What Are the Largest Vision Insurance Companies?
VSP is the biggest vision insurance company in America. About two-thirds of people with a stand-alone vision insurance plan have VSP.
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Largest vision insurance companies
What are the biggest vision insurance companies?
VSP is the largest vision insurance company in the country by far.
About two-thirds of people with a stand-alone vision insurance plan have VSP. Only 18% have coverage from the second-largest company, Blue Cross Blue Shield.
Largest health insurance companiesVision insurance pays for things like yearly eye exams, contacts and glasses. If you have a medical issue with your eyes, like glaucoma or cataracts, your health insurance plan usually covers it. Vision plans are a type of secondary insurance that gives you coverage beyond what health insurance offers.
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Largest vision insurance companies
Company | Enrollment | % of market | |
|---|---|---|---|
| VSP | 28.6 million | 67% | |
| BCBS | 7.6 million | 18% | |
| Humana | 1.8 million | 4% | |
| Delta Dental | 1.8 million | 4% | |
| United Healthcare | 782,527 | 2% |
Source: S&P Capital IQ Pro. Top 10 insurance companies by enrollment in vision-only insurance plans as of 2024.
EyeMed is also a common vision insurance option. But the plans that you buy from EyeMed are actually from Fidelity Security Life Insurance Company and Fidelity Security Life Insurance Company of New York. The company also sells plans by partnering with other insurance companies, like Aetna and Delta Dental.
Some health insurance plans include vision coverage, which means you don't need a separate vision insurance plan. Check with your insurance company before you shop or buy a plan. And remember that children's vision coverage is always included in plans that you buy on HealthCare.gov.
If you need a separate vision insurance plan, you have to shop with an insurance company or agent. You can't buy stand-alone vision insurance on HealthCare.gov.
1. VSP
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Market share67%Percentage of total vision insurance enrollment in 2024
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Enrollment28.6 millionVision insurance enrollment in 2024
2. Blue Cross Blue Shield
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Market share18%Percentage of total vision insurance enrollment in 2024
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Enrollment7.6 millionVision insurance enrollment in 2024
3. Humana
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Market share4%Percentage of total vision insurance enrollment in 2024
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Enrollment1.8 millionVision insurance enrollment in 2024
4. Delta Dental
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Market share4%Percentage of total vision insurance enrollment in 2024
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Enrollment1.8 millionVision insurance enrollment in 2024
5. UnitedHealthcare
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Market share2%Percentage of total vision insurance enrollment in 2024
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Enrollment782,527Vision insurance enrollment in 2024
Most vision insurance plans give you discounts for Lasik or corrective eye surgery on top of the benefits for eye exams and eyewear.
Largest vision insurance companies by state
VSP is the largest vision insurance company in 40 states and Washington, D.C.
Either Elevance (Anthem) or another Blue Cross Blue Shield company is the biggest in six states. Delta Dental is the largest in Arkansas and Wisconsin. UnitedHealthcare sells 100% of the vision insurance plans in Hawaii, and Humana is the biggest in West Virginia.
State | Company | Enrollment | % of market |
|---|---|---|---|
| Alabama | VSP | 518,588 | 77% |
| Alaska | VSP | 38,195 | 79% |
| Arizona | VSP | 527,723 | 44% |
| Arkansas | Delta Dental | 167,707 | 68% |
| California | Elevance (Anthem BCBS) | 645,171 | 79% |
Source: S&P Capital IQ Pro. Market share based on the number of policyholders with vision-only insurance plans as of 2024.
Frequently asked questions
What is the best vision insurance?
The best vision insurance depends on what options you have and what coverage you need. If you have coverage from your job, you might not have a choice in what features and benefits you have. If you're shopping for just yourself, compare a few plans in your area. Blue Cross Blue Shield, VSP, Humana and EyeMed are among the best options. Think about what kind of eyewear you need, whether you need more than one vision exam each year and what your monthly budget is.
What is the difference between VSP and EyeMed?
VSP and EyeMed are two different companies. The biggest difference between the two is where you can use the plans. With VSP, you can get eye exams and glasses or contacts at certain eye doctors, Walmart, Costco, Sam's Club or Visionworks. With EyeMed, you can go to in-network eye doctors, Target Optical or LensCrafters. You might have more options with either plan depending on where you live.
Why is vision insurance important?
Vision insurance helps you pay for trips to the eye doctor, even if you don't need glasses or contacts. But having a plan is especially important if you have bad vision, since glasses and contacts can be expensive. A plan can help you pay for your annual eye exam and your vision correction.
Methodology and sources
Info about the market share and enrollment of vision insurance companies is from S&P Global Market Intelligence platform. ValuePenguin looked at vision-only insurance plans across 50 states and Washington, D.C. All subsidiaries were rolled into their parent companies for ease of reporting. All market share percentages and enrollment numbers are for 2024.
Other sources include the VSP, Blue Cross Blue Shield, Humana, Delta Dental and UnitedHealthcare websites.
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