Vision Insurance Plans

Published starting prices

Sources: company websites, checked October 2026. Prices vary by state.

Does a plan pay off?

Here’s a simple way to estimate whether vision insurance pays off, using Aetna’s published Value plan as an example: from $11 a month ($132 a year), a $20 exam copay, and a $130 allowance for frames or contacts. If you’d otherwise pay for an exam and a $200 pair of glasses, the plan covers the exam after the copay and $130 of the glasses, so your yearly cost is the $132 premium plus $20 plus $70. Compare that total with the exam fee and glasses price you’d pay without coverage. Swap in the real numbers from your quote and your eye doctor.

How vision insurance works

Vision insurance usually pays for an annual eye exam after a copay, plus an allowance toward frames or contact lenses. VSP’s individual Standard 120 plan, for example, lists a $15 exam copay, a $25 copay for prescription glasses, and a $120 frame or contact lens allowance every 12 months. Ameritas’ PrimeStar Choice Vision plan on the VSP network lists a $10 exam copay and $150 allowances; its Select Vision plan on the EyeMed network lists a $25 exam copay and $130 allowances.

Some products are discounts rather than insurance: EyeMed’s lowest-priced individual tier offers eyewear discounts instead of allowances, and Careington’s plans provide discounted pricing rather than insurance benefits.

How vision plans differ

Plans differ in what they pay for. VSP’s EyewearOnly 120 plan, for example, covers glasses and contacts but not the eye exam. EyeMed lists individual tiers from $5.00 a month for a discount-only plan to $17.50 and $30.00 a month for plans with frame and contact allowances, in most states. Ameritas’ Choice Vision allowance applies to frames or contacts, while its Select Vision plan, which isn’t sold in Maryland, includes both, subject to frequency limits; both plans reimburse up to $70 for frames out of network.

Careington’s discount plans offer VSP-network pricing, such as $50 for an exam with a complete pair of glasses, rather than insurance benefits.

Lenses and extra costs

Lens coverage is where plans often differ most. VSP’s Standard 120 plan covers single vision, lined bifocal, and lined trifocal lenses for a $25 copay and raises the frame allowance to $140 for featured brands. Ameritas’ PrimeStar vision plans cover standard lenses in full in network and list no waiting periods or enrollment fees. Upgrades such as progressive lenses, coatings, and premium frames above the allowance are usually your cost, so ask for an itemized estimate before you order.

How often you need an eye exam

The American Optometric Association recommends an eye exam at least every two years for low-risk adults ages 18 to 64, and every year for adults 65 and older or at higher risk, such as people with diabetes or a family history of eye disease.

Vision coverage for children

For children, vision care is part of the pediatric services that Marketplace health plans must cover as an essential health benefit, according to HealthCare.gov. All About Vision, citing American Optometric Association guidance, says children should have an eye exam between 6 and 12 months of age, at least once between ages 3 and 5, before first grade, and then yearly from ages 6 to 17.

How to compare vision plans

1. Check your eye doctor and store. Confirm they’re in the plan’s network.
2. Add up a year. Compare the premium with the exam copay and what you’d pay for glasses or contacts after the allowance.
3. Read the allowance rules. Some plans cover frames or contacts, others both, and frequency can be 12 or 24 months.
4. Know what’s excluded. Lens upgrades and premium frames often cost extra.
5. Insurance or discount. Discount programs lower prices but don’t pay benefits.

Insurer, administrator, network, or discount?

The name on a vision card isn’t always the company that pays claims. An insurer underwrites the plan and pays benefits; an administrator such as Spectera or Avēsis handles claims and contracts providers; and a network such as VSP or EyeMed is the group of eye doctors and stores you can use. Many insurers rent another company’s network: Aetna and Anthem’s Blue View Vision use EyeMed, and Guardian’s individual plans are powered by VSP. A discount program, by contrast, only lowers prices and pays no claims, so read the plan documents to see which one you’re buying.

Medicare and vision

Original Medicare doesn’t cover most routine dental care, such as cleanings, fillings, extractions, and dentures, and doesn’t cover routine eye exams for glasses or contacts. It does cover some dental services tied to covered treatment, glaucoma screening for people at high risk, and one pair of standard eyeglasses or contacts after cataract surgery with an implanted lens. KFF reports that 98% of individual Medicare Advantage plans offered dental benefits and 99% offered vision benefits in 2026, though dental benefits are often capped.

Medicare Part B covers a glaucoma test once every 12 months for people at high risk: people with diabetes or a family history of glaucoma, African Americans 50 and older, and Hispanic Americans 65 and older. You pay 20% after the Part B deductible. Routine exams for glasses aren’t covered, so a Medicare Advantage plan with vision benefits or a separate vision plan may help.

Vision discount programs

A vision discount program lowers the price of exams and eyewear but pays no claims. EyeMed’s lowest-priced individual tier gives eyewear discounts instead of allowances, and Careington’s plans provide discounted pricing rather than insurance benefits. Discount programs can make sense if you rarely buy eyewear; insurance makes more sense if you buy glasses or contacts every year.

Checking a plan and insurer

• Network. Confirm your dentist or eye doctor is in network.
• Waiting periods. Check when basic and major care are covered.
• Annual maximum. Compare it with the care you expect.
• Insurance or discount. Know which one you’re buying.
• Exclusions. Look for missing-tooth clauses, frequency limits, and cosmetic exclusions.

What an independent agency does

An independent insurance agency is licensed to sell policies from several insurance companies. Instead of quoting one company's products, an independent agent can compare options from the insurers the agency represents, explain the differences in coverage, and help you re-shop at renewal. The insurance company, not the agent, makes underwriting and claim decisions.

Blake Insurance Group is an independent agency. We work with clients by phone, email, and online in states where we are licensed, and we will tell you which insurers we can quote for your situation.

How we work

Blake Insurance Group serves clients by phone, email, and online in states where we are licensed. The insurers and plans we can offer depend on our appointments and your location; a company named on this page may not be available through us.

How to verify an insurer or agency

Before buying through any website or app, confirm who is selling you the policy and who will issue it:

1. Find the licensed agency or insurer named in the site's footer, terms, or license page.
2. Look up the agency or producer on your state insurance department's license search, or through the National Insurance Producer Registry (NIPR).
3. Look up the insurer on your state insurance department's company search to confirm it is authorized in your state.
4. Save the insurer's name and policy number once issued, since that is who handles claims.

A legitimate service will make this information easy to find. Be cautious if you cannot identify the licensed entity.

Sources

We checked the facts on this page against the sources below in October 2026. Plans, prices, and rules change, so confirm current terms before you buy.

• VSP Individual plans: plan details
• VSP Individual: Why VSP
• EyeMed: Individual plans
• Ameritas: PrimeStar Vision (2026)
• American Optometric Association: Adult eye exam guideline
• All About Vision: How often to get an eye exam (May 2026)
• Medicare.gov: Routine eye exams
• Medicare.gov: Eyeglasses and contact lenses
• Medicare.gov: Glaucoma tests
• HealthCare.gov: What Marketplace health plans cover
• KFF: Medicare Advantage 2026 spotlight
• VSP Individual: EyewearOnly 120 plan details
• NAIC: Discount Medical Plan Organization Model Act
• Aetna: Individual vision insurance
• Guardian: Individual vision insurance

What to have ready for a vision quote

These details help an agent quote accurately.

1. Who needs coverage. Names and dates of birth.
2. Your dentist or eye doctor. To check networks.
3. Expected care. Cleanings only, or crowns, implants, or orthodontics.
4. Current coverage. Any employer, Medicare, or other plan.
5. ZIP code. Plans and prices vary by state.

Vision insurance plans FAQs

Related guides

• Dental and vision insurance
• How much dental insurance costs
• PPO vs. HMO dental
• Ameritas dental insurance

Partner quote options

Your next step

Request a quote, and a licensed agent will compare vision options available to us where you live.