Solstice Vision vs Avesis

Solstice Vision vs. Avesis Vision: Which Affordable Vision Plan Should You Choose?

Choosing the right vision insurance can mean the difference between basic eye care and a plan that saves you money on every visit. Solstice and Avesis are two recognized names in the managed vision care space—often included in Medicaid, Marketplace, and employer group coverage. Let’s explore how they compare.

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Overview of Each Provider

Solstice Vision

Solstice Benefits, Inc. is a Florida-based insurance company offering vision and dental insurance with a focus on affordability and member flexibility. Solstice plans are often available to both individuals and groups, and may be accessed through the ACA marketplace, Medicare Advantage, and employer plans.

Avesis Vision

Avesis is a national vision benefits administrator that serves millions through Medicaid, CHIP, Medicare Advantage, and employer-sponsored plans. Avesis is a subsidiary of Guardian Life Insurance Company, and is known for its extensive provider network and experience in public program delivery.


Plan Types & Coverage

Solstice Vision:

  • Offers individual, family, and group vision plans

  • Available in ACA marketplaces in select states

  • Benefits often include:

    • Comprehensive eye exams

    • Prescription lenses and frames

    • Contact lenses (elective or medically necessary)

    • Discounted upgrades for lens treatments

    • Pediatric coverage through ACA-compliant plans

Avesis Vision:

  • Primarily available through:

    • Medicaid/CHIP programs

    • Employer-sponsored plans

    • Some Medicare Advantage plans

  • Standard benefits include:

    • Eye exams

    • Eyeglass lenses and frames

    • Contacts (usually one per benefit period)

    • Enhancements and medically necessary eyewear

Provider Network & Retail Partners

Solstice Vision:

  • Strong network in the Southeastern U.S., especially Florida

  • Includes independent optometrists and some retailers

  • Network size varies by plan, but typically focuses on local and regional eye care providers

Avesis Vision:

  • Nationwide coverage with 60,000+ access points

  • Includes both independent providers and retail chains such as:

    • Walmart Vision Center

    • Sam’s Club

    • Visionworks (in select states)

  • Especially robust in states with Medicaid contracts


Pricing & Premiums

Solstice Vision:

  • Premiums range from $10–$18/month for individuals

  • Copays:

    • Eye exams: ~$10–$15

    • Lenses/frames: varies depending on the plan tier

  • Marketplace plans may offer subsidies through ACA eligibility

Avesis Vision:

  • Most members receive Avesis through employer or state-sponsored plans, so premiums are often low or $0

  • Copays range from:

    • $5–$20 for exams

    • ~$25–$35 for materials

  • Frame allowance: ~$100–$150


Ease of Use & Enrollment

Solstice Vision:

  • Direct-to-consumer enrollment available online

  • Also enrollable via Marketplace (ACA) plans

  • Member portal includes:

    • ID cards

    • Provider search

    • Benefits summary

Avesis Vision:

  • Enrollment handled via employer benefits platforms or state Medicaid portals

  • Member tools available at avesis.com

  • Mobile-friendly features for finding providers and accessing ID cards


Extras & Discounts

Solstice Vision:

  • Discounts on:

    • LASIK procedures

    • Photochromic and anti-glare lenses

    • Additional pairs of glasses or contacts

  • Pediatric vision benefits per ACA guidelines

Avesis Vision:

  • LASIK discounts via QualSight

  • Cosmetic lens upgrades (tints, coatings, transitions) at fixed or discounted rates

  • Hearing care discounts may be available via Guardian-affiliated add-ons


Best For…

  • Solstice Vision: Best for individuals or families seeking direct enrollment, especially in Florida or ACA marketplaces, and who prefer flexible plan tiers.

  • Avesis Vision: Best for Medicaid and employer group members who need reliable access to both private and retail eye care with minimal out-of-pocket costs.


Pros and Cons

Solstice Vision Pros:

  • Available for direct purchase

  • ACA-compliant plans with pediatric benefits

  • Competitive pricing for individuals

  • Discounts on eyewear and LASIK

Cons:

  • Regional availability (mainly Southeast U.S.)

  • Smaller network than national carriers

Avesis Vision Pros:

  • Strong national network with major retailers

  • Great value for Medicaid/CHIP participants

  • LASIK and lens enhancement discounts

  • Often has $0 premiums for public health members

Cons:

  • Not available for individual purchase

  • Must enroll via employer or government program


Final Verdict: Which One Should You Choose?

Choose Solstice Vision if:

  • You want to enroll without an employer

  • You live in a state where Solstice is offered on the Marketplace

  • You want flexible, affordable vision coverage with LASIK and upgrade options

Choose Avesis Vision if:

  • You are enrolled in Medicaid, CHIP, or a qualifying employer plan

  • You want access to a large national network with retailers like Walmart and Sam’s Club

  • You want a low-cost plan with LASIK savings and good coverage

Both providers offer great value — Solstice for individuals and families on the Marketplace, and Avesis for public and group coverage.


How to Get a Quote or Enroll

  • Solstice Vision: Visit solsticebenefits.com to view plans and enroll directly or check for availability in your state’s health insurance exchange.

  • Avesis Vision: Go to avesis.com or check your state Medicaid or employer benefits portal to see if you’re eligible.

Solstice Vision vs Avesis
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Frequently Asked Questions (FAQs)

Can I get Solstice Vision without an employer?

Yes. Solstice Vision offers individual and family plans that can be purchased directly online or through the ACA Marketplace in select states.

Does Avesis offer individual vision plans?

No. Avesis Vision is typically not available for direct individual purchase. It’s offered through Medicaid, CHIP, employer-sponsored plans, and Medicare Advantage in certain states.

Do both plans cover eye exams and eyewear?

Yes. Both Solstice and Avesis Vision plans cover annual eye exams, prescription lenses, frames, and contact lenses, though specifics may vary by plan and network.

Which has a larger provider network—Solstice or Avesis?

Avesis has a broader nationwide network with over 60,000 providers, including retail chains like Walmart Vision and Visionworks. Solstice is more regionally concentrated, especially in the Southeast.

What retail chains accept Solstice or Avesis Vision?

Avesis includes Walmart, Sam’s Club, and some Visionworks locations. Solstice typically works with independent optometrists, but retail access may vary by region and plan.

Do these plans offer LASIK discounts?

Yes. Both providers offer LASIK discounts through partner providers. Avesis uses networks like QualSight, while Solstice partners with select regional LASIK centers.

Are lens upgrades like anti-glare or photochromic covered?

Yes. Both plans offer discounted or fixed pricing for popular lens enhancements, including anti-reflective coatings, polycarbonate lenses, and photochromic transitions.

Which is more affordable—Solstice or Avesis?

Solstice Vision offers individual plans starting at $10–$18/month. Avesis is often free or low-cost through Medicaid or employer groups, but not available for individual purchase.

Can I manage both plans online?

Yes. Both providers offer online member portals where you can view benefits, print ID cards, and find in-network eye doctors.

Which is better for individuals and families buying coverage on their own?

Solstice Vision is better for those seeking direct-to-consumer plans, especially through ACA marketplaces. Avesis is better suited for Medicaid or employer-sponsored coverage.

Blake Insurance Group

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Blake Nwosu

Blake Nwosu

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Expertise: All personal and commercial line insurance, including auto, home, business, health, and life insurance.

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