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.

CareSource Vision vs Avesis Vision
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Frequently Asked Questions (FAQs)

Is CareSource Vision a standalone vision plan?

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.

Can I get Avesis Vision without being on Medicaid or through an employer?

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.

Do both CareSource and Avesis cover eye exams and glasses?

Yes. Both cover routine eye exams, prescription lenses, and frames or contacts, though benefit limits and frequencies vary by plan and location.

Which provider has a larger vision care network?

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.

What retail stores can I use with CareSource or Avesis Vision?

Both may provide access to retailers like Walmart Vision Center, Sam’s Club, Target Optical, and Visionworks, depending on your plan and state.

Do either plans offer LASIK discounts?

Yes. Both CareSource Vision (via its vision partner) and Avesis offer discounted LASIK procedures through participating providers.

Are lens upgrades like anti-reflective or photochromic lenses covered?

Yes, both plans may offer discounted or copay-based lens enhancements, but coverage depends on the specific plan.

Which is more affordable—CareSource or Avesis?

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.

Can I enroll in Avesis Vision directly online?

Not typically. Avesis plans are offered through employers, states, or partner health plans. You cannot purchase them directly as an individual.

Which provider is better for families?

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

Blake Nwosu

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