">
        <div class="input-icon-container">
          <a aria-label="Show/Hide password" onclick="ResetPasswordFormHandler.handleShowHidePassword(this, 'password-temporary-reset');" class="wcag-trigger-click"><div class="hidden-password" title="Show password"><i class="far fa-eye-slash togglePassword"></i></div><div class="visible-password"><i class="far fa-eye togglePassword"></i></div></a>
          <div class="img-alert-container"><img class="input-alert-redesign"
              srcset="/wcsstore/GlassesStorefrontAssetStore/images/alert@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/alert@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/alert.png 1x "
              src="/wcsstore/GlassesStorefrontAssetStore/images/alert.png" crossorigin="anonymous"></div>
        </div><label for="password-creation-reset" class="field-error-message empty-field-message">The temporary password field cannot be empty.</label><label for="password-temporary-reset" class="field-error-message password-field-message">This
          password does not match the one we sent.</label>
      </div>
    </div>
  </div>
</form>

POST reset-password-ajax-form

<form id="reset-password-ajax-form" method="post" action="reset-password-ajax-form"><input type="hidden" name="storeId" value="15951" id="WC_PasswordUpdateForm_FormInput_storeId_In_Logon_1_Reset_Password_Second"><input type="hidden" name="catalogId"
    value="23201" id="WC_PasswordUpdateForm_FormInput_catalogId_In_Logon_1_Reset_Password_Second"><input type="hidden" name="langId" value="-1" id="WC_PasswordUpdateForm_FormInput_langId_In_Logon_1_Reset_Password_Second"><input type="hidden"
    name="URL" value="ResetPasswordAjaxView"><input type="hidden" name="errorViewName" value=""><input type="hidden" name="formName" value="ResetPasswordUpdateSubmitForm"><input type="hidden" name="isResetPasswordRequest" value="true"><input
    type="hidden" name="challengeQuestion" value="-"><input type="hidden" name="challengeAnswer" value="-"><input type="hidden" name="autoPopulatedEmailHiddenDesktop" id="autoPopulatedEmailHiddenDesktop"><input type="hidden" name="logonId" value=""
    id="logonId-reset-modal-ajax">
  <div class="reset-password-form-container">
    <div class="reset-password-new-password">
      <div class="create-password-container">
        <div class="input-x-container"><label for="password-creation-reset" class="input-label">New Password*</label><input aria-required="true" type="password" maxlength="32" name="logonPassword"
            class="password-creation logonPassword_landing passwordField input-common input-white " id="password-creation-reset" value="" title="Create password" data-matching-field="password-confirm-reset" order-matching-field="first"
            onkeyup="ResetPasswordFormHandler.validate(this);">
          <div class="input-icon-container">
            <a aria-label="Show/Hide password" onclick="ResetPasswordFormHandler.handleShowHidePassword(this, 'password-creation-reset');" class="wcag-trigger-click"><div class="hidden-password" title="Show password"><i class="far fa-eye-slash togglePassword"></i></div><div class="visible-password"><i class="far fa-eye togglePassword"></i></div></a>
            <div class="img-alert-container"><img class="input-alert-redesign"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/alert@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/alert@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/alert.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/alert.png" crossorigin="anonymous"></div>
          </div>
          <div class="password-validator">
            <p class="validator-error"></p>
            <h5 class="password-title">Your password must include at least:</h5>
            <p class="password-option length password-eight-char"><img class="unset-password"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png" crossorigin="anonymous"><img class="correct-password"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/correct-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/correct-password.png" crossorigin="anonymous"><img class="wrong-password"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png" crossorigin="anonymous"><span class="password-rule">8 characters</span></p>
            <p class="password-option upperCase password-upper-char"><img class="unset-password"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png" crossorigin="anonymous"><img class="correct-password"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/correct-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/correct-password.png" crossorigin="anonymous"><img class="wrong-password"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png" crossorigin="anonymous"><span class="password-rule">1 uppercase letter (A-Z)</span></p>
            <p class="password-option lowerCase password-lower-char"><img class="unset-password"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png" crossorigin="anonymous"><img class="correct-password"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/correct-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/correct-password.png" crossorigin="anonymous"><img class="wrong-password"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png" crossorigin="anonymous"><span class="password-rule">1 lowercase letter (a-z)</span></p>
            <p class="password-option number password-number-char"><img class="unset-password"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png" crossorigin="anonymous"><img class="correct-password"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/correct-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/correct-password.png" crossorigin="anonymous"><img class="wrong-password"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png" crossorigin="anonymous"><span class="password-rule">1 number (0-9)</span></p>
            <p class="password-option specialChar password-special-char"><img class="unset-password"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png" crossorigin="anonymous"><img class="correct-password"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/correct-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/correct-password.png" crossorigin="anonymous"><img class="wrong-password"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png" crossorigin="anonymous"><span class="password-rule">1 special character (!£#)</span></p>
          </div><label for="password-create" class="field-error-message empty-field-message">The password field cannot be empty.</label><label for="password-create" class="field-error-message password-field-message">The password field doesn't respect
            requirements.</label>
        </div>
      </div>
    </div>
    <div class="reset-password-confirm-new-password">
      <div class="confirm-password-container">
        <div class="input-x-container"><label for="password-confirm-reset" class="input-label">Confirm new password*</label><input aria-required="true" type="password" autocomplete="off" maxlength="32" name="logonPasswordVerify"
            class="password-confirm logonPassword_landing passwordFieldConfirm input-common input-white" id="password-confirm-reset" value="" title="Confirm password" data-matching-field="password-creation-reset" order-matching-field="second"
            onblur="ResetPasswordFormHandler.validate(this);">
          <div class="input-icon-container">
            <a href="javascript:void(0)" aria-label="Show/Hide password" onclick="ResetPasswordFormHandler.handleShowHidePassword(this, 'password-confirm-reset');" class="wcag-trigger-click"><span class="hidden-password" title="Show password"><i class="far fa-eye-slash togglePassword"></i></span><span class="visible-password"><i class="far fa-eye togglePassword"></i></span></a>
            <div class="img-alert-container"><img class="input-alert-redesign"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/alert@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/alert@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/alert.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/alert.png" crossorigin="anonymous"></div>
          </div><label for="email-confirm" class="field-error-message empty-field-message">The password confirmation field cannot be empty.</label><label for="email-confirm" class="field-error-message match-field-message">The password confirmation
            doesn't match.</label>
        </div>
      </div>
    </div>
  </div>
</form>

Name: LogonFormRedesign

<form name="LogonFormRedesign" id="LogonFormRedesign" class="LogonFormRedesign"><input name="storeId" value="15951" type="hidden"><input name="catalogId" value="23201" type="hidden"><input name="langId" value="-1" type="hidden"><input
    name="errorViewName" type="hidden" value="LogonAjaxView"><input name="reLogonURL" type="hidden" value="LogonAjaxView"><input name="URL" type="hidden" value="LogonAjaxView"><input type="hidden" name="myPerkName" value=""><input type="hidden"
    name="fromPage" value="RegistrationLanding">
  <div class="login-email-container login-redesign-modal-input-container">
    <div class="input-x-container utagpiimask"><label class="input-label" for="login-email">E-mail address*</label><input aria-required="true" id="login-email" name="logonId" type="text" maxlength="64" class="input-common input-custoGray"
        title="Sign in email address" onblur="LoginModalFormHandler.validate(this);">
      <div class="input-icon-container"><img class="input-alert-redesign"
          srcset="/wcsstore/GlassesStorefrontAssetStore/images/alert@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/alert@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/alert.png 1x "
          src="/wcsstore/GlassesStorefrontAssetStore/images/alert.png" crossorigin="anonymous"></div><label for="login-email" class="field-error-message empty-field-message">The e-mail address field cannot be empty.</label><label for="login-email"
        class="field-error-message syntax-error-message">Please enter a valid e-mail address.</label>
    </div>
  </div>
  <div class="login-password-container login-redesign-modal-input-container">
    <div class="input-x-container"><label class="input-label" for="login-password">Password*</label><input aria-required="true" name="logonPassword" id="login-password" class="logonPassword_landing passwordField input-common input-custoGray"
        type="password" onchange="LoginModalFormHandler.validate(this);" autocomplete="off" maxlength="32" title="Sign in password">
      <div class="input-icon-container"><img class="input-alert" style="display: none;"
          srcset="/wcsstore/GlassesStorefrontAssetStore/images/alert@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/alert@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/alert.png 1x "
          src="/wcsstore/GlassesStorefrontAssetStore/images/alert.png"
          crossorigin="anonymous"><a href="javascript:void(0)" aria-label="Show/Hide password" onclick="LoginModalFormHandler.handleShowHidePassword(this, 'login-password');" class="wcag-trigger-click"><div class="hidden-password" title="Show password"><i class="far fa-eye-slash togglePassword"></i></div><div class="visible-password"><i class="far fa-eye togglePassword"></i></div></a>
      </div><label for="password-create" class="field-error-message empty-field-message">The password field cannot be empty.</label>
    </div>
    <div class="line"></div>
  </div>
  <div class="login-redesign-modal-forgot-password no-service-messages"><a href="javascript:void(0)" class="sign-in-link-redesign" id="forgot-password" onclick="closeModalButton(this); openModal('forgot-password-modal');">Forgot password?</a></div>
  <div class="login-messages-container"><span class="required LogOnFailureResponseMessageDiv" aria-live="assertive"></span></div>
  <div class="fe buttons login-redesign-modal-submit"><button id="logonSubmitRedesign" class="tps_btn btn-lg tps_btn-violet logonSubmitRedesign submit" onclick="LoginModalFormHandler.submitForm(this, event)" aria-label="Sign in"> Sign in <div
        id="loader-container-login" class="sk-circle">
        <div class="sk-circle1 sk-child"></div>
        <div class="sk-circle2 sk-child"></div>
        <div class="sk-circle3 sk-child"></div>
        <div class="sk-circle4 sk-child"></div>
        <div class="sk-circle5 sk-child"></div>
        <div class="sk-circle6 sk-child"></div>
        <div class="sk-circle7 sk-child"></div>
        <div class="sk-circle8 sk-child"></div>
        <div class="sk-circle9 sk-child"></div>
        <div class="sk-circle10 sk-child"></div>
        <div class="sk-circle11 sk-child"></div>
        <div class="sk-circle12 sk-child"></div>
      </div></button></div>
</form>

Name: registration-redesign-modal-form

<form id="registration-redesign-modal-form" name="registration-redesign-modal-form"><input type="hidden" name="storeId" value="15951"><input type="hidden" name="catalogId" value="23201"><input type="hidden" name="langId" value="-1"><input
    type="hidden" name="errorViewName" value="UserRegistrationAddAjaxView"><input type="hidden" name="URL" value="/UserRegistrationAddAjaxView"><input type="hidden" name="URL_AccountPersonalization" value="" id="URL_AccountPersonalization"><input
    type="hidden" name="challengeQuestion" value="-"><input type="hidden" name="challengeAnswer" value="-"><input type="hidden" name="accountType" value="1"><input type="hidden" name="myPerkName" value=""><input type="hidden" name="fromPage"
    value="RegistrationLanding">
  <div class="registration-redesign-modal-input-container">
    <div class="registration-redesign-modal-input-container-col">
      <div class="create-first-name-container registration-redesign-modal-input-container">
        <div class="input-x-container utagpiimask "><label class="input-label" for="first-name">First name*</label><input aria-required="true" type="text" maxlength="64" name="demographicField7" class="first-name input-common input-white"
            id="first-name" value="" title="First-name*" data-type="first-name" onblur="RegistrationModalFormHandler.validate(this)">
          <div class="input-icon-container">
            <div class="img-alert-container"><img class="input-alert-redesign"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/alert@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/alert@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/alert.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/alert.png" crossorigin="anonymous"></div>
          </div><label for="first-name" class="field-error-message empty-field-message">First name field cannot be empty.</label>
        </div>
      </div>
      <div class="create-last-name-container registration-redesign-modal-input-container">
        <div class="input-x-container utagpiimask"><label class="input-label" for="last-name">Last name*</label><input aria-required="true" type="text" maxlength="64" name="demographicField5" class="last-name input-common input-white" id="last-name"
            value="" title="last-name*" data-type="last-name" onblur="RegistrationModalFormHandler.validate(this)">
          <div class="input-icon-container">
            <div class="img-alert-container"><img class="input-alert-redesign"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/alert@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/alert@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/alert.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/alert.png" crossorigin="anonymous"></div>
          </div><label for="email-confirm" class="field-error-message empty-field-message">Last name field cannot be empty.</label>
        </div>
      </div>
    </div>
    <div class="registration-redesign-modal-input-container-col">
      <div class="create-email-container registration-redesign-modal-input-container">
        <div class="input-x-container utagpiimask"><label class="input-label" for="email-creation">E-mail address*</label><input aria-required="true" type="text" maxlength="64" name="logonId" class="email-creation input-common input-white"
            id="email-creation" value="" title="Create email address" data-type="email" data-matching-field="email-confirm" order-matching-field="first" onblur="RegistrationModalFormHandler.validate(this);">
          <div class="input-icon-container">
            <div class="img-alert-container"><img class="input-alert-redesign"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/alert@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/alert@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/alert.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/alert.png" crossorigin="anonymous"></div>
          </div><label for="email-creation" class="field-error-message empty-field-message">The e-mail address field cannot be empty.</label><label for="email-creation" class="field-error-message syntax-error-message">Please enter a valid e-mail
            address.</label><label for="password-create" class="field-error-message email-field-message">This e-mail address is already registered.</label>
        </div>
        <div class="line"></div>
      </div>
      <div class="confirm-email-container registration-redesign-modal-input-container">
        <div class="input-x-container utagpiimask"><label class="input-label" for="email-confirm">Confirm e-mail address*</label><input aria-required="true" type="text" maxlength="64" name="account" class="email-confirm input-common input-white"
            id="email-confirm" value="" title="Confirm email address" data-type="email" data-matching-field="email-creation" order-matching-field="second" onblur="RegistrationModalFormHandler.validate(this);">
          <div class="input-icon-container">
            <div class="img-alert-container"><img class="input-alert-redesign"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/alert@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/alert@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/alert.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/alert.png" crossorigin="anonymous"></div>
          </div><label for="email-confirm" class="field-error-message empty-field-message">The e-mail address confirmation field cannot be empty.</label><label for="email-confirm" class="field-error-message match-field-message">The e-mail address
            confirmation doesn't match.</label>
        </div>
        <div class="line"></div>
      </div>
    </div>
    <div class="registration-redesign-modal-input-container-col">
      <div class="create-password-container registration-redesign-modal-input-container flex-responsive">
        <div class="input-x-container"><label class="input-label" for="password-creation">Password*</label><input aria-required="true" type="password" maxlength="32" name="logonPasswordVerify"
            class="password-creation logonPassword_landing passwordField input-common input-white " id="password-creation" value="" title="Create password" data-matching-field="password-confirm" order-matching-field="first"
            onkeyup="RegistrationModalFormHandler.validate(this);" onfocus="RegistrationModalFormHandler.showPasswordOptions(this);">
          <div class="input-icon-container">
            <div class="img-alert-container"><img class="input-alert-redesign"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/alert@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/alert@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/alert.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/alert.png" crossorigin="anonymous"></div>
            <a aria-label="Show/Hide password" onclick="RegistrationModalFormHandler.handleShowHidePassword(this, 'password-creation');" class="wcag-trigger-click"><div class="hidden-password" title="Show password"><i class="far fa-eye-slash togglePassword"></i></div><div class="visible-password"><i class="far fa-eye togglePassword"></i></div></a>
          </div><label for="password-create" class="field-error-message empty-field-message">The password field cannot be empty.</label><label for="password-create" class="field-error-message password-field-message">The password field doesn't respect
            requirements.</label>
        </div>
        <div class="password-validator">
          <p class="validator-error"></p>
          <h5 class="password-title">Your password must include at least:</h5>
          <p class="password-option length password-eight-char"><img class="unset-password"
              srcset="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png 1x "
              src="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png" crossorigin="anonymous"><img class="correct-password"
              srcset="/wcsstore/GlassesStorefrontAssetStore/images/correct-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password.png 1x "
              src="/wcsstore/GlassesStorefrontAssetStore/images/correct-password.png" crossorigin="anonymous"><img class="wrong-password"
              srcset="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png 1x "
              src="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png" crossorigin="anonymous"><span class="password-rule">8 characters</span></p>
          <p class="password-option upperCase password-upper-char"><img class="unset-password"
              srcset="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png 1x "
              src="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png" crossorigin="anonymous"><img class="correct-password"
              srcset="/wcsstore/GlassesStorefrontAssetStore/images/correct-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password.png 1x "
              src="/wcsstore/GlassesStorefrontAssetStore/images/correct-password.png" crossorigin="anonymous"><img class="wrong-password"
              srcset="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png 1x "
              src="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png" crossorigin="anonymous"><span class="password-rule">1 uppercase letter (A-Z)</span></p>
          <p class="password-option lowerCase password-lower-char"><img class="unset-password"
              srcset="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png 1x "
              src="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png" crossorigin="anonymous"><img class="correct-password"
              srcset="/wcsstore/GlassesStorefrontAssetStore/images/correct-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password.png 1x "
              src="/wcsstore/GlassesStorefrontAssetStore/images/correct-password.png" crossorigin="anonymous"><img class="wrong-password"
              srcset="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png 1x "
              src="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png" crossorigin="anonymous"><span class="password-rule">1 lowercase letter (a-z)</span></p>
          <p class="password-option number password-number-char"><img class="unset-password"
              srcset="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png 1x "
              src="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png" crossorigin="anonymous"><img class="correct-password"
              srcset="/wcsstore/GlassesStorefrontAssetStore/images/correct-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password.png 1x "
              src="/wcsstore/GlassesStorefrontAssetStore/images/correct-password.png" crossorigin="anonymous"><img class="wrong-password"
              srcset="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png 1x "
              src="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png" crossorigin="anonymous"><span class="password-rule">1 number (0-9)</span></p>
          <p class="password-option specialChar password-special-char"><img class="unset-password"
              srcset="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png 1x "
              src="/wcsstore/GlassesStorefrontAssetStore/images/wrong-password.png" crossorigin="anonymous"><img class="correct-password"
              srcset="/wcsstore/GlassesStorefrontAssetStore/images/correct-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/correct-password.png 1x "
              src="/wcsstore/GlassesStorefrontAssetStore/images/correct-password.png" crossorigin="anonymous"><img class="wrong-password"
              srcset="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png 1x "
              src="/wcsstore/GlassesStorefrontAssetStore/images/red-wrong-password.png" crossorigin="anonymous"><span class="password-rule">1 special character (!£#)</span></p>
        </div>
      </div>
      <div class="confirm-password-container registration-redesign-modal-input-container">
        <div class="input-x-container"><label class="input-label" for="password-confirm">Confirm your password*</label><input aria-required="true" type="password" autocomplete="off" maxlength="32" name="logonPassword"
            class="password-confirm logonPassword_landing passwordFieldConfirm input-common input-white" id="password-confirm" value="" title="Confirm password" data-matching-field="password-creation" order-matching-field="second"
            onblur="RegistrationModalFormHandler.validate(this);">
          <div class="input-icon-container">
            <div class="img-alert-container"><img class="input-alert-redesign"
                srcset="/wcsstore/GlassesStorefrontAssetStore/images/alert@3x.png 3x, /wcsstore/GlassesStorefrontAssetStore/images/alert@2x.png 2x, /wcsstore/GlassesStorefrontAssetStore/images/alert.png 1x "
                src="/wcsstore/GlassesStorefrontAssetStore/images/alert.png" crossorigin="anonymous"></div>
            <a href="javascript:void(0)" aria-label="Show/Hide password" onclick="RegistrationModalFormHandler.handleShowHidePassword(this, 'password-confirm');" class="wcag-trigger-click"><span class="hidden-password" title="Show password"><i class="far fa-eye-slash togglePassword"></i></span><span class="visible-password"><i class="far fa-eye togglePassword"></i></span></a>
          </div><label for="email-confirm" class="field-error-message empty-field-message">The password confirmation field cannot be empty.</label><label for="email-confirm" class="field-error-message match-field-message">The password confirmation
            doesn't match.</label>
        </div>
      </div>
    </div>
  </div>
  <div class="fe create-checkbox-container-modal">
    <div class="checkboxRedesignContainer">
      <div class="checkbox-container 18-years-agreement" tabindex="0"><input class="checkbox" onchange="RegistrationModalFormHandler.validate(this); handleCheckboxInput(this);" type="checkbox" name="18-years-agreement" id="18-years-agreement">
        <div onclick="handleCheckbox(this)" data-input-element="18-years-agreement" class="iconglasses-icon-unchecked"><span class="path1"></span><span class="path2"></span></div><label for="18-years-agreement"
          class="unregisteredCheckbox label_check label_check_adult"> I certify that I am 18 years or older. </label>
      </div>
      <div class="checkbox-container email-agreement" tabindex="0"><input class="checkbox" checked="checked" type="checkbox" name="optinStatus" id="email-agreement"><input class="checkbox" checked="checked"
          onchange="RegistrationModalFormHandler.validate(this); handleCheckboxInput(this);" type="checkbox" name="receiveEmail" id="email-agreement">
        <div class="iconglasses-icon-checked" onclick="handleCheckbox(this)" data-input-element="email-agreement"><span class="path1"></span><span class="path2"></span></div><label for="email-agreement"
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Text Content

Vision Insurance


It's easy to use your vision benefits on Glasses.com. We accept most in and
out-of-network plans, including EyeMed, Davis Vision, Superior Vision, and more.
Search for your carrier below or click here for more info.

Step 1/2 | Select your carrier

Step 2/2 | Apply your benefits

Select or type your insurance carrierYou can only use EyeMed Safety benefits for
safety eyewear. Contact Customer Service for more information.





You can only use safety insurance benefits for safety eyewear.

The insurance carrier you selected is applicable to safety products only.

You can only use safety insurance benefits for safety eyewear.

The insurance carrier you selected is not applicable to safety products.
Please select EyeMed Safety or SightProtect by Essilor and enter the required
information.

To buy safety products, you need to have a specific insurance carrier. Please
select EyeMed Safety or SightProtect by Essilor and enter the required
information to determine if you are enrolled in one of these safety plans.

CANCELCHANGE CARRIER
EyemedDavis VisionSuperior VisionVSPNVA (National Vision
Administrators)UnitedHealthcare Vision (UHC)Eyemed - SafetySightProtect by
Essilor

--------------------------------------------------------------------------------

Aetna Vision PreferredAllWays Health PartnersAlterwood HealthAmeritas Life
Insurance CompanyAnthem Blue View VisionAvesisBayCareBCBS FEP VisionBCBS Kansas
City - Blue VueBCBS of IllinoisBCBS of KansasBCBS of LouisianaBCBS of
Massachusetts- Blue 20/20BCBS of MinnesotaBCBS of MontanaBCBS of New MexicoBCBS
of North Carolina - Blue 20/20BCBS of OklahomaBCBS of South Carolina - Healthy
VisionBCBS of Tennessee - VisionBlueBCBS of TexasBCBS of WyomingBCBS Rhode
Island BlueCross VisionBCS FinancialBEST Life and Health Insurance CompanyBlue
Cross Blue Shield FEP VisionBlue Shield of CABlue Shield of NE New YorkBright
Health ResellerCare N Care Insurance CompanyCareFirstCareSourceChampion
HealthCignaCigna Healthspring Life & Health Insurance Co.Community Eye
CareCompanion Life VisionConcorde, Inc.Connecticare, Inc.Culinary UnionDearborn
National - HCSCDelta Dental ArkansasDelta Dental of MissouriDelta Dental of New
MexicoDelta Dental of OklahomaDeltaVision ArizonaDeltaVision IllinoisDeltaVision
IowaDeltaVision MinnesotaDeltaVision NortheastDeltaVision Puerto RicoDeltaVision
WisconsinDental SelectDentist DirectDevoted Health, Inc.EmblemHealthEnvolve
VisionEternal HealthFallon Community Health PlanFidelity Security Life
InsuranceFlorida BlueGEHAGlobal HealthGroup Vision ServiceGuardian by
AvesisHarvard Pilgrim HealthcareHCSC - BCBS ILHCSC - BCBS MTHCSC - BCBS NMHCSC -
BCBS OKHCSC - BCBS TXHealth Alliance PlanHealth Economic GroupHealth
MarketsHealth New EnglandHealth Plan of NevadaHealthfirstHealthMarketsHealthnow
New YorkHeritage Vision PlansHighmark Blue EdgeHighMark Blue VisionHMSAHometown
HealthcareHorizon VisionHumana VisionIndependence Blue CrossIndependent HealthIU
Health PlansMagnacare VisionMCS - Puerto RicoMedical Mutual of OhioMedical
Mutual Vision PlanMega Life and Health Insurance Co.MESMetLifeMMM - Puerto
RicoMutual of OmahaMVP Health Plan, Inc.NBN (Northwest Administrators)Network
HealthNipponNortheast Delta DentalOscar Health InsurancePacific
LifeParamountPhysician`s Health PlanPoint 32 HealthPremera Blue CrossPriority
HealthSCAN Health PlanSelectHealthSentaraShared HealthSolstice Health
PlansSonder HealthStarmountSurency VisionTriple S - Puerto RicoTufts Health
PlanUnited ConcordiaUNUM Vision InsuranceUPMCUsable/WellSpentUSHealth Group
Premier VisionVBAVerda HealthWestern Health AdvantageZing Health

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checkout.
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Your insurance is out-of-network

This carrier is not currently accepted in-network online. Please refer to the
information below on how to use your insurance benefits.

Choose from our wide range of
frames and lenses
Chat with us or call
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We will help you complete your order using your benefits

Your insurance is out-of-network

This carrier is not currently accepted in-network online. Please refer to the
information below on how to submit an out-of-network claim for reimbursement.

Place an order
Download the reimbursement form
Download your receipt from your My Account or from the invoice email
Mail it to your insurance carrier
We also accept out-of-network plans
You can also use out-of-network benefits for other vision insurance plans,
including VSP, MetLife, and UnitedHealthcare Vision (UHC). Simply submit the
claim form directly to your carrier. Download Form
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Success! We found you!

See below for your available benefits.

Your benefits will expire soon. Use them before it's too late!

It looks like your vision benefits have expired.

Don't worry, you can still enjoy two exclusive savings with the following promo
codes:

Don't worry, you can still enjoy two exclusive savings with the following promo
codes:

40% off a complete pair

Your code: GL40POFFCP

COPY

20% off frames

Your code: GL20POFF

COPY

Frames

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Lenses

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Discount will apply upon selection


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*Copay is only for routine eye exam,
additional fees may applyBook an eye exam

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*Copay is only for routine eye exam,
additional fees may applyBook an eye exam
CONTINUE SHOPPINGRemove insurance benefits
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customer service if this problem continues to occur.

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SYNC INSURANCE
Need help?
Give us a call at
800-452-7737
Chat with Us
or check out our
FAQs

Discover all our accepted vision plans online and in store. Discover more

For your security, your personal benefit information is only available during
your session and will be erased when you close your browser.

Login / Register

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{ "MetaTitle": "Stylish Prescription Eyeglasses and Frames | Glasses.com®",
"MetaDescription": "Shop stylish Prescription Eyeglasses and Glasses Frames at
Glasses.com. Find affordable designs, top brands, & up to 50% off lenses perfect
for every look!", "MetaCanonical": "https://www.glasses.com/gl-us/eyeglasses",
"CategoryTitle": "Prescription Eyeglasses and Frames", "CategoryTitleMen":
"PRESCRIPTION EYEGLASSES FOR MEN", "CategoryTitleWomen": "PRESCRIPTION
EYEGLASSES FOR WOMEN", "CategoryDescription": "Discover a wide selection of
stylish prescription eyeglasses and frames at Glasses.com, featuring top brands,
affordable designs, and up to 50% off lenses for every look." }


PRESCRIPTION EYEGLASSES AND FRAMES

Discover a wide selection of stylish prescription eyeglasses and frames at
Glasses.com, featuring top brands, affordable designs, and up to 50% off lenses
for every look.

prescription eyeglasses and frames

Up to 50% off Frame + Lenses

All eyeglasses

New arrivals

Best sellers

Your eyes covered

Sustainable glasses
Apply insurance benefits
Insurance applied View Benefits
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What you'll save with your insurance:
Frames:

Lenses:
Discount will apply upon selection

Sort by:
Our Top PicksPrice: Low to HighPrice: High to LowNewestBest sellers
View:
244896
FrontQuarter


HURRY UP! USE YOUR VISION BENEFITS!

Don’t let your 2024 vision insurance or FSA/HSA
dollars slip away—use them by 12/31!

PO3007VM
Persol
$ 328.00
New Arrival
2 colors
RB5489 Balorette Optics
Ray-Ban
$ 198.00
New Arrival
2 colors
OX8156 Holbrook™
Oakley
$ 176.00
Best Seller
6 colors
OX8143 Chamfer™ Squared (TruBridge™)
Oakley
$ 228.00
1 color
GK2002
Glasses.com
including lenses$ 55.00
4 colors
RB7316V Mega Clubmaster Optics Liteforce
Ray-Ban
$ 235.00
New Arrival
2 colors
HC5175 CY044
Coach
including lenses$ 198.00
New Arrival
2 colors
VE3367U
Versace
including lenses$ 354.00
New ArrivalUniversal Fit
3 colors
AX3116
Armani Exchange
including lenses$ 118.00
New Arrival
3 colors
SK2028
Swarovski
including lenses$ 283.00
New Arrival
3 colors
VE3365U
Versace
including lenses$ 283.00
New ArrivalUniversal Fit
3 colors
RL5129
Ralph Lauren
including lenses$ 388.00
New Arrival
2 colors
HC6252U CY046
Coach
including lenses$ 219.00
New ArrivalUniversal Fit
2 colors


NEED HELP FINDING THE RIGHT LENSES?

Answer a few quick questions, and we'll match you with the ideal prescription
for your needs.

DISCOVER MORE

PH2281U
Polo Ralph Lauren
including lenses $ 171.00
New Arrival Universal Fit
2 colors
SK2031
Swarovski
including lenses $ 215.00
New Arrival
2 colors
FZ8010U
Scuderia Ferrari
including lenses $ 145.00
New Arrival Universal Fit
3 colors
BE2417
Burberry
including lenses $ 309.00
New Arrival
2 colors
AR7264U
Giorgio Armani
including lenses $ 426.00
New Arrival Universal Fit
2 colors
VE3368U
Versace
including lenses $ 354.00
New Arrival Universal Fit
2 colors
BE2419
Burberry
including lenses $ 456.00
New Arrival
2 colors
EA1164
Emporio Armani
including lenses $ 211.00
New Arrival
2 colors
GG1530O
Gucci
including lenses $ 565.00
3 colors
GG0942O
Gucci
including lenses $ 435.00
1 color
JC3022H
Jimmy Choo
including lenses $ 345.00
New Arrival
2 colors
EA3248
Emporio Armani
including lenses $ 211.00
New Arrival
2 colors
VE3363U
Versace
including lenses $ 283.00
New Arrival Universal Fit
2 colors

MORE



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You may only compare up to 4 frames.






SHOP ONLINE AND ENJOY IN-STORE SERVICES

Explore our range of personalized services from pick up in store
to free fitting & adjustments for the best shopping experience.

Learn more
Vogue Glasses
Persol Eyeglasses
Giorgio Armani
Prada Linea Rossa
Fashion Glasses
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Best Selling
Outdoor Sunglasses
FAQS


CAN YOU PAY FOR GLASSES ONLINE WITH INSURANCE?




If your insurance covers prescription glasses and you are eligible, you can pay
for eyeglasses online using your benefits. Once we verify your eligibility, you
can continue your purchase using your insurance.




WHAT DO I NEED FROM MY PRESCRIPTION TO ORDER GLASSES ONLINE?




To order glasses online, you need to submit the numbers exactly as mentioned in
the prescription. You will find mainly three cells of numbers for each eye
(Spherical, Cylinder, and Axis) in addition to PD. However, more columns with
more numbers might be found and must also be submitted accurately to get the
correct measurements for your glasses.




CAN PRESCRIPTION GLASSES BE PURCHASED ONLINE?




You can buy prescription glasses online if you have a current or valid
prescription. To buy prescription glasses, you must have the prescription
dimensions and submit them online along with the purchase order.




WHICH BRAND OF GLASSES IS BEST?




Prada, Versace, Ray-Ban, Burberry, Dolce & Gabbana, Persol, and Oakley are just
a few of the greatest brands for glasses, with a vast range of prices and
designs to pick from.



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