CareSource Vision vs Avesis Vision
CareSource Vision vs. Avesis Vision: Which Vision Plan Is Right for You?
Affordable vision care is essential, whether you’re managing family health expenses or seeking individual coverage. Two providers often available through government and group plans are CareSource Vision and Avesis Vision. Here’s how they compare across networks, coverage, and value.
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Overview of Each Provider
CareSource Vision
CareSource is a nonprofit managed health care plan that provides Medicaid, Medicare Advantage, and Marketplace insurance across several states. Vision coverage is typically bundled within these health plans and administered through partners like EyeMed or Avesis depending on location.
Avesis Vision
Avesis is a vision insurance administrator offering coverage through Medicaid, CHIP, Medicare Advantage, and employer-sponsored plans. They provide benefits to millions nationwide and operate as a division of Guardian Life Insurance Company.
Plan Types & Coverage
CareSource Vision:
Vision care integrated with CareSource health plans
Covered services include:
Routine eye exams
Prescription eyeglass lenses
Frames and contact lenses (varies by plan)
Pediatric vision care under ACA
Additional benefits and limits depend on Medicaid vs. Marketplace plan
Avesis Vision:
Available through:
Medicaid/CHIP programs in various states
Medicare Advantage and group/employer-sponsored plans
Coverage includes:
Comprehensive eye exams
Prescription lenses
Frames and/or contacts (usually one or the other per benefit period)
Lens enhancements and medical necessity items (varies)
Provider Network & Retail Partners
CareSource Vision:
Depends on the state and vision partner (often EyeMed or Avesis)
Access to national retailers like:
Target Optical, Walmart Vision Center, Pearle Vision, LensCrafters
Also includes private-practice optometrists
Avesis Vision:
Over 60,000 provider access points nationwide
Strong representation in private optometry offices and community clinics
Retail access may include Walmart, Sam’s Club, and some regional partners (depending on plan)
Pricing & Premiums
CareSource Vision:
No additional premium for vision — included with Medicaid or ACA plans
Copays for exams and lenses typically range from $0 to $10
Frame and contact allowances vary by plan type and state regulations
Avesis Vision:
Pricing determined by sponsoring agency or employer
Often no out-of-pocket premium for Medicaid/CHIP members
Low copays: ~$5–$15 for exams, ~$25 for materials
Employer plans may have premiums from $7–$15/month
Ease of Use & Enrollment
CareSource Vision:
Auto-enrolled when you select a CareSource health plan
Manage vision benefits through the CareSource member portal
Provider lookup available through vision partner (EyeMed/Avesis)
Avesis Vision:
Members enrolled through state programs or employer plans
Online member portal at avesis.com
Mobile-friendly tools for locating providers, accessing ID cards, and checking benefits
Extras & Discounts
CareSource Vision:
May include lens upgrades, additional pair discounts, and LASIK savings depending on the partner network
Pediatric plans may offer free glasses or replacement lenses annually
Avesis Vision:
Discounts on LASIK surgery through affiliated providers
Lens upgrades like scratch coating, photochromic lenses, and anti-glare
Optional coverage for additional eyewear or second pair discounts in employer plans
Best For…
CareSource Vision: Best for low-income individuals and families enrolled in Medicaid, CHIP, or ACA health plans who want bundled, no-cost vision benefits.
Avesis Vision: Best for Medicaid/CHIP beneficiaries, Medicare Advantage members, or employees seeking a dependable and affordable network-based vision plan.
Pros and Cons
CareSource Vision Pros:
No separate premium for vision
Coverage bundled with health insurance
Access to major national retailers
Pediatric vision benefits included in ACA plans
Cons:
Only available if you’re enrolled in a CareSource health plan
Limited customization or choice of vision network
Avesis Vision Pros:
Extensive national network
Offered through multiple state and employer programs
Great for Medicaid, CHIP, and employer groups
LASIK and lens upgrade discounts included
Cons:
Not available as a standalone individual plan
Retail access varies by region and plan administrator
Final Verdict: Which One Should You Choose?
Choose CareSource Vision if:
You are already enrolled in CareSource Medicaid or ACA plans
You want vision benefits built into your health insurance with minimal out-of-pocket expenses
Choose Avesis Vision if:
You’re eligible through Medicaid, CHIP, or your employer
You prefer a plan with a wider provider network and optional upgrades
Both plans offer great affordability — CareSource for bundled simplicity and Avesis for flexible access.
How to Get a Quote or Enroll
CareSource Vision: Visit caresource.com to shop Medicaid or Marketplace plans that include vision benefits in your state.
Avesis Vision: Visit avesis.com to check eligibility or speak with your employer or state health agency for enrollment options.
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View ComparisonFrequently Asked Questions (FAQs)
No. CareSource Vision is not a standalone plan. It is bundled with CareSource health insurance (such as Medicaid, CHIP, or Marketplace plans), and the vision benefits are included at no additional cost.
Typically, no. Avesis Vision is not sold as a standalone retail plan. It's available through Medicaid, CHIP, Medicare Advantage, and group/employer-sponsored plans.
Yes. Both cover routine eye exams, prescription lenses, and frames or contacts, though benefit limits and frequencies vary by plan and location.
Avesis has over 60,000 providers nationwide. CareSource's network depends on which vision partner (such as Avesis or EyeMed) administers the benefits in your state.
Both may provide access to retailers like Walmart Vision Center, Sam’s Club, Target Optical, and Visionworks, depending on your plan and state.
Yes. Both CareSource Vision (via its vision partner) and Avesis offer discounted LASIK procedures through participating providers.
Yes, both plans may offer discounted or copay-based lens enhancements, but coverage depends on the specific plan.
CareSource vision benefits are often included at no additional cost with Medicaid/Marketplace plans. Avesis is also low-cost or free for eligible individuals through public programs or may carry a small premium through employer plans.
Not typically. Avesis plans are offered through employers, states, or partner health plans. You cannot purchase them directly as an individual.
CareSource Vision is better if you already have Medicaid or Marketplace health coverage. Avesis Vision is better for families enrolled in Medicaid/CHIP or those with access through an employer.
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Blake Nwosu
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