Vision Care Financial Assistance Programs

Adult Vision Voucher Applications and Criteria

Adult Vision Care Voucher Programs

Voucher Application Update

As of 6/20/2024 VSP has notified our organization that they have paused the VSP Eyes of Hope Voucher Program and we will not be accepting new requests for applications. Previously approved individuals will be able to redeem their vouchers for an eye exam and glasses.

Please contact our staff with any questions or concerns: (414)-765-0505.

We are sorry for the impact this will have on the Wisconsinites we serve. As soon as we are notified that the applications are open, the online form will be reopened.

This pause does not affect the OneSight OnSight Voucher Program. If you would like to email, mail, or fax in an application it can be downloaded below.

To email this application please email N[email protected] or fax (414)-765-0377.

Criteria for Voucher Programs

  1. VSP Eyes of Hope: Eyes of Hope is a program that is available to assist adults with the cost of an eye exam and glasses if needed. To qualify the following criteria must be met.
    • Family income is at or below 200% of poverty level
    • Is not covered by Medicaid or any other vision insurance
    • Has not used a voucher during the last 12 months
  2. OneSight OnSite Program: OneSight OnSite Program is a program available to children and adults and covers the cost of eye glasses only. To qualify, the following criteria must be met.
    • Family income is at 200% of the current Federal Poverty Guidelines
    • Have a valid eyeglass prescription that is less than 12 months old
    • Do not have any other eyeglass benefits they can access
    • Have not previously participated in this program in the last 12 months

    **Can only be used at Lens Crafters, Target Optical or Pearle Vision

Translated Voucher Criteria:

Adult Spanish Voucher Information

Hmong-Adult Voucher Information

If you think you meet the voucher criteria above, please complete the following application. We have a digital or paper version.

To submit a paper version, print the document, fill out the form and either mail it to our office: 731 N Jackson St, Suite 405, Milwaukee, WI 53202. To send it via email please send it to [email protected].

For additional questions or concerns please call our office at 414-765-0505.

Online Application-English Only

Spanish Adult Voucher Application

Adult Hmong Voucher Application