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

Back to summary

Submitted URL:
https://click.e.vsp.com/?qs=4732512140a5caed2979423ad3cefa3f85a33f740877a4d6d4560868e8d45d46d40f8217f659c31aa503a6bd5ca4...
Effective URL:
https://www.eyeconic.com/contact-lenses?utm_source=direct&utm_medium=email&utm_campaign=direct_email_20230720_vspeyeconic...
Submission: On July 21 via api (July 21st 2023, 6:11:54 pm UTC) from US — Scanned from DE

Form analysis
12 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="134551203">
  </div>
</form>

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

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

Name: 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>

Name: Product-Paging-Options — POST /contact-lenses

<form action="/contact-lenses" method="post" name="Product-Paging-Options" novalidate="novalidate">
  <fieldset>
    <label for="grid-paging-header">Items / Page</label>
    <select id="grid-paging-header">
      <option value="https://www.eyeconic.com/contact-lenses?sz=12">12</option>
      <option value="https://www.eyeconic.com/contact-lenses?sz=24">24</option>
      <option value="https://www.eyeconic.com/contact-lenses?sz=36">36</option>
      <option value="https://www.eyeconic.com/contact-lenses?sz=48">48</option>
      <option value="https://www.eyeconic.com/contact-lenses?sz=60">60</option>
    </select>
    <button class="sort-Go-Button simple-submit" type="submit" value="Go">Go</button>
  </fieldset>
</form>

Name: Product-Paging-Options — POST /contact-lenses

<form action="/contact-lenses" method="post" name="Product-Paging-Options" novalidate="novalidate">
  <fieldset>
    <label for="grid-paging-header">Items / Page</label>
    <select id="grid-paging-header">
      <option value="https://www.eyeconic.com/contact-lenses?sz=12">12</option>
      <option value="https://www.eyeconic.com/contact-lenses?sz=24">24</option>
      <option value="https://www.eyeconic.com/contact-lenses?sz=36">36</option>
      <option value="https://www.eyeconic.com/contact-lenses?sz=48">48</option>
      <option value="https://www.eyeconic.com/contact-lenses?sz=60">60</option>
    </select>
    <button class="sort-Go-Button simple-submit" type="submit" value="Go">Go</button>
  </fieldset>
</form>

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

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

<form id="lookupBenefitsForm" class="needs-validation lookupInsuranceForm p-2 h-100 suppress" novalidate="novalidate" data-action="https://www.eyeconic.com/on/demandware.store/Sites-eyeconic-Site/default/OOSBenefits-LookupMemberBenefits">
  <input type="text" id="policyHolderInfoCarrier" name="carrier" class="d-none">
  <div class="row pt-3 pt-lg-0">
    <span class="col-11 text-left mx-auto"> Check Your Policy Coverage to Apply Benefits </span>
  </div>
  <div class="row">
    <div class="input-group form-label-group col-11 mx-auto">
      <input type="text" class="form-input form-control" id="policyHolderInfo-firstName" name="firstName" placeholder="First Name" required="" aria-required="true">
      <label for="policyHolderInfo-firstName">First Name</label>
      <div class="ml-1 invalid-feedback">
        <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/images/common/errorExclamation.png?yocs=1_5_"
          data-yo-loaded="true">
        <p class="float-left ml-3">Enter Last Name</p>
      </div>
    </div>
    <div class="input-group form-label-group col-11 mx-auto">
      <div class="w-100 js-dob-datepicker-container row">
        <input type="text" class="js-mobile-datepicker form-control dateOfBirth-field w-100 form-input form-control bg-white" name="mobileDob1" id="mobileDob1" placeholder="Date of Birth (mm/dd/yyyy)"
          pattern="(((0)[0-9])|((1)[0-2]))(\/)([0-2][0-9]|(3)[0-1])(\/)\d{4}" data-missing-error="Enter date of birth" data-pattern-mismatch="Enter a valid date of birth (mm/dd/yyyy)" data-futuredate-error="Date of Birth cannot be a future date."
          data-olddate-error="Date of Birth cannot be so far in the past." encoding="off" aria-required="true">
        <label for="mobileDob1" class="dob-mobile-label">Date of Birth (mm/dd/yyyy)</label>
        <input type="hidden" name="mobileDob" class="mobileDob" required="" aria-required="true">
        <div class="ml-1 invalid-feedback">
          <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/images/common/errorExclamation.png?yocs=1_5_"
            data-yo-loaded="true">
          <p class="float-left text-left ml-3">Date of birth selected is for a future date. Please enter a valid date of birth.</p>
        </div>
      </div>
    </div>
    <div class="input-group form-label-group col-11 mx-auto">
      <input type="text" class="form-input form-control" id="policyHolderInfo-last4" name="last4" placeholder="Enter Last 4 SSN or Member ID" pattern="^[a-zA-Z0-9]*$" maxlength="30" minlength="2" required="" aria-required="true">
      <label for="policyHolderInfo-last4">Last 4 SSN or Member ID</label>
      <div class="ml-1 invalid-feedback">
        <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwbef8539c/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwbef8539c/images/cart/whiteQuestionMark_GreyBackground.png?yocs=1_5_" data-yo-loaded="true">
        </button>
        <span class="tooltip" role="status" id="tooltip-label" tabindex="-1">
          <span class="d-inline-block text-left">There are a few ways we can look up your insurance benefit information:</span>
          <span class="d-inline-block text-left">1. The full unique Member ID given to the primary policyholder by an employer or health plan</span>
          <span class="d-inline-block text-left">2. The primary policyholder’s Policy ID (a 9-digit number or Social Security Number)</span>
          <span class="d-inline-block text-left">3. The last 4 digits of the primary policyholder’s Policy ID</span>
          <span class="d-inline-block text-left">Have questions? Feel free to give us a call at 1-855-EYECONIC (855-393-2664).</span>
        </span>
      </span>
    </div>
  </div>
  <div class="row mt-3">
    <div class="col-11 text-left mx-auto">
      <span id="serviceError" class="error d-none"></span>
    </div>
  </div>
  <div class="row mt-3">
    <div class="col-11 text-center mx-auto">
      <input id="submitPolicyHolderInfo" type="submit" class="col modal-button modal-confirm-button text-white text-capitalize" value="Look Up Policy">
    </div>
  </div>
  <div id="orSignInWithVSP">
    <div class="row mt-2">
      <div class="col-11 text-center mx-auto">
        <span>or</span>
      </div>
    </div>
    <div class="row mt-2">
      <div class="col-11 text-center mx-auto">
        <input id="signInWithVSP" type="button" class="col modal-button modal-cancel-button text-nostyle bg-white" value="Sign in with VSP"
          onclick="window.location='https://api.vspglobal.com/as/authorization.oauth2?response_type=code&amp;client_id=demandware&amp;scope=auth_member%20openid%20profile&amp;state=&amp;redirect_uri=https://www.eyeconic.com/pingfed'">
      </div>
    </div>
  </div>
</form>

<form id="selectPolicyHolderForm" class="needs-validation suppress" data-action="https://www.eyeconic.com/on/demandware.store/Sites-eyeconic-Site/default/OOSBenefits-ApplyMemberBenefits" novalidate="novalidate">
  <div class="row mb-3">
    <div class="col-7 mx-auto">
      <div class="input-group form-label-group">
        <select class="form-input form-control w-100 mb-3" id="selectPolicyHolderDropdown">
        </select>
        <div class="invalid-feedback ml-1">
          <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/images/common/errorExclamation.png?yocs=1_5_"
            data-yo-loaded="true">
          <p class="float-left ml-1">Choose the person you want to shop for.</p>
        </div>
      </div>
    </div>
  </div>
  <div class="row mb-4">
    <div class="col-7 mx-auto">
      <button type="button" id="selectPolicyHolderContinue" title="Shopping Cart|Order Summary|Use my vision insurance" class="btn w-100 text-capitalize text-white modal-button modal-confirm-button promo-data"> Connect </button>
    </div>
  </div>
  <div class="row mb-4">
    <div class="col-7 mx-auto d-none js-addDependentLink" id="addDependentLink">
      <p> Don't see your eligible dependents? <span class="ml-2 link"> Add them </span>
      </p>
    </div>
    <div class="col-7 mx-auto d-none js-callDependentLink">
      <span class="ml-2 dependent vsp d-none"> Don’t see your eligible dependents? Please call VSP at 800.877.7195 </span>
      <span class="dependent cigna d-none"> Don’t see your eligible dependents? Please call Cigna Vision at 877.478.7557 </span>
    </div>
  </div>
</form>

<form id="selectMemberToShopForForm" class="needs-validation suppress" data-action="https://www.eyeconic.com/on/demandware.store/Sites-eyeconic-Site/default/OOSBenefits-ApplyMemberBenefits" novalidate="novalidate">
  <div class="row mb-3">
    <div class="col-7 mx-auto">
      <div class="input-group form-label-group">
        <div class="invalid-feedback ml-1">
          <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/images/common/errorExclamation.png?yocs=1_5_"
                data-yo-loaded="true">
              <p class="float-left ml-1">Enter Last Name</p>
            </div>
          </div>
          <div class="input-group form-label-group js-qualifiedDependent-dob col-12" id="qualifiedDependent-dob">
            <div class="w-100 js-dob-datepicker-container row">
              <input type="text" class="js-mobile-datepicker form-control dateOfBirth-field w-100 form-input form-control bg-white" name="mobileDob1" id="qualifiedDependent" placeholder="Date of Birth (mm/dd/yyyy)"
                pattern="(((0)[0-9])|((1)[0-2]))(\/)([0-2][0-9]|(3)[0-1])(\/)\d{4}" data-missing-error="Enter date of birth" data-pattern-mismatch="Enter a valid date of birth (mm/dd/yyyy)"
                data-futuredate-error="Date of Birth cannot be a future date." data-olddate-error="Date of Birth cannot be so far in the past." encoding="off" aria-required="true">
              <label for="qualifiedDependent" class="dob-mobile-label">Date of Birth (mm/dd/yyyy)</label>
              <input type="hidden" name="mobileDob" class="mobileDob" required="" aria-required="true">
              <div class="ml-1 invalid-feedback">
                <img alt="Error Sign" class="float-left" src="https://cdn-vzn.yottaa.net/5dc48d35d9314072a73dc69c/www.eyeconic.com/v~4b.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.abb/on/demandware.static/Sites-eyeconic-Site/-/default/dwcf336485/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.

VSP® Member Perk: 20% off eyewear, every day.

Free shipping and returns, always.

https://www.eyeconic.com/contact-lenses
Search
Please enter a search term.
 * 
   Sign In
   
   
   SIGN IN
   
   Email Address *
   Forgot Password?
   Password *
   Keep me signed in
   Sign In
   Create an account
 * 
   Search
 * 
   Order Status
 * 0
   Favorites
 * 
   Bag

 * 
   Sign In
   
 * + Eyeglasses
   
   
   GLASSES
   
   Men's Eyeglasses Women's Eyeglasses Kids' Eyeglasses All Eyeglasses All
   Eyewear
   
   
   RESOURCES
   
   Virtual Try-On How to Buy Glasses Choosing Lenses What's My Face Shape Use My
   FSA & HSA
   
   
   FRAME SHAPES
   
   Aviator Glasses Round Glasses Cat-Eye Glasses Rectangle Glasses Oversized
   Glasses
   
   
   FRAME STYLES
   
   Designer Glasses Clear Glasses Tortoise Shell Glasses Rimless Glasses
   Trending Shapes + Styles
   
   
   FEATURED SHOPS
   
   Specialty Sizes Affordable Glasses Sustainable Styles New Arrivals Extra $40
   
   
   FEATURED BRANDS
   
   Ferragamo Glasses Gucci Glasses Nike Glasses Ray-Ban Glasses All Brands
   
   
   BACK-TO-SCHOOL
   STYLIN’
   
   Find eyewear for all ages,
   at every price point.
   
   Shop Now
   
   Featured Style: Otis + Grey OG 20212
   
   
   
   
 * + Sunglasses
   
   
   SUNGLASSES
   
   Men's Sunglasses Women's Sunglasses Kids' Sunglasses All Sunglasses All
   Eyewear
   
   
   RESOURCES
   
   Virtual Try-On How to Buy Glasses Choosing Lenses What's My Face Shape Use My
   FSA & HSA
   
   
   FRAME SHAPES
   
   Aviator Sunglasses Round Sunglasses Square Sunglasses Cat-Eye Sunglasses
   Oversized Sunglasses
   
   
   FRAME STYLES
   
   Designer Sunglasses Clear Sunglasses Pastel Sunglasses Tortoise Shell
   Sunglasses Trending Shapes + Styles
   
   
   FEATURED SHOPS
   
   Specialty Sizes Sports Sunglasses Best Sellers New Arrivals Extra $40
   
   
   FEATURED BRANDS
   
   Gucci Sunglasses Maui Jim Sunglasses Nike Sunglasses Ray-Ban Sunglasses All
   Brands
   
   
   BACK-TO-SCHOOL
   STYLIN’
   
   Find eyewear for all ages,
   at every price point.
   
   Shop Now
   
   Featured Style: Converse CV542S Advance
   
   
   
   
   
 * +Contact Lenses
   
   
   CONTACTS BRANDS
   
   Acuvue Air Optix Avaira Biofinity Dailies Ethos Aquatech All Brands Biomedics
   
   
   LENS TYPES
   
   Single Vision Multifocal/Bifocal Toric/Astigmatism Color and Enhancing
   
   
   CONTACTS BRAND
   
   Biotrue Clariti Dailies Ethos Aquatech Focus Dailies
   
   
   WEAR FREQUENCY
   
   Daily 1-2 Week Monthly All Contact Lenses
   
   
   CONTACTS BRANDS
   
   Freshlook Infuse MyDay Proclear All Brands
   
   
   RESOURCES
   
   How to Buy Contacts Use My FSA & HSA
   
   
   
   SAVE UP TO $120
   ON CONTACTS
   
   Stock up and save with your
   annual supply discount.
   
   Shop Contacts
   
   Featured: bebe BB7240
   
   
 * + Our Brands
   Anne Klein bebe Calvin Klein Cole Haan Dragon Draper James Ferragamo Gucci
   Lacoste Longchamp Maui Jim Nike Nine West Ray-Ban All Brands
   
 * + Trending Shapes + Styles
   All Shapes + Styles Aviator Glasses Rimless Glasses Tortoise Shell Glasses
   Oversized Glasses Retro Glasses Hipster Glasses Low Bridge Glasses Designer
   Glasses
   
   
 * Best Sellers
 * Choosing Prescription Lenses
 * How to Buy Contacts
   
   
   
   
   
 * Use My Insurance
 * Search
   
   
 * Use My Insurance
   Check Order Status Virtual Try On Help Center
   1-855-393-2664
   
   7 a.m. – 5 p.m. PT Monday-Saturday
   
   Closed Sunday

   
   
   
   
   

Search
Please enter a search term.
 * Home
   
 * / Contact Lenses


SHOP CONTACT LENSES

Shop daily disposables, toric lenses, multifocal contacts, and more.
Use your vision insurance to save.

Acuvue

Air Optix

Biofinity

Dailies

Featured Style:

98 results

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

Filters (0)
98 results
Items / Page 12 24 36 48 60 Go
Brand
Search Brand
 * ACUVUE
 * Acuvue
 * AIR OPTIX
 * ALCON LABORATORIES INC
 * AVAIRA
 * BAUSCH + LOMB ULTRA
 * BIOFINITY
 * BIOMEDICS
 * BIOTRUE
 * CLARITI
 * DAILIES
 * ETHOS AQUATECH
 * FOCUS DAILIES
 * FRESHLOOK
 * INFUSE
 * MYDAY
 * PRECISION1
 * PROCLEAR

Lens Types
 * Single Vision
 * Multifocal / Bifocal
 * Toric / Astigmatism
 * Color and Enhancing

Wear Frequency
 * Disposable Daily
 * Disposable 1-2 Week
 * Disposable Monthly

Filters (0)
98 results
Items / Page 12 24 36 48 60 Go
Brand
Search Brand
 * ACUVUE
 * Acuvue
 * AIR OPTIX
 * ALCON LABORATORIES INC
 * AVAIRA
 * BAUSCH + LOMB ULTRA
 * BIOFINITY
 * BIOMEDICS
 * BIOTRUE
 * CLARITI
 * DAILIES
 * ETHOS AQUATECH
 * FOCUS DAILIES
 * FRESHLOOK
 * INFUSE
 * MYDAY
 * PRECISION1
 * PROCLEAR

Lens Types
 * Single Vision
 * Multifocal / Bifocal
 * Toric / Astigmatism
 * Color and Enhancing

Wear Frequency
 * Disposable Daily
 * Disposable 1-2 Week
 * Disposable Monthly

Filters (0)
Sort By: Best Match
 * Best Match
 * Ratings (Hi – Low)

98 results
98 results

Sorry, no products in sight.

Try adjusting your filters for a better view.

 * https://www.eyeconic.com/contact-lenses/apdm/APDM.html APDM
   ETHOS AQUATECH
   ethos aquatech monthly mf dist 6pk
   
 * https://www.eyeconic.com/contact-lenses/acuvue-vita-12pk/AVI2.html AVI2
   ACUVUE
   acuvue vita 12pk
   
 * https://www.eyeconic.com/contact-lenses/acuvue-oasys-hydraclear-plus-12pk/AO12.html
   AO12
   ACUVUE
   acuvue oasys with hydraclear plus 12pk
   
 * https://www.eyeconic.com/contact-lenses/att9/ATT9.html ATT9
   ETHOS AQUATECH
   ethos aquatech 1 day for astigmatism
   
 * https://www.eyeconic.com/contact-lenses/biofinity-toric-6pk/BFT.html BFT
   BIOFINITY
   biofinity toric 6pk
   


 * SHOP SUNS
   BY SPORT
   
   Performance sunglasses
   designed for cycling, running
   hiking, golfing, and more.
   
   Shop Sports Sunglasses
   
 * https://www.eyeconic.com/contact-lenses/acuvue-oasys-hydraclear-plus-24pk/AO24.html
   AO24
   ACUVUE
   acuvue oasys with hydraclear plus 24pk
   
 * https://www.eyeconic.com/contact-lenses/biofinity-ew-6pk/BF.html BF
   BIOFINITY
   biofinity ew 6pk
   
 * https://www.eyeconic.com/contact-lenses/a2t/A2T.html A2T
   ETHOS AQUATECH
   ethos aquatech 2 week for astigmatism
   
 * https://www.eyeconic.com/contact-lenses/air-optix-plus-hydraglyde/AHG.html
   AHG
   new
   AIR OPTIX
   air optix plus hydraglyde - 6 pack
   
 * https://www.eyeconic.com/contact-lenses/acuvue-1-day-moist-90pk/A1M9.html
   A1M9
   ACUVUE
   acuvue 1-day moist 90pk
   
   


 * SIX-MONTH
   PRESCRIPTION
   GUARANTEE
   
   Prescription changed?
   
   No worries.

   
 * https://www.eyeconic.com/contact-lenses/ead9/EAD9.html EAD9
   ETHOS AQUATECH
   ethos aquatech 1 day
   
 * https://www.eyeconic.com/contact-lenses/acuvue-oasys-hydraluxe-1-day-90pk/AOH9.html
   AOH9
   ACUVUE
   acuvue oasys hydraluxe 1-day 90pk
   
 * https://www.eyeconic.com/contact-lenses/appt/APPT.html APPT
   ETHOS AQUATECH
   ethos aquatech monthly ast 6pk
   
 * https://www.eyeconic.com/contact-lenses/focus-dailies-30pk/FD30.html FD30
   FOCUS DAILIES
   focus dailies 30pk
   
 * https://www.eyeconic.com/contact-lenses/atm9/ATM9.html ATM9
   ETHOS AQUATECH
   ethos aquatech plus 1 day
   


 * BACK-TO-SCHOOL
   STYLIN’
   
   Shop styles for all ages from
   Converse, Nike, and more.
   
   Shop Back to School
   
 * https://www.eyeconic.com/contact-lenses/acuvue-oasys-astigmatism-6pk/AOT.html
   AOT
   ACUVUE
   acuvue oasys for astigmatism 6pk
   
 * https://www.eyeconic.com/contact-lenses/eaw/EAW.html EAW
   ETHOS AQUATECH
   ethos aquatech 2 week
   
 * https://www.eyeconic.com/contact-lenses/biofinity-xr-toric-6pk/BFTX.html BFTX
   BIOFINITY
   biofinity xr toric 6pk
   
 * https://www.eyeconic.com/contact-lenses/eam/EAM.html EAM
   ETHOS AQUATECH
   ethos aquatech monthly 6pk
   
 * https://www.eyeconic.com/contact-lenses/bausch-lomb-ultra-for-astigmatism-6pk/ULA.html
   ULA
   BAUSCH + LOMB ULTRA
   bausch + lomb ultra for astigmatism 6pk
   
   


 * SAVE UP TO
   $120 WITH AN
   ANNUAL SUPPLY
   OF CONTACTS
   
   Buy more & save.

   
 * https://www.eyeconic.com/contact-lenses/p190/P190.html P190
   PRECISION1
   precision1 90pk
   
 * https://www.eyeconic.com/contact-lenses/apnm/APNM.html APNM
   ETHOS AQUATECH
   ethos aquatech monthly mf near 6pk
   
 * https://www.eyeconic.com/contact-lenses/dailies-total1-90pk/DT90.html DT90
   DAILIES
   dailies total 1 90pk
   
 * https://www.eyeconic.com/contact-lenses/aha/AHA.html AHA
   AIR OPTIX
   air optix plus hydraglyde for astigmatism
   
 * https://www.eyeconic.com/contact-lenses/o1t9/O1T9.html O1T9
   ACUVUE
   acuvue oasys 1-day w/hydra astig 90p
   
   


 * MEET
   YOUR MATCH
   
   Use the Find a Doctor tool
   to get matched with a
   doctor near you.
   
   Find a Doctor
   


ACCEPTANCE OF TERMS OF USE

The Virtual Try-on tool that launches from Eyeconic.com is owned and operated by
Ditto, Inc., a third-party. The tool creates a photographic image of your face
that then enables you to view a rendering of yourself wearing certain frames
available on Eyeconic.com. By using the Virtual Try-On tool, you expressly
consent to the Terms of Use and the incorporated HIPAA Privacy Policy governing
Eyeconic.com. A link to these documents is here:



https://www.eyeconic.com/terms.html

https://www.eyeconic.com/privacy-policy.html



In addition, by using the Virtual Try-On tool, you acknowledge that any
information collected or otherwise obtained from you is collected by Ditto (not
Eyeconic), and that all such information is subject to both Ditto’s Terms of Use
and its Privacy Policy which are found at the following hyperlinks:



https://www.ditto.com/terms-of-use

https://www.ditto.com/privacy-policy



By checking “I consent to the Terms of Use” and clicking “Submit”, you agree to
the Terms of Use and Privacy Policies of both Ditto and Eyeconic linked above
and do hereby consent to the collection and capture of any potential biometric
information. You also expressly agree to waive and disclaim any potential
liability under the Illinois Biometric Information Processing Act (“BIPA”) or
any other state tort or injury statute that provides a private right of action.
If you do not consent to these terms and conditions, please close this window
and do not use the Virtual Try-on tool.

I consent to the Terms of Use
Submit


×

FIND MY SIZE

When shopping on Eyeconic, the Lens Width (52) defines the size.

EXAMPLE: 52 17 145







ALL MEASUREMENTS ARE IN MILLIMETERS AND CAN OFTEN BE FOUND INSIDE THE LEFT
TEMPLE.


 1. 1. LENS WIDTH (52)


 2. 2. BRIDGE DISTANCE (17)


 3. 3. TEMPLE LENGTH (145)





Close

SPECIAL SIZES

×


SPECIAL SIZES

Eyewear isn’t one-size-fits-all.

Find your fit below and we’ll show you frames you’ll love.


GLASSES FOR A LARGE FIT

Whether you have a big head or just love oversized glasses, these picks are
designed with your preferences in mind.

Shop Large Fit Glasses

Featured Styles: Nine West NW5193X




GLASSES FOR A SMALL FIT

Do glasses slip right off your head or just look a little too giant for your
face? These picks should fit like a dream.

Shop Small Fit Glasses

Featured Styles: Nine West NW5193X




GLASSES FOR A LOW BRIDGE

The key to the perfect low bridge fit is finding eyewear that feature larger
nose pads. Here are a few you’ll love.

Shop Low Bridge Glasses

Featured Styles: Nine West NW5193X


Close

 * 

 * 1
 * 2
 * 3
 * 4
 * 
 * 


View 98 Results



CONTACT LENSES:
DAILY, TORIC, MULTIFOCAL & MORE!

Shopping for contact lenses online is easy at Eyeconic. We have the brands you
already know, including ACUVUE, AIR OPTIX, Biofinity & DAILIES. You can even set
up automatic refills so you never have to suffer with blurry vision while
waiting on new contacts. Best of all, you may be able to apply your vision
benefits at checkout— and that means more money in your pocket.


WHEN IT COMES TO CONTACTS, YOU’VE GOT CHOICES

Whether you prefer the convenience of daily-wear lenses or monthly contacts, you
can buy your brand here. Enhance or change your eye color with our selection of
colored contacts . Dealing with astigmatism or presbyopia? Not a problem! There
are contact lenses for almost everyone, including people with powerful
prescriptions. Many contact lenses come with a visible tint to make handling
easier, which is especially helpful if you’re a contacts newbie.


CONTACT LENSES FROM BRANDS YOU TRUST

It’s easy to find your favorite brand of contact lenses on Eyeconic:

 * ACUVUE

 * AIR OPTIX

 * AVAIRA

 * BAUSCH + LOMB ULTRA

 * BIOFINITY

 * BIOMEDICS

 * BIOTRUE

 * CLARITI

 * DAILIES

 * ETHOS AQUATECH

 * FOCUS DAILIES

 * FRESHLOOK

 * INFUSE

 * MYDAY

 * PRECISION1

 * PROCLEAR


TORIC CONTACTS FOR ASTIGMATISM

Astigmatism is a common eye condition that can cause distortion in your
vision. Toric contact lenses are specially designed to correct astigmatism,
giving you a clear, stable view of the world. Eyeconic stocks a variety of
high-quality toric lenses from major manufacturers.


MULTIFOCAL CONTACTS TO CORRECT PRESBYOPIA

When you suffer from presbyopia, it becomes difficult to focus on nearby
objects. This can be especially troublesome if you already struggle to see
things that are far away. Multifocal contact lenses are an all-in-one solution,
allowing your eyes to focus across a range of distances.

Presbyopia is also a common, age-related eye condition. Multifocal contacts
allow you to turn back the clock on your vision and have helped countless people
see more clearly.


CONTACTS FOR DRY EYES

Many people complain that contact lenses make their eyes feel dry. The concern
is widespread enough that contact lens manufacturers have brought many different
products to market that seal-in moisture and keep eyes hydrated. Eyeconic
carries many popular contacts designed to address dry eyes.


SHOPPING FOR CONTACT LENSES AT EYECONIC IS EASY

It’s a breeze to buy contacts at Eyeconic. First, find the lenses you’re looking
for and enter your prescription. Next, add them to your shopping bag. You’ll be
asked to upload a copy of your prescription. Once you’ve done that, enter
payment and shipping information. It’s that easy. Lost your prescription? We can
reach out to your doctor with the information you provide. If it’s time for an
eye exam, we can even help you find a doctor.

Quality and convenience are key to buying contact lenses online. All of the
contacts sold at Eyeconic are produced by major manufacturers with years of
experience behind them—not anonymous companies trying to break into the market.


FREE SHIPPING & RETURNS ON CONTACTS

Eyeconic offers free shipping and returns on all contact lenses. That’s right—
no hidden shipping charges! What are you waiting for? Start shopping for your
contact lenses now.


Back to Top


THE EYECONIC EDGE

 * The Eyeconic Story
 * How to Buy Eyewear With 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

© 2023 Eyeconic, Inc. All rights reserved. VSP, eyeconic.com and Eyeconic are
registered trademarks of Vision Service Plan.

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


USE MY VISION INSURANCE

Success! You've added your dependent.

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


WELCOME, VSP MEMBER!

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

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


WELCOME, METLIFE MEMBER!

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

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


WELCOME, CIGNA VISION MEMBER!

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

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

Check Your Policy Coverage to Apply Benefits
First Name

Enter First Name

Last Name

Enter Last Name

Date of Birth (mm/dd/yyyy)

Enter Date of Birth

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

Last 4 SSN or Member ID

Enter Last 4 SSN or Member ID

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


or

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

Choose the person you want to shop for.

Choose the person you want to shop for.

Connect

Don't see your eligible dependents? Add them

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

Choose the person you want to shop for.

Connect
Qualified Dependent Information
Enter First Name

Enter First Name

Enter Last Name

Enter Last Name

Date of Birth (mm/dd/yyyy)

Enter Date of Birth

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

Enter Relationship

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

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

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



Add Dependent

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

Remove Vision Insurance

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 204.2.138.112 Public Scan

Form analysis 12 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

Name: Product-Paging-Options — POST /contact-lenses

Name: Product-Paging-Options — POST /contact-lenses

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
204.2.138.112 Public Scan

Form analysis
12 forms found in the DOM