www.eyeconic.com
Open in
urlscan Pro
204.2.133.115
Public Scan
URL:
https://www.eyeconic.com/?utm_medium=email&utm_source=vcessential&utm_campaign=Vc_Em_T3b_M_0_Gen_0_0_0_0_0_0&...
Submission: On August 31 via api from US — Scanned from DE
Submission: On August 31 via api from US — Scanned from DE
Form analysis 10 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="{"test":100}" data-dlg-options="{"width":700,"height":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="1818465622">
</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>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"> </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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dwc5ae8d82/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dwc5ae8d82/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&client_id=demandware&scope=auth_member%20openid%20profile&state=&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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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.b12/on/demandware.static/Sites-eyeconic-Site/-/default/dw6650db61/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>
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WELCOME, CIGNA VISION MEMBER!
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