www.glasses.com
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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
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 DOMName: personalInfo — POST
<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">
<path fill-rule="evenodd" clip-rule="evenodd"
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fill="#D84C45"></path>
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<div class="icon-div check"><svg 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"
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fill="#247534"></path>
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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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d="M4.29289 8.29289C3.90237 8.68342 3.90237 9.31658 4.29289 9.70711L11.2929 16.7071C11.6834 17.0976 12.3166 17.0976 12.7071 16.7071L19.7071 9.70711C20.0976 9.31658 20.0976 8.68342 19.7071 8.29289C19.3166 7.90237 18.6834 7.90237 18.2929 8.29289L12 14.5858L5.70711 8.29289C5.31658 7.90237 4.68342 7.90237 4.29289 8.29289Z"
fill="#575D9B"></path>
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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)">
<path fill-rule="evenodd" clip-rule="evenodd"
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fill="#575D9B"></path>
</svg></div>
<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">
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<path
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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 & Health Insurance Co.">Cigna Healthspring Life & 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">
<div></div><svg class="icon-check" width="24" height="24" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
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fill="#247534"></path>
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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">
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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"
class="unregisteredCheckbox label_check label_check_adult"> Send me promotions and offers by email </label>
</div>
</div>
<div class="newsletter-disclaimer-container">
<p class="newsletter-disclaimer-label-redesign"> Sign up to receive news and exclusive offers from Glasses.com. You can withdraw consent at any time. For more details see our
<a href="https://www.glasses.com/gl-us/privacy-policy">Privacy Policy</a>. <br> I certify that I am 16 years or older. </p>
</div>
<div class="regSubmitRedesignContainer"><button id="registration-modal-submit" type="submit" class="tps_btn tps_btn-violet regSubmitRedesign" onclick="RegistrationModalFormHandler.submitForm(this, event)" aria-label="Create account"> Create
account <div id="loader-container-registration" 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>
</div>
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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 Your insurance is in-network 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. First Name Last Name Date of birth (MM/DD/YYYY) Zip code or SSN (last 4) To proceed, tick the box above to certify you're 18 years or older. If you're not, you cannot proceed with this step. Oops! Looks like we're having trouble finding you. Make sure the information you entered matches your insurance plan, or add a few more details to help us find you. After 5 wrong attempts we block your look-up for 5 minutes, you have attempts remaining. Insurance Plan ID Insurance Member ID CancelSubmit 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 1-800-GLASSES (800-452-7737) 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 Need help? Give us a call at 800-452-7737 Chat with Us or check out our FAQs For your security, your personal benefit information is only available during your session and will be erased when you close your browser. 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 Shop eyewear Benefit active Shop eyewear Benefit unavailable Lenses Benefit active Discount will apply upon selection Eye exam Book an eye exam Benefit active *Copay is only for routine eye exam, additional fees may applyBook an eye exam Frame + Lenses Benefit expired Eye exam Book an eye exam Benefit active *Copay is only for routine eye exam, additional fees may applyBook an eye exam CONTINUE SHOPPINGRemove insurance benefits For your security, your personal benefits information is only available during your session and will be erased when you close the browser. Something went wrongToo many failed attempts We are unable to process your request. Please try again later or contact customer service if this problem continues to occur. For your security, we've temporarily blocked your insurance look-up function. Try again in 00:00 minutes. Timeout time is over, you can try again 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 FAVORITES * Eyeglasses > * Sunglasses > * Brands > * Offers * Services > * Lenses > * Sync Insurance > * Insurance > Search Favorites0 * My Settings My Orders My Addresses My Prescriptions My Favorites * Log out * * Go to My Account Back * All eyeglasses * Women * Men * Ray-Ban * Clearance Up to 50% off * Oakley Hurry up! Use your vision benefits SHOP NOW Clearance! Get up to 50% off selected frames & lensesSHOP NOW Need help finding the right lenses?DISCOVER MORE Back * All sunglasses * Women * Men * Ray-Ban * Clearance Up to 50% off * Virtual Mirror Hurry up! Use your vision benefits SHOP NOW Clearance! Get up to 50% off selected frames & lensesSHOP NOW Premium servicesDISCOVER MORE Back * Payments methods * Premium services * Book an eye exam * Help center * Blog * Eyeglasses with Insurance Buy now, pay later.discover more Premium servicesdiscover more Help centerdiscover more Back * All trends * Innovative Materials * Minimal Cut-outs * Future Classics Innovative Materials SHOP NOW Minimal Cut-outs SHOP NOW Future ClassicsSHOP NOW Back VIEW ALL BRANDS VIEW ALL BRANDS Clearance! Up to 50% off selected frames + lenses NO INSURANCE? GET UP TO 50% OFF LENSES & TREATMENTS Clearance! Up to 50% off selected frames + lenses NO INSURANCE? GET UP TO 50% OFF LENSES & TREATMENTS Clearance! Up to 50% off selected frames + lenses Our offers for you USE YOUR 2024 BENEFITSLast chance to use your vision insurance or FSA/HSA dollars CLEARANCE | JUST A FEW LEFTUp to 50% off select frames & lenses Exclusions may apply VIEW ALL OFFERS SearchPress the access key plus 0 to focus on the search box EyeglassesSunglassesBest SellersPolarizedNew arrivals DID YOU MEAN: CLEARANCE! GREAT PRICES ON SELECTED STYLES BUY NOW, PAY LATER THE GLASSES.COM COLLECTION Clear all View 780 results FILTER BY: MEN WOMEN VIRTUAL TRY ON BRANDS Armani Exchange Arnette Burberry Coach Costa Dolce & Gabbana Emporio Armani Giorgio Armani Glasses.com Gucci Jimmy Choo Michael Kors Oakley Persol Polo Ralph Lauren Ralph Lauren Ralph by Ralph Lauren Ray-Ban Scuderia Ferrari Starck Swarovski Tiffany Tory Burch Versace Vogue Eyewear Clear brandsView 780 results FRAME COLORS * Black * Tortoise * Brown * Grey * Blue * Gold * Transparent * Pink * Red * Green * Silver * Violet * Beige * Copper * Yellow * Multi * Orange * White Clear colorsView 780 results HIGH PRESCRIPTION Available with high prescription (Range: above +3.6 or below -3.6) View 780 results SHAPE * Rectangle * Square * Cat Eye * Pillow * Phantos * Round * Irregular * Oval * Pilot Clear shapeView 780 results TYPE * Full Rim * Semi Rim * Rimless Clear typeView 780 results MATERIAL * AcetateHigh quality, versatile and hypoallergenic. * Nylon & PropionateFlexible, durable, and lightweight * MetalHighly resistant and adjustable to different fits. * InnovativeTitanium, wood and peek. Clear materialView 780 results PRICE * Under $149.99 * $150 - $249.99 * $250 and over Clear priceView 780 results % PROMO * -30% * -50% Clear offersView 780 results Clear all FILTER BY PRESCRIPTION SORT BY * Price: Low to High * Price: High to Low * Newest * Best sellers { "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 Use insurance benefits Use insurance benefits 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 Sorry 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 Armani Sunglasses 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. Need more help? Contact us HELP? FORGOT YOUR PASSWORD? Enter your e-mail below and we'll send you a temporary password along with instructions. E-mail address* The e-mail address field cannot be empty.Please enter a valid e-mail address.This e-mail is not associated with an account. SUBMIT A TEMPORARY PASSWORD HAS BEEN SENT TO: Once you have it, click the reset button below or use the link in the e-mail. If you don't receive an e-mail, check your spam folder or contact us for help. RESET YOUR PASSWORD Resend e-mail RESET YOUR PASSWORD Please enter the temporary password we sent you and create a new one below. Temporary Password* The temporary password field cannot be empty.This password does not match the one we sent. New Password* YOUR PASSWORD MUST INCLUDE AT LEAST: 8 characters 1 uppercase letter (A-Z) 1 lowercase letter (a-z) 1 number (0-9) 1 special character (!£#) The password field cannot be empty.The password field doesn't respect requirements. Confirm new password* The password confirmation field cannot be empty.The password confirmation doesn't match. RESET YOUR PASSWORD SIGN IN TO YOUR ACCOUNT Your e-mail and/or password is incorrect. If you feel that this is an error, please contact customer service. E-mail address* The e-mail address field cannot be empty.Please enter a valid e-mail address. Password* The password field cannot be empty. Forgot password? Sign in CREATE AN ACCOUNT Sign up here to manage all your vision care needs. 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Create account Find Eye Doctor Cancel Top Searches * Ray Ban * Michael Kors * Versace Useful Links * Insurance * Collect in store * Track my order Best Sellers 6 colors Best Seller RB5387 Optics Ray-Ban $166.00 2 colors Best Seller MK4058 Caracas Michael Kors $152.00 3 colors Best Seller AX1017 Armani Exchange $131.00 SHOP * Prescription Eyewear * Prescription Eyeglasses * Prescription Sunglasses * The Glasses.com Collection * Black Friday * Cyber Monday * View all offers Eyecare world * Find your matching frame * Glasses Online with Insurance * Measure pupillary distance * Virtual Mirror * Book an eye exam * Store Locator * Eyewear Glossary * Blog * Glasses Protection Plan * Affiliate Program BRANDS * Ray-Ban * Oakley * Versace * Coach * View all brands SUPPORT * FAQ * Track my order * Live chat * Contact us * DM us LEGAL * Privacy & Security * Terms & Conditions * Do Not Sell My Personal Information * AdChoices * HIPAA * Cookie Policy * California Collection Notice * Notice of Financial Incentive * Consumer Health Data Privacy Policy JOIN OUR NEWSLETTER and grab your welcome reward. 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