Payer Overview
VISION BENEFITS GRP Market Analysis: Market Share and Coverage by State
Vision Benefits Grp is a regional vision-focused payer with a concentrated presence in a small set of states. Its footprint supports targeted provider contracting and localized network strategies.
Payer Overview
Vision Benefits Grp is a specialized health insurance payer focused on vision benefits across a modest but concentrated footprint. The company ranks as the #214 largest US A&H payer by reported premium and writes $38.8M in the US market, representing a 0% US market share and operating across 7 states + DC. The organization serves an estimated 5.2K members and operates through 2 affiliated subsidiaries.
Vision Benefits Grp's largest premium presence is regional rather than national, with its highest state concentration in Delaware and Pennsylvania. The payer does not hold a #1 position in any state. Its concentrated membership and premium profile suggest focused contracting priorities and targeted network investments rather than broad national provider negotiations.
2 rows
| Subsidiary | Domicile |
|---|---|
| Vision Benefits of American Ii Inc | PA |
| Vision Benefits of American Inc | PA |
National Market Presence
National Market Footprint
| State | Market Share | Premium Written | Estimated Members |
|---|---|---|---|
| DE | 0.14% | $4.58M | 1.17K |
| MD | 0.00% | $204K | 42.0K |
| MO | 0.01% | $1.99M | 321K |
| NJ | 0.00% | $789K | 109K |
| PA | 0.04% | $31.1M |
Estimated Member Demographics
| Age Band | New Jersey | District Of Columbia | Missouri | Maryland | Pennsylvania | West Virginia | Delaware | National Total |
|---|---|---|---|---|---|---|---|---|
| Under 6 | 7 | 0 | 20 | 3 | 195 | 1 | 65 | 290 |
| 6–18 | 17 | 0 | 52 | 6 | 520 | 2 | 171 | 768 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.