101 Whitney Ave. Ste.

301 PREVENT BLINDNESS TRI-STATE is an affiliate of PREVENT BLINDNESS AMERICA the nation's , leading non-profit eye health and safety organization dedicated to fighting blindness and saving sight. Founded in 1908, PREVENT BLINDNESS AMERICA and its nationwide network of affiliates and divisions serve millions of people each year through public and professional education, community and patient services programs and research. For more information on vision, eye health and safety, visit our website. www.preventblindnesstristate.org

Vision Service Plan (VSP), a national healthcare leader in the area of eye care services, is partnering with Prevent Blindness America to provide eye exams and eyeglasses for uninsured or underinsured children throughout the nation.

New Haven, CT 06510 (800) 850-2020 FAX (203) 772-4691 www.preventblindnesstristate.org

Voucher Program
Administered by

Vision Service Plan (VSP) is the nations oldest and largest managed vision care plan offering services through a network of private practice providers (both optometrists and ophthalmologists) that offer quality eye care services. There are more than 20,000 VSP doctors located in all 50 states and Puerto Rico. For more information on VSP check out their website at www.vsp.com. This program is available only to students who meet The Eligibility Requirements. Applications are accessible online at our website www.preventblindnesstristate.org or call our office at 800-850-2020.

Eligibility Requirements

Share the vision

Sight for Students is a program founded by Vision Service Plan (VSP). The program provides vision exams and glasses to uninsured children across the country.

Family income is no more than 200% of poverty level (see chart below) Child is not enrolled in Medicaid and does not have any vision insurance Child is 18 years old or younger, and is still attending school Child or parent is a U.S. citizen or

documented immigrant with a social security number Child has not used our program during the last 12 months.

200% OF FEDERAL POVERTY GUIDELINES (2011) Size of Family Unit Household Income 1 $21,780 2 $29,420 3 $37,060 4 $44,700 5 $52,340 6 $59,980 7 $67,620 8 $75,260 *Each additional person, add: $7,640