Patient Eligibility - California Optometric Association
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Patient Eligibility


To be eligible for the program, you must submit an application with a $10 non-refundable administrative fee (PER PERSON). Cash or money order only. And you must meet the following criteria to qualify for a free eye exam and glasses:

Qualifications:
Individuals must meet the following criteria to qualify for a free eye exam and glasses:

  • Applicants household is low-income and are unable to pay for eye care. (based on household's annual gross income)
  • The individual(s) applying cannot have any government or private insurance (including Medi-Cal, Covered California or Medicare) that covers eye exams.
  • It has been at least 2 years since your last eye exam.

Are you considered low income? 

Household
Size

Annual

Monthly Twice-
Monthly
Bi-
Weekly
Weekly
1 $22,311 $1,860 $930 $859 $430
2 $30,044 $2,504 $1,252 $1,156 $578
3 $37,777 $3,149 $1,575 $1,453 $727
4 $45,510 $3,793 $1,897 $1,751 $876
5 $53,243 $4,437 $2,219 $2,048 $1,024
6 $60,976 $5,082 $2,541 $2,346 $1,173
7 $68,709 $5,726 $2,863 $2,643 $1,322
8 $76,442 $6,371 $3,186 $2,941 $1,471
For Each
Additional Family
Member Add:
+$7,733 +$645 +$323 +$298 +$149

(Effective from July 1, 2017 to June 30, 2018) (Revised 07/01/2017)

Source: www.fns.usda.gov

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