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

Back to summary

Submitted URL:
https://s1255827387.t.en25.com/e/er?s=1255827387&lid=669&elqTrackId=9465cce8be3448b0ad677221fd2a42c4&elq=dc8e7c136cb443b8a06f97...
Effective URL:
https://www.eyeconic.com/?cid=direct_email_2021_genericheader_a_eyeconiclogo&dclid=CPCshsjy5fMCFY2Ggwcdt3oLEQ&utm_campaig...
Submission: On October 25 via api (October 25th 2021, 3:39:11 pm UTC) from US — Scanned from DE

Form analysis
10 forms found in the DOM

Name: simpleSearch — GET /search

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

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

<form action="https://www.eyeconic.com/sign-in" method="post" id="headerLoginForm" novalidate="novalidate">
  <input type="hidden" value="" id="rememberEmail">
  <input type="hidden" name="headerLogin" value="true" id="headerLogin">
  <div class="form-row  email-input email-div  required " data-required-text="Please enter your e-mail address" aria-required="true">
    <label for="dwfrm_login_username">
      <span> Email Address </span>
      <span class="required-indicator" aria-hidden="true">•</span>
    </label>
    <input class="input-text email-input email required" id="dwfrm_login_username" type="email" name="dwfrm_login_username" placeholder="" value="" maxlength="2147483647" aria-required="true">
    <span class="form-caption d-none"></span>
  </div>
  <a id="password-reset" class="password-reset" href="/pwdresetdialog" title="Forgot Password?" data-dlg-action="{&quot;test&quot;:100}" data-dlg-options="{&quot;width&quot;:700,&quot;height&quot;:250}">
Forgot Password?
</a>
  <div class="password-box">
    <div class="form-row  password-input password-div  required " data-required-text="Please enter your password" aria-required="true">
      <label for="dwfrm_login_password">
        <span> Password </span>
        <span class="required-indicator" aria-hidden="true">•</span>
      </label>
      <input class="input-text password-input password required" id="dwfrm_login_password" type="password" name="dwfrm_login_password" placeholder="" value="" maxlength="2147483647" autocomplete="off" aria-required="true">
      <span class="form-caption d-none"></span>
    </div>
    <div class="form-row form-row-button mx-0 d-block">
      <div class="form-row  label-inline login-rememberme   ">
        <input class="input-checkbox " type="checkbox" checked="checked" name="dwfrm_login_rememberme" id="dwfrm_login_rememberme" value="true">
        <label for="dwfrm_login_rememberme"> Keep me signed in </label>
      </div>
      <button type="submit" class="btn btn-block btn-primary" value="Sign In" name="dwfrm_login_login"> Sign In </button>
    </div>
    <input type="hidden" name="dwfrm_login_securekey" value="70824251">
  </div>
</form>

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

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

Name: simpleSearch — GET https://www.eyeconic.com/search

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

Name: simpleSearch — GET /search

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

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

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

<form id="lookupBenefitsForm" class="needs-validation lookupInsuranceForm p-2 h-100 suppress" novalidate="novalidate" data-action="https://www.eyeconic.com/on/demandware.store/Sites-eyeconic-Site/default/OOSBenefits-LookupMemberBenefits">
  <input type="text" id="policyHolderInfoCarrier" name="carrier" class="d-none">
  <div class="row pt-3 pt-lg-0">
    <span class="col-11 text-left mx-auto"> Check Your Policy Coverage to Apply Benefits </span>
  </div>
  <div class="row">
    <div class="input-group form-label-group col-11 mx-auto">
      <input type="text" class="form-input form-control" id="policyHolderInfo-firstName" name="firstName" placeholder="First Name" required="" aria-required="true">
      <label for="policyHolderInfo-firstName">First Name</label>
      <div class="ml-1 invalid-feedback">
        <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
          data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
          data-yo-loaded="true">
        <p class="float-left ml-3">Enter First Name</p>
      </div>
    </div>
    <div class="input-group form-label-group col-11 mx-auto">
      <input type="text" class="form-input form-control" id="policyHolderInfo-lastName" name="lastName" placeholder="Last Name" required="" aria-required="true">
      <label for="policyHolderInfo-lastName">Last Name</label>
      <div class="ml-1 invalid-feedback">
        <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
          data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
          data-yo-loaded="true">
        <p class="float-left ml-3">Enter Last Name</p>
      </div>
    </div>
    <div class="input-group form-label-group col-11 mx-auto mt-2">
      <div class="w-100 mt-2 js-dob-dropdown-container d-flex">
        <div class="row w-100 js-dropdown-field-group">
          <div class="col-12 text-left">
            <p>Date of Birth</p>
          </div>
          <div class="col-6 mr-1">
            <select class="dob-month form-input form-control light-text w-100" name="dobMonth" required="">
              <option class="select-option" value="" label="Month" disabled="" selected="">Month</option>
              <option class="select-option" value="01" label="Jan">Jan</option>
              <option class="select-option" value="02" label="Feb">Feb</option>
              <option class="select-option" value="03" label="Mar">Mar</option>
              <option class="select-option" value="04" label="Apr">Apr</option>
              <option class="select-option" value="05" label="May">May</option>
              <option class="select-option" value="06" label="Jun">Jun</option>
              <option class="select-option" value="07" label="Jul">Jul</option>
              <option class="select-option" value="08" label="Aug">Aug</option>
              <option class="select-option" value="09" label="Sep">Sep</option>
              <option class="select-option" value="10" label="Oct">Oct</option>
              <option class="select-option" value="11" label="Nov">Nov</option>
              <option class="select-option" value="12" label="Dec">Dec</option>
            </select>
          </div>
          <div class="col mr-1">
            <select class="dob-date form-input form-control light-text w-100" name="dobDate" required="">
              <option class="select-option" value="" label="Day" disabled="" selected="">Day</option>
              <option class="select-option" value="01" label="01">01</option>
              <option class="select-option" value="02" label="02">02</option>
              <option class="select-option" value="03" label="03">03</option>
              <option class="select-option" value="04" label="04">04</option>
              <option class="select-option" value="05" label="05">05</option>
              <option class="select-option" value="06" label="06">06</option>
              <option class="select-option" value="07" label="07">07</option>
              <option class="select-option" value="08" label="08">08</option>
              <option class="select-option" value="09" label="09">09</option>
              <option class="select-option" value="10" label="10">10</option>
              <option class="select-option" value="11" label="11">11</option>
              <option class="select-option" value="12" label="12">12</option>
              <option class="select-option" value="13" label="13">13</option>
              <option class="select-option" value="14" label="14">14</option>
              <option class="select-option" value="15" label="15">15</option>
              <option class="select-option" value="16" label="16">16</option>
              <option class="select-option" value="17" label="17">17</option>
              <option class="select-option" value="18" label="18">18</option>
              <option class="select-option" value="19" label="19">19</option>
              <option class="select-option" value="20" label="20">20</option>
              <option class="select-option" value="21" label="21">21</option>
              <option class="select-option" value="22" label="22">22</option>
              <option class="select-option" value="23" label="23">23</option>
              <option class="select-option" value="24" label="24">24</option>
              <option class="select-option" value="25" label="25">25</option>
              <option class="select-option" value="26" label="26">26</option>
              <option class="select-option" value="27" label="27">27</option>
              <option class="select-option" value="28" label="28">28</option>
              <option class="select-option" value="29" label="29">29</option>
              <option class="select-option" value="30" label="30">30</option>
              <option class="select-option" value="31" label="31">31</option>
            </select>
          </div>
          <div class="col">
            <select class="dob-year form-input form-control light-text w-100" name="dobYear" required="">
              <option class="select-option" value="" label="Year" disabled="" selected="">Year</option>
              <option class="select-option" value="2021" label="2021">2021</option>
              <option class="select-option" value="2020" label="2020">2020</option>
              <option class="select-option" value="2019" label="2019">2019</option>
              <option class="select-option" value="2018" label="2018">2018</option>
              <option class="select-option" value="2017" label="2017">2017</option>
              <option class="select-option" value="2016" label="2016">2016</option>
              <option class="select-option" value="2015" label="2015">2015</option>
              <option class="select-option" value="2014" label="2014">2014</option>
              <option class="select-option" value="2013" label="2013">2013</option>
              <option class="select-option" value="2012" label="2012">2012</option>
              <option class="select-option" value="2011" label="2011">2011</option>
              <option class="select-option" value="2010" label="2010">2010</option>
              <option class="select-option" value="2009" label="2009">2009</option>
              <option class="select-option" value="2008" label="2008">2008</option>
              <option class="select-option" value="2007" label="2007">2007</option>
              <option class="select-option" value="2006" label="2006">2006</option>
              <option class="select-option" value="2005" label="2005">2005</option>
              <option class="select-option" value="2004" label="2004">2004</option>
              <option class="select-option" value="2003" label="2003">2003</option>
              <option class="select-option" value="2002" label="2002">2002</option>
              <option class="select-option" value="2001" label="2001">2001</option>
              <option class="select-option" value="2000" label="2000">2000</option>
              <option class="select-option" value="1999" label="1999">1999</option>
              <option class="select-option" value="1998" label="1998">1998</option>
              <option class="select-option" value="1997" label="1997">1997</option>
              <option class="select-option" value="1996" label="1996">1996</option>
              <option class="select-option" value="1995" label="1995">1995</option>
              <option class="select-option" value="1994" label="1994">1994</option>
              <option class="select-option" value="1993" label="1993">1993</option>
              <option class="select-option" value="1992" label="1992">1992</option>
              <option class="select-option" value="1991" label="1991">1991</option>
              <option class="select-option" value="1990" label="1990">1990</option>
              <option class="select-option" value="1989" label="1989">1989</option>
              <option class="select-option" value="1988" label="1988">1988</option>
              <option class="select-option" value="1987" label="1987">1987</option>
              <option class="select-option" value="1986" label="1986">1986</option>
              <option class="select-option" value="1985" label="1985">1985</option>
              <option class="select-option" value="1984" label="1984">1984</option>
              <option class="select-option" value="1983" label="1983">1983</option>
              <option class="select-option" value="1982" label="1982">1982</option>
              <option class="select-option" value="1981" label="1981">1981</option>
              <option class="select-option" value="1980" label="1980">1980</option>
              <option class="select-option" value="1979" label="1979">1979</option>
              <option class="select-option" value="1978" label="1978">1978</option>
              <option class="select-option" value="1977" label="1977">1977</option>
              <option class="select-option" value="1976" label="1976">1976</option>
              <option class="select-option" value="1975" label="1975">1975</option>
              <option class="select-option" value="1974" label="1974">1974</option>
              <option class="select-option" value="1973" label="1973">1973</option>
              <option class="select-option" value="1972" label="1972">1972</option>
              <option class="select-option" value="1971" label="1971">1971</option>
              <option class="select-option" value="1970" label="1970">1970</option>
              <option class="select-option" value="1969" label="1969">1969</option>
              <option class="select-option" value="1968" label="1968">1968</option>
              <option class="select-option" value="1967" label="1967">1967</option>
              <option class="select-option" value="1966" label="1966">1966</option>
              <option class="select-option" value="1965" label="1965">1965</option>
              <option class="select-option" value="1964" label="1964">1964</option>
              <option class="select-option" value="1963" label="1963">1963</option>
              <option class="select-option" value="1962" label="1962">1962</option>
              <option class="select-option" value="1961" label="1961">1961</option>
              <option class="select-option" value="1960" label="1960">1960</option>
              <option class="select-option" value="1959" label="1959">1959</option>
              <option class="select-option" value="1958" label="1958">1958</option>
              <option class="select-option" value="1957" label="1957">1957</option>
              <option class="select-option" value="1956" label="1956">1956</option>
              <option class="select-option" value="1955" label="1955">1955</option>
              <option class="select-option" value="1954" label="1954">1954</option>
              <option class="select-option" value="1953" label="1953">1953</option>
              <option class="select-option" value="1952" label="1952">1952</option>
              <option class="select-option" value="1951" label="1951">1951</option>
              <option class="select-option" value="1950" label="1950">1950</option>
              <option class="select-option" value="1949" label="1949">1949</option>
              <option class="select-option" value="1948" label="1948">1948</option>
              <option class="select-option" value="1947" label="1947">1947</option>
              <option class="select-option" value="1946" label="1946">1946</option>
              <option class="select-option" value="1945" label="1945">1945</option>
              <option class="select-option" value="1944" label="1944">1944</option>
              <option class="select-option" value="1943" label="1943">1943</option>
              <option class="select-option" value="1942" label="1942">1942</option>
              <option class="select-option" value="1941" label="1941">1941</option>
              <option class="select-option" value="1940" label="1940">1940</option>
              <option class="select-option" value="1939" label="1939">1939</option>
              <option class="select-option" value="1938" label="1938">1938</option>
              <option class="select-option" value="1937" label="1937">1937</option>
              <option class="select-option" value="1936" label="1936">1936</option>
              <option class="select-option" value="1935" label="1935">1935</option>
              <option class="select-option" value="1934" label="1934">1934</option>
              <option class="select-option" value="1933" label="1933">1933</option>
              <option class="select-option" value="1932" label="1932">1932</option>
              <option class="select-option" value="1931" label="1931">1931</option>
              <option class="select-option" value="1930" label="1930">1930</option>
              <option class="select-option" value="1929" label="1929">1929</option>
              <option class="select-option" value="1928" label="1928">1928</option>
              <option class="select-option" value="1927" label="1927">1927</option>
              <option class="select-option" value="1926" label="1926">1926</option>
              <option class="select-option" value="1925" label="1925">1925</option>
              <option class="select-option" value="1924" label="1924">1924</option>
              <option class="select-option" value="1923" label="1923">1923</option>
              <option class="select-option" value="1922" label="1922">1922</option>
              <option class="select-option" value="1921" label="1921">1921</option>
            </select>
          </div>
          <div class="ml-1 invalid-feedback js-dob-input-validation-message">
            <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
              data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
              data-yo-loaded="true">
            <p class="float-left ml-3">Enter all Date of Birth information</p>
          </div>
          <div class="ml-1 invalid-future-dob-feedback" style="display: none;">
            <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
              data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
              data-yo-loaded="true">
            <p class="float-left text-left ml-3">Date of birth selected is for a future date. Please enter a valid date of birth.</p>
          </div>
        </div>
      </div>
      <div class="d-none w-100 js-dob-datepicker-container row">
        <input type="date" class="js-mobile-datepicker w-100 form-input form-control bg-white mt-0" name="mobileDob" aria-required="true">
        <label class="dob-mobile-label d-flex h-100">Date of Birth</label>
        <div class="ml-1 invalid-feedback">
          <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
            data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
            data-yo-loaded="true">
          <p class="float-left ml-3">Enter Date of Birth</p>
        </div>
        <div class="ml-1 invalid-future-dob-feedback-datepicker" style="display: none;">
          <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
            data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
            data-yo-loaded="true">
          <p class="float-left text-left ml-3">Date of birth selected is for a future date. Please enter a valid date of birth.</p>
        </div>
      </div>
    </div>
    <div class="input-group form-label-group col-11 mx-auto">
      <input type="text" class="form-input form-control" id="policyHolderInfo-last4" name="last4" placeholder="Enter Last 4 SSN or Member ID" maxlength="4" minlength="4" required="" aria-required="true">
      <label for="policyHolderInfo-last4">Last 4 SSN or Member ID</label>
      <div class="ml-1 invalid-feedback">
        <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
          data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
          data-yo-loaded="true">
        <p class="float-left ml-3">Enter Last 4 SSN or Member ID</p>
      </div>
      <span class="tool-tip float-left mt-3 ml-lg-2 position-absolute last4-tooltip">
        <button class="tooltip-button p-0" aria-labelledby="tooltip-label" type="button">
          <img alt="icon help" id="vision-insurance-tooltip"
            src="https://cdn-eu-ec.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw63a45331/images/cart/whiteQuestionMark_GreyBackground.png?yocs=1_5_" data-yo-delaytype="lazy"
            data-yo-src="https://cdn-eu-ec.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw63a45331/images/cart/whiteQuestionMark_GreyBackground.png?yocs=1_5_" data-yo-loaded="true">
        </button>
        <span class="tooltip" role="status" id="tooltip-label" tabindex="-1">
          <span class="d-inline-block text-left">Use the last four digits of the primary holder's social security number or unique Member ID to easily look up your policy.</span>
          <span class="d-inline-block text-left">A Member ID is a unique number provided to the primary holder by his or her employer or health plan. If you believe your employer or health plan provided you with a unique Member ID, contact us
            directly at 1-855-EYECONIC (855-393-2664).</span>
        </span>
      </span>
    </div>
  </div>
  <div class="row mt-3">
    <div class="col-11 text-left mx-auto">
      <span id="serviceError" class="error d-none"></span>
    </div>
  </div>
  <div class="row mt-3">
    <div class="col-11 text-center mx-auto">
      <input id="submitPolicyHolderInfo" type="submit" class="col modal-button modal-confirm-button text-white text-capitalize" value="Look Up Policy">
    </div>
  </div>
  <div id="orSignInWithVSP">
    <div class="row mt-2">
      <div class="col-11 text-center mx-auto">
        <span>or</span>
      </div>
    </div>
    <div class="row mt-2">
      <div class="col-11 text-center mx-auto">
        <input id="signInWithVSP" type="button" class="col modal-button modal-cancel-button text-nostyle bg-white" value="Sign in with VSP"
          onclick="window.location='https://api.vspglobal.com/as/authorization.oauth2?response_type=token&amp;client_id=demandware&amp;scope=auth_member%20openid%20profile&amp;state=&amp;redirect_uri=https://www.eyeconic.com/pingfed'">
      </div>
    </div>
  </div>
</form>

<form id="selectPolicyHolderForm" class="needs-validation suppress" data-action="https://www.eyeconic.com/on/demandware.store/Sites-eyeconic-Site/default/OOSBenefits-ApplyMemberBenefits" novalidate="novalidate">
  <div class="row mb-3">
    <div class="col-7 mx-auto">
      <div class="input-group form-label-group">
        <select class="form-input form-control w-100 mb-3" id="selectPolicyHolderDropdown">
        </select>
        <div class="invalid-feedback ml-1">
          <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
            data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
            data-yo-loaded="true">
          <p class="float-left ml-1">Choose the person you want to shop for.</p>
        </div>
      </div>
    </div>
  </div>
  <div class="row mb-4">
    <div class="col-7 mx-auto">
      <button type="button" id="selectPolicyHolderContinue" title="Shopping Cart|Order Summary|Use my vision insurance" class="btn w-100 text-capitalize text-white modal-button modal-confirm-button promo-data"> Connect </button>
    </div>
  </div>
  <div class="row mb-4">
    <div class="col-7 mx-auto d-none js-addDependentLink" id="addDependentLink">
      <p> Don't see your eligible dependents? <span class="ml-2 link"> Add them </span>
      </p>
    </div>
  </div>
</form>

<form id="selectMemberToShopForForm" class="needs-validation suppress" data-action="https://www.eyeconic.com/on/demandware.store/Sites-eyeconic-Site/default/OOSBenefits-ApplyMemberBenefits" novalidate="novalidate">
  <div class="row mb-3">
    <div class="col-7 mx-auto">
      <div class="input-group form-label-group">
        <select class="form-input form-control w-100 mb-3" id="selectMemberToShopForDropdown">
          <option hidden="" selected="" disabled="" value="">Please make your selection</option>
          <option value="remove-insurance">Remove My Insurance</option>
        </select>
        <div class="invalid-feedback ml-1">
          <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
            data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
            data-yo-loaded="true">
          <p class="float-left ml-1">Choose the person you want to shop for.</p>
        </div>
      </div>
    </div>
  </div>
  <div class="row mb-4">
    <div class="col-7 mx-auto">
      <button type="button" id="selectMemberToShopForContinue" class="btn w-100 text-capitalize text-white modal-button modal-confirm-button"> Connect </button>
    </div>
  </div>
</form>

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

<form class="needs-validation suppress" novalidate="novalidate" id="addQualifiedDependentForm" action="https://www.eyeconic.com/on/demandware.store/Sites-eyeconic-Site/default/OOSBenefits-AddDependent">
  <input hidden="" id="qualifiedDependent-encryptedMemberId" name="qualifiedDependentEncryptedMemberId" value="" class="js-qualifiedDependent-encryptedMemberId">
  <div class="row">
    <div class="col-8 m-auto">
      <div class="modal-body">
        <div class="row">
          <span class="ml-md-1">Qualified Dependent Information</span>
        </div>
        <div class="row">
          <div class="input-group form-label-group col-12">
            <input type="text" id="qualifiedDependent-firstName" name="qualifiedDependentFirstName" class="form-input form-control mt-2 w-100" placeholder="Enter First Name" required="" aria-required="true">
            <label for="qualifiedDependent-firstName">Enter First Name</label>
            <div class="invalid-feedback ml-1">
              <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
                data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
                data-yo-loaded="true">
              <p class="float-left ml-1">Enter First Name</p>
            </div>
          </div>
          <div class="input-group form-label-group col-12">
            <input type="text" id="qualifiedDependent-lastName" name="qualifiedDependentLastName" class="form-input form-control mt-2 w-100" placeholder="Last Name" required="" aria-required="true">
            <label for="qualifiedDependent-lastName">Enter Last Name</label>
            <div class="invalid-feedback ml-1">
              <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
                data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
                data-yo-loaded="true">
              <p class="float-left ml-1">Enter Last Name</p>
            </div>
          </div>
          <div class="input-group form-label-group js-qualifiedDependent-dob mt-2 col-12" id="qualifiedDependent-dob">
            <div class="w-100 mt-2 js-dob-dropdown-container d-flex">
              <div class="row w-100 js-dropdown-field-group">
                <div class="col-12 text-left">
                  <p>Date of Birth</p>
                </div>
                <div class="col-6 mr-1">
                  <select class="dob-month form-input form-control light-text w-100" name="dobMonth" required="">
                    <option class="select-option" value="" label="Month" disabled="" selected="">Month</option>
                    <option class="select-option" value="01" label="Jan">Jan</option>
                    <option class="select-option" value="02" label="Feb">Feb</option>
                    <option class="select-option" value="03" label="Mar">Mar</option>
                    <option class="select-option" value="04" label="Apr">Apr</option>
                    <option class="select-option" value="05" label="May">May</option>
                    <option class="select-option" value="06" label="Jun">Jun</option>
                    <option class="select-option" value="07" label="Jul">Jul</option>
                    <option class="select-option" value="08" label="Aug">Aug</option>
                    <option class="select-option" value="09" label="Sep">Sep</option>
                    <option class="select-option" value="10" label="Oct">Oct</option>
                    <option class="select-option" value="11" label="Nov">Nov</option>
                    <option class="select-option" value="12" label="Dec">Dec</option>
                  </select>
                </div>
                <div class="col mr-1">
                  <select class="dob-date form-input form-control light-text w-100" name="dobDate" required="">
                    <option class="select-option" value="" label="Day" disabled="" selected="">Day</option>
                    <option class="select-option" value="01" label="01">01</option>
                    <option class="select-option" value="02" label="02">02</option>
                    <option class="select-option" value="03" label="03">03</option>
                    <option class="select-option" value="04" label="04">04</option>
                    <option class="select-option" value="05" label="05">05</option>
                    <option class="select-option" value="06" label="06">06</option>
                    <option class="select-option" value="07" label="07">07</option>
                    <option class="select-option" value="08" label="08">08</option>
                    <option class="select-option" value="09" label="09">09</option>
                    <option class="select-option" value="10" label="10">10</option>
                    <option class="select-option" value="11" label="11">11</option>
                    <option class="select-option" value="12" label="12">12</option>
                    <option class="select-option" value="13" label="13">13</option>
                    <option class="select-option" value="14" label="14">14</option>
                    <option class="select-option" value="15" label="15">15</option>
                    <option class="select-option" value="16" label="16">16</option>
                    <option class="select-option" value="17" label="17">17</option>
                    <option class="select-option" value="18" label="18">18</option>
                    <option class="select-option" value="19" label="19">19</option>
                    <option class="select-option" value="20" label="20">20</option>
                    <option class="select-option" value="21" label="21">21</option>
                    <option class="select-option" value="22" label="22">22</option>
                    <option class="select-option" value="23" label="23">23</option>
                    <option class="select-option" value="24" label="24">24</option>
                    <option class="select-option" value="25" label="25">25</option>
                    <option class="select-option" value="26" label="26">26</option>
                    <option class="select-option" value="27" label="27">27</option>
                    <option class="select-option" value="28" label="28">28</option>
                    <option class="select-option" value="29" label="29">29</option>
                    <option class="select-option" value="30" label="30">30</option>
                    <option class="select-option" value="31" label="31">31</option>
                  </select>
                </div>
                <div class="col">
                  <select class="dob-year form-input form-control light-text w-100" name="dobYear" required="">
                    <option class="select-option" value="" label="Year" disabled="" selected="">Year</option>
                    <option class="select-option" value="2021" label="2021">2021</option>
                    <option class="select-option" value="2020" label="2020">2020</option>
                    <option class="select-option" value="2019" label="2019">2019</option>
                    <option class="select-option" value="2018" label="2018">2018</option>
                    <option class="select-option" value="2017" label="2017">2017</option>
                    <option class="select-option" value="2016" label="2016">2016</option>
                    <option class="select-option" value="2015" label="2015">2015</option>
                    <option class="select-option" value="2014" label="2014">2014</option>
                    <option class="select-option" value="2013" label="2013">2013</option>
                    <option class="select-option" value="2012" label="2012">2012</option>
                    <option class="select-option" value="2011" label="2011">2011</option>
                    <option class="select-option" value="2010" label="2010">2010</option>
                    <option class="select-option" value="2009" label="2009">2009</option>
                    <option class="select-option" value="2008" label="2008">2008</option>
                    <option class="select-option" value="2007" label="2007">2007</option>
                    <option class="select-option" value="2006" label="2006">2006</option>
                    <option class="select-option" value="2005" label="2005">2005</option>
                    <option class="select-option" value="2004" label="2004">2004</option>
                    <option class="select-option" value="2003" label="2003">2003</option>
                    <option class="select-option" value="2002" label="2002">2002</option>
                    <option class="select-option" value="2001" label="2001">2001</option>
                    <option class="select-option" value="2000" label="2000">2000</option>
                    <option class="select-option" value="1999" label="1999">1999</option>
                    <option class="select-option" value="1998" label="1998">1998</option>
                    <option class="select-option" value="1997" label="1997">1997</option>
                    <option class="select-option" value="1996" label="1996">1996</option>
                    <option class="select-option" value="1995" label="1995">1995</option>
                    <option class="select-option" value="1994" label="1994">1994</option>
                    <option class="select-option" value="1993" label="1993">1993</option>
                    <option class="select-option" value="1992" label="1992">1992</option>
                    <option class="select-option" value="1991" label="1991">1991</option>
                    <option class="select-option" value="1990" label="1990">1990</option>
                    <option class="select-option" value="1989" label="1989">1989</option>
                    <option class="select-option" value="1988" label="1988">1988</option>
                    <option class="select-option" value="1987" label="1987">1987</option>
                    <option class="select-option" value="1986" label="1986">1986</option>
                    <option class="select-option" value="1985" label="1985">1985</option>
                    <option class="select-option" value="1984" label="1984">1984</option>
                    <option class="select-option" value="1983" label="1983">1983</option>
                    <option class="select-option" value="1982" label="1982">1982</option>
                    <option class="select-option" value="1981" label="1981">1981</option>
                    <option class="select-option" value="1980" label="1980">1980</option>
                    <option class="select-option" value="1979" label="1979">1979</option>
                    <option class="select-option" value="1978" label="1978">1978</option>
                    <option class="select-option" value="1977" label="1977">1977</option>
                    <option class="select-option" value="1976" label="1976">1976</option>
                    <option class="select-option" value="1975" label="1975">1975</option>
                    <option class="select-option" value="1974" label="1974">1974</option>
                    <option class="select-option" value="1973" label="1973">1973</option>
                    <option class="select-option" value="1972" label="1972">1972</option>
                    <option class="select-option" value="1971" label="1971">1971</option>
                    <option class="select-option" value="1970" label="1970">1970</option>
                    <option class="select-option" value="1969" label="1969">1969</option>
                    <option class="select-option" value="1968" label="1968">1968</option>
                    <option class="select-option" value="1967" label="1967">1967</option>
                    <option class="select-option" value="1966" label="1966">1966</option>
                    <option class="select-option" value="1965" label="1965">1965</option>
                    <option class="select-option" value="1964" label="1964">1964</option>
                    <option class="select-option" value="1963" label="1963">1963</option>
                    <option class="select-option" value="1962" label="1962">1962</option>
                    <option class="select-option" value="1961" label="1961">1961</option>
                    <option class="select-option" value="1960" label="1960">1960</option>
                    <option class="select-option" value="1959" label="1959">1959</option>
                    <option class="select-option" value="1958" label="1958">1958</option>
                    <option class="select-option" value="1957" label="1957">1957</option>
                    <option class="select-option" value="1956" label="1956">1956</option>
                    <option class="select-option" value="1955" label="1955">1955</option>
                    <option class="select-option" value="1954" label="1954">1954</option>
                    <option class="select-option" value="1953" label="1953">1953</option>
                    <option class="select-option" value="1952" label="1952">1952</option>
                    <option class="select-option" value="1951" label="1951">1951</option>
                    <option class="select-option" value="1950" label="1950">1950</option>
                    <option class="select-option" value="1949" label="1949">1949</option>
                    <option class="select-option" value="1948" label="1948">1948</option>
                    <option class="select-option" value="1947" label="1947">1947</option>
                    <option class="select-option" value="1946" label="1946">1946</option>
                    <option class="select-option" value="1945" label="1945">1945</option>
                    <option class="select-option" value="1944" label="1944">1944</option>
                    <option class="select-option" value="1943" label="1943">1943</option>
                    <option class="select-option" value="1942" label="1942">1942</option>
                    <option class="select-option" value="1941" label="1941">1941</option>
                    <option class="select-option" value="1940" label="1940">1940</option>
                    <option class="select-option" value="1939" label="1939">1939</option>
                    <option class="select-option" value="1938" label="1938">1938</option>
                    <option class="select-option" value="1937" label="1937">1937</option>
                    <option class="select-option" value="1936" label="1936">1936</option>
                    <option class="select-option" value="1935" label="1935">1935</option>
                    <option class="select-option" value="1934" label="1934">1934</option>
                    <option class="select-option" value="1933" label="1933">1933</option>
                    <option class="select-option" value="1932" label="1932">1932</option>
                    <option class="select-option" value="1931" label="1931">1931</option>
                    <option class="select-option" value="1930" label="1930">1930</option>
                    <option class="select-option" value="1929" label="1929">1929</option>
                    <option class="select-option" value="1928" label="1928">1928</option>
                    <option class="select-option" value="1927" label="1927">1927</option>
                    <option class="select-option" value="1926" label="1926">1926</option>
                    <option class="select-option" value="1925" label="1925">1925</option>
                    <option class="select-option" value="1924" label="1924">1924</option>
                    <option class="select-option" value="1923" label="1923">1923</option>
                    <option class="select-option" value="1922" label="1922">1922</option>
                    <option class="select-option" value="1921" label="1921">1921</option>
                  </select>
                </div>
                <div class="ml-1 invalid-feedback js-dob-input-validation-message">
                  <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
                    data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
                    data-yo-loaded="true">
                  <p class="float-left ml-3">Enter all Date of Birth information</p>
                </div>
                <div class="ml-1 invalid-future-dob-feedback" style="display: none;">
                  <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
                    data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
                    data-yo-loaded="true">
                  <p class="float-left text-left ml-3">Date of birth selected is for a future date. Please enter a valid date of birth.</p>
                </div>
              </div>
            </div>
            <div class="d-none w-100 js-dob-datepicker-container row">
              <input type="date" class="js-mobile-datepicker w-100 form-input form-control bg-white mt-0" name="mobileDob" aria-required="true">
              <label class="dob-mobile-label d-flex h-100">Date of Birth</label>
              <div class="ml-1 invalid-feedback">
                <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
                  data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
                  data-yo-loaded="true">
                <p class="float-left ml-3">Enter Date of Birth</p>
              </div>
              <div class="ml-1 invalid-future-dob-feedback-datepicker" style="display: none;">
                <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
                  data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
                  data-yo-loaded="true">
                <p class="float-left text-left ml-3">Date of birth selected is for a future date. Please enter a valid date of birth.</p>
              </div>
            </div>
          </div>
          <div class="input-group col-12">
            <select id="qualifiedDependent-relationship" name="qualifiedDependentRelationship" class="form-input form-control mt-2 w-100 js-qualifiedDependent-relationship">
            </select>
            <div class="invalid-feedback ml-1">
              <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
                data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
                data-yo-loaded="true">
              <p class="float-left ml-1">Enter Relationship</p>
            </div>
          </div>
        </div>
        <div class="row">
          <div class="form-group col-12">
            <div class="form-check mt-3">
              <input class="form-check-input form-control" type="checkbox" id="qualifiedDependentAgreementCheckbox" value="" required="" aria-required="true">
              <label class="form-check-label" for="qualifiedDependentAgreementCheckbox"> I declare that the person I am adding is eligible as my legal dependent for my vision insurance benefits. If you are unsure whether your legal dependents are
                eligible under your vision insurance plan, please check your benefit information. </label>
              <div class="invalid-feedback mt-3 mb-5">
                <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
                  data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
                  data-yo-loaded="true">
                <p class="float-left ml-4">You must acknowledge the accuracy of information in order to continue.</p>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="col-8 mx-auto mb-4 d-none js-addDependentGenericError add-dependent-error" id="addDependentGenericError">
      <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
        data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
        data-yo-loaded="true">
      <p class="text-red ml-4">Sorry, there was a problem adding your dependent. Please try again.</p>
    </div>
    <div class="col-8 mx-auto mb-4 d-none js-addDependentDOBError add-dependent-error" id="addDependentDOBError">
      <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
        data-yo-delaytype="lazy" data-yo-src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.591/on/demandware.static/Sites-eyeconic-Site/-/default/dw0c7d548b/images/common/errorExclamation.png?yocs=1_5_"
        data-yo-loaded="true">
      <p class="text-red ml-4"></p>
    </div>
  </div>
  <div class="row mb-4">
    <div class="col">
      <div class="text-center">
        <a href="https://www.eyeconic.com/removebenefits">
					<button type="submit" class="btn text-white text-capitalize modal-button modal-confirm-button" id="addQualifiedDependentButton">Add Dependent</button>
				</a>
      </div>
    </div>
  </div>
</form>

Text Content

Save up to $220 with your insurance!
| Free Shipping + Returns

* Skip Navigation
* Skip Content Area

Eyeconic
Search
Please enter a search term.
* Sign In

Email Address •
Forgot Password?
Password •
Keep me signed in
Sign In
Create an account
* Search
* Order Status
* Bag

*
Sign In

* + Eyeglasses

EYEGLASSES

Men's Eyeglasses Women's Eyeglasses Kids' Eyeglasses All Eyeglasses All
Eyewear

ALL EYEWEAR

RESOURCES

Virtual Try On How to Buy Glasses Choosing Lenses What's My Face Shape Use My
FSA & HSA

FEATURED BRANDS

bebe Calvin Klein Cole Haan Converse Dragon Gucci Flexon Nike Ray-Ban
Salvatore Ferragamo

ALL BRANDS

FEATURED SHOPS

Eyeglasses Trending Now Best Sellers Shop by Face Shape Specialty Sizing
Affordable Glasses Blue Light Glasses Designer Glasses New Arrivals Sale

* + Sunglasses

SUNGLASSES

Men's Sunglasses Women's Sunglasses Kids' Sunglasses All Sunglasses

ALL SUNGLASSES

RESOURCES

Virtual Try On How to Buy Glasses Choosing Lenses What's My Face Shape Use My
FSA & HSA

FEATURED BRANDS

bebe Calvin Klein Cole Haan Converse Dragon Gucci Maui Jim Nike Ray-Ban
Victoria Beckham

ALL BRANDS

FEATURED SHOPS

Trending Now Best Sellers Shop by Face Shape Specialty Sizing Designer
Sunglasses Sports Sunglasses New Arrivals Sale

* + Contact Lenses

FEATURED BRANDS

Acuvue Air Optix Biofinity Dailies

ALL BRANDS

How to Buy Contacts All Brands

LENS TYPES

Multifocal/Bifocal Toric/Astigmatism Color and Enhancing Single Vision

ALL CONTACT LENSES

WEAR FREQUENCY

Daily 1-2 Week Monthly

RESOURCES

How to Buy Contacts Use My FSA & HSA
* + Our Brands
bebe CALVIN KLEIN Cole Haan Dragon Gucci Nike Ray-Ban Salvatore Ferragamo

ALL BRANDS

Lacoste Anne Klein Nine West All Brands

* How to Buy Glasses

* Use My Insurance
* Search

* Use My Insurance
Check Order Status Virtual Try On Help Center
1-855-393-2664

Mon-Fri, 6am - 5pm PT

Sat - Sun, 7am - 5pm PT

Search
Please enter a search term.

COZY UP TO
INSURANCE
SAVINGS.

Save up to $220 by using your benefits.

Shop Glasses
Shop Sunglasses
Shop Contacts

Featured Style: Cole Haan CH5028

VIRTUAL TRY-ON

Try on hundreds of styles with the Virtual Try-on Tool.
Just take a quick video to see yourself in your favorite frames.

Try on hundreds of styles with the Virtual Try-on Tool.

Let's Get Started

NEW ARRIVALS FOR FALL

See the latest styles from
brands you love.

Shop New Arrivals

Featured Styles: bebe BB5194, BB7234

SAVE UP TO $120
ON CONTACTS

Stock up and save with your
annual supply discount.

Shop Contacts

DON'T WAIT
ORDER NOW!

Beat the end-of-the-year rush to
get your order faster. Don’t forget
to use your FSA or HSA funds!

Learn More

Featured Styles:
Cole Haan CH4042, CH7085

SPOTLIGHT ON
MARCHON NYC

Shop top styles for men and women featuring a variety of sizes for every face.

Shop Marchon NYC

Featured Style: M-CORNELIA

SAVE UP TO $220

Don't forget to use your vision
insurance to save.

Use Your Insurance

FEATURED STYLES

* RAY-BAN RX5279

$199.00
USD 199.00
*
*
*

* RAY-BAN RX5154

$219.00
USD 219.00
*
*
*

* OAKLEY OX8081

$199.00
USD 199.00
*
*
*
*

* RAY-BAN RX6335

$199.00
USD 199.00
*
*

* RAY-BAN RX7046

$179.00
USD 179.00
*
*

* KATE SPADE TANA/G

$221.00
USD 221.00
*
*

* GUCCI GG0093O

$305.00
USD 305.00

* KATE SPADE CARDEA

$217.00
USD 217.00

* RAY-BAN RB3025 AVIATOR

$204.00
USD 204.00
*
*
*
*

* RAY-BAN RX7140

$219.00
USD 219.00

‹ ›

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

ALL THE BRANDS YOU LOVE

See All Brands

EYE CARE + EYEWEAR

Use our handy Find a Doctor tool to connect with one of the 40,000 doctors in
our network.

Find a Doctor

OUR VISION FOR YOURS

At Eyeconic®, we care about your vision and how you see the world around you.
That’s why we seamlessly connect your eyewear, your insurance coverage, and your
doctor’s expertise.

expand Our Selection of Eyewear and Contact Lenses

Explore the latest women’s glasses, men’s glasses, and kid’s glasses from top
designers. Best of all, prescription lenses are always included in the price of
eyeglasses. Upgrade your eyeglasses with photochromic lenses or pick up a pair
of classic aviator sunglasses with polarized lenses.

Prefer to go frameless? We also offer the most popular contacts, including
daily-use and toric lenses. And you can avoid the worry of running out when you
stock up and save with annual-supply discounts on most brands.

expand We accept VSP®, MetLife and Cigna Benefits

Eyeconic is the only site where you can buy eyeglasses, sunglasses, and contact
lenses with your VSP, MetLife and Cigna vision benefits – in network!

Link your vision benefits and use your coverage to start saving. Already used
your benefits? You can still save 20% on eyewear – men, women, children, teens,
we’ve got something for everyone.

expand Our Large Doctor Network

From the doctor’s office to shopping online, we’ve got you covered every step of
the way. Eyeconic is the only online optical store to partner with a network of
38,000 doctors. Need an eye exam or free frame adjustment? Find a doctor near
you.

expand Satisfaction Guarantee
* Free shipping – no minimums! Free returns? Yup, that too!
* On every order, you’ll get a FREE frame adjustment or contact lens
consultation from a doctor, on us!

Email Sign Up

Your browser's Javascript functionality is turned off. Please turn it on so that
you can experience the full capabilities of this site.

Back to Top
The Eyeconic Edge
* The Eyeconic Story
* How to Use My Vision Insurance
* Affiliates
* Discounts & Promotions
* Gift Cards
* Blog

My Account
* Manage My Account
* My Insurance Benefits
* View My Orders
* Check Order Status

Help Me
* Help Center
* Contact Us
* FAQ
* Find a doctor
* Virtual Try-On
* Use My FSA & HSA funds
* Return and Exchange Policy

Follow Eyeconic
*
*
*
*
*

Receive News and Offers

* Privacy Policy
* Notice of Privacy Practices
* Terms of Service
* Sitemap
* Accessibility
* Cookie Policy

Easy Eyes
Your session has timed out. To continue to shop for customers close current
browser tab.
Close
Use My Vision Insurance

Success! You've added your dependent.

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

WELCOME, VSP MEMBER!

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

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

WELCOME, METLIFE MEMBER!

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

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

WELCOME, CIGNA VISION MEMBER!

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

Check Your Policy Coverage to Apply Benefits
First Name

Enter First Name

Last Name

Enter Last Name

Date of Birth

MonthJanFebMarAprMayJunJulAugSepOctNovDec
Day01020304050607080910111213141516171819202122232425262728293031
Year20212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921

Enter all Date of Birth information

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

Date of Birth

Enter Date of Birth

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

Last 4 SSN or Member ID

Enter Last 4 SSN or Member ID

Use the last four digits of the primary holder's social security number or
unique Member ID to easily look up your policy. A Member ID is a unique number
provided to the primary holder by his or her employer or health plan. If you
believe your employer or health plan provided you with a unique Member ID,
contact us directly at 1-855-EYECONIC (855-393-2664).

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

Choose the person you want to shop for.

Connect

Don't see your eligible dependents? Add them

Please make your selection Remove My Insurance

Choose the person you want to shop for.

Connect
Qualified Dependent Information
Enter First Name

Enter First Name

Enter Last Name

Date of Birth

Enter all Date of Birth information

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

Date of Birth

Enter Date of Birth

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

Enter Relationship

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

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

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

Add Dependent

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

Remove Vision Insurance

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

INSURANCE BENEFITS NOT AVAILABLE FOR {0}

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

Shop Eyeglasses
Shop Contacts
OK

YOUR INSURANCE IS LINKED WITH EYECONIC.COM

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

Shop Eyeglasses
Shop Contacts`

www.eyeconic.com Open in urlscan Pro 140.174.14.107 Public Scan

Form analysis 10 forms found in the DOM

Name: simpleSearch — GET /search

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

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

Name: simpleSearch — GET https://www.eyeconic.com/search

Name: simpleSearch — GET /search

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

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

Text Content

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

Form analysis
10 forms found in the DOM