Sabroe Enterprise Eyewear Online

Vision Insurance & Coverage Guide

We accept Medicaid, Medicare Part B, VSP, EyeMed, and most major vision insurance plans. Many of our frames are fully covered — you may pay $0 out of pocket.

4+

Insurance Plans Accepted

$0 out-of-pocket

Frames from

12+

Insurance-Eligible Frames

200M+

Members Covered

Accepted Insurance Plans

Medicaid

Government

Medicaid provides comprehensive vision benefits for eligible low-income individuals and families. Coverage varies by state but typically includes annual eye exams and one pair of prescription glasses per year.

What's Covered

  • Annual comprehensive eye exam
  • One pair of prescription eyeglass frames
  • Prescription lenses (single vision, bifocal, or trifocal)
  • Contact lenses when medically necessary
  • Low-vision aids for qualifying conditions

Limitations

  • !Frame selection limited to approved Medicaid frames
  • !Coverage varies significantly by state
  • !May require prior authorization for certain services
  • !Contact lenses typically only covered if glasses are medically contraindicated

Eligibility

U.S. citizens and qualifying non-citizens with income below 138% of the federal poverty level. Children under 19 may qualify through CHIP regardless of income.

How to Use at Checkout

Select frames marked 'Insurance Eligible' in our shop. At checkout, choose 'Medicaid' as your payment method and enter your Medicaid ID. We will verify your benefits and bill Medicaid directly.

Medicare Part B

Government

Medicare Part B covers medically necessary vision services. While routine eye exams and glasses are generally not covered, Medicare does cover exams and glasses after cataract surgery, and annual exams for diabetics and those at high risk for glaucoma.

What's Covered

  • One pair of eyeglasses or contact lenses after cataract surgery
  • Annual dilated eye exam for diabetics (diabetes-related eye disease)
  • Annual glaucoma screening for high-risk individuals
  • Treatment for macular degeneration (AMD injections, laser therapy)
  • Low-vision rehabilitation services

Limitations

  • !Routine eye exams NOT covered under standard Medicare
  • !Standard prescription glasses NOT covered unless post-cataract surgery
  • !20% coinsurance after deductible for covered services
  • !Must use Medicare-enrolled providers

Eligibility

U.S. citizens and permanent residents age 65 and older, or those under 65 with certain disabilities or End-Stage Renal Disease (ESRD).

How to Use at Checkout

If you qualify for post-cataract or diabetic eye care coverage, contact us with your Medicare ID and we will verify your benefits. We accept Medicare assignment for covered services.

VSP Vision Care

Private Insurance

VSP (Vision Service Plan) is the largest not-for-profit vision benefits company in the U.S., covering over 88 million members. VSP plans typically include annual eye exams and generous allowances for frames and lenses.

What's Covered

  • Annual comprehensive eye exam (usually $0 copay)
  • Frame allowance: $150–$250 depending on plan
  • Lens options: single vision, bifocal, trifocal, progressive
  • Lens enhancements: anti-reflective, scratch-resistant, UV coating
  • Contact lens allowance: $130–$200 per year
  • 20–40% discount on additional pairs

Limitations

  • !Must use VSP network providers for maximum benefits
  • !Out-of-network benefits are lower
  • !Frame allowance may not cover premium designer frames fully
  • !Progressive lenses may require additional copay

Eligibility

Available through employer benefits, individual plans, and Medicare Advantage plans. Contact your HR department or visit VSP.com to check coverage.

How to Use at Checkout

Enter your VSP member ID at checkout. We are a VSP Premier Program provider. Your frame allowance and lens benefits will be applied automatically, and you only pay any remaining balance.

EyeMed Vision Care

Private Insurance

EyeMed is one of the nation's largest vision benefits companies, serving over 70 million members through employer-sponsored and individual plans. EyeMed offers competitive allowances and a large network of providers.

What's Covered

  • Annual eye exam (typically $10–$20 copay)
  • Frame allowance: $130–$200 depending on plan tier
  • Lenses: single vision, bifocal, trifocal, progressive
  • Lens enhancements covered at discounted rates
  • Contact lens allowance: $130–$200 per year
  • Discounts on LASIK/PRK laser vision correction

Limitations

  • !Network tiers affect benefit levels (Access, Select, Insight)
  • !Out-of-network reimbursement is lower than in-network
  • !Some premium lens options require additional out-of-pocket payment
  • !Benefits typically reset annually on January 1

Eligibility

Available through employer benefits, Medicaid managed care plans, and individual/family plans. Check EyeMed.com or your insurance card for plan details.

How to Use at Checkout

Provide your EyeMed member ID at checkout. We will verify your benefits in real time and apply your allowances. You pay only the difference above your covered amount.

Frequently Asked Questions

How do I know if my frames are covered?

All frames marked with the green shield icon in our shop are eligible for insurance coverage including Medicaid, Medicare (where applicable), VSP, and EyeMed. Budget frames from the Sabroe Value line are always insurance-eligible.

Can I use my VisionCheck test results as my prescription?

VisionCheck provides a preliminary vision assessment to help you understand your eye health. For purchasing prescription lenses, you will need a formal prescription from a licensed optometrist or ophthalmologist. We recommend booking an eye exam if our test suggests you may need corrective lenses.

What if my insurance doesn't cover the full cost?

You pay only the difference above your covered amount. We also offer flexible payment options including Stripe and PayPal. Our Sabroe Value line starts at just $19, making quality eyewear accessible even without full coverage.

How do I submit an out-of-network claim?

We provide itemized receipts for all purchases that you can submit to your insurance provider for out-of-network reimbursement. Contact your insurance company for their out-of-network claim form and submission instructions.

Does Medicaid cover children's glasses?

Yes. Under EPSDT (Early and Periodic Screening, Diagnostic, and Treatment), Medicaid is required to cover vision services for children under 21, including eye exams and corrective lenses. Our Kids Flex frames are specifically designed to be Medicaid-eligible.

Ready to Use Your Benefits?

Browse our insurance-eligible frames and use your Medicaid, Medicare, VSP, or EyeMed benefits at checkout. Many customers pay $0 out of pocket.

Insurance coverage information is provided for general guidance only and may vary by plan, state, and individual eligibility. Contact your insurance provider to verify your specific benefits before purchasing. Sabroe Enterprise Eyewear Online is not affiliated with Medicaid, Medicare, VSP, or EyeMed.