Vision Care Financial Assistance Programs

Children’s Vision Voucher Application and Criteria

Children’s Vision Care Voucher Programs

As of 6/20/2024, VSP has notified our organization that the VSP Eyes of Hope Voucher Program is currently on pause. Please note that Prevent Blindness Wisconsin offers a variety of other vision care resources, and support may still be available based on your needs.

For additional questions please contact: [email protected].

English Criteria Documents:

2026 Adult and Children Vision Care Voucher Program Criteria

Translated Criteria Documents:

Spanish Adult and Children Vision Care Voucher Program Criteria

 

Children’s Vision Voucher Application

If you think you meet the voucher criteria above, please complete the following application.

Children's Vision Voucher Application

Applicant Information:



















*If your child has BadgerCare and needs an eye exam call 1-800-362-3002. 
I attest that the above information is true to the best of my knowledge. I understand that if I provide incomplete or incorrect information I may be required to pay for the vision care services my child receives and my child may be declined service.
To be completed by school/agency staff if applying through an school/agency. 


Contact Information

We strongly recommend submitting an application through our online portal. If you are unable to do so or need assistance, please contact us for support.

If you have any questions please email, [email protected].

Translated Applications:

Children’s Voucher Application-Spanish

If your child is on BadgerCare they can receive an eye exam and glasses annually. Please call the number on the back of your child’s health care card to find a vision care provider or you can look up your child’s HMO contact number in the link below.

Medicaid HMO Advocates Contact Information