How to get a glasses prescription in the US

A Step-by-Step Guide

Getting an eye prescription in the US may feel different from other countries, where optical shops often provide quick, walk-in exams. In the US, the process involves licensed optometrists, appointments, and different cost structures.

If you’re looking to update your prescription, here’s how the system works, where to go, and what to expect.

Step 1: Do You Need a New Prescription?

Your prescription may need an update if:
✔️ Your vision has changed
✔️ Your current prescription is more than 1-2 years old
✔️ You’re experiencing eye strain, headaches, or blurred vision

Unlike some countries where prescriptions don’t expire, in the US, they are typically valid for:
🟡 Glasses: 1-2 years
🟡 Contact lenses: 1 year

If your prescription has expired, you’ll need a new eye exam before purchasing glasses or contacts.

Step 2: Where to Get an Eye Exam in the US

In the US, eye exams are done by licensed optometrists, not optical shop employees. You can get an exam at:

1. Optical Chains (Most Convenient & Affordable Option)

🟡 Examples: LensCrafters, Visionworks, Walmart Vision Center, America’s Best
🟡 Cost: $50 – $100 (often lower if you buy glasses there)
🟡 Best for: Quick, affordable prescriptions

These locations do not require insurance and often provide same-day eye exams.

2. Private Optometrists (For More Personalized Care)

🟡 Where to find: Search for “optometrist near me” or visit private clinics
🟡 Cost: $100 – $250 (varies by location)
🟡 Best for: Those needing a detailed eye health check

Private optometrists take more time to fine-tune your prescription and check for eye conditions like glaucoma or cataracts.

3. Wholesale Clubs (Best for Savings – Costco, Sam’s Club)

🟡 Cost: $60 – $100
🟡 Best for: Cost-conscious shoppers who want a discounted exam & glasses

At Costco Optical, you don’t always need a membership for an exam, but you do for purchasing glasses.

4. Online Eye Exams (For Convenience, But Limited Use)

🟡 Examples: Warby Parker, 1-800 Contacts, Visibly
🟡 Cost: $25 – $50
🟡 Best for: Minor prescription updates if you already have a valid prescription

These exams cannot detect eye diseases and may not be accepted in some states.

Step 3: What to Expect During a US Eye Exam

Eye exams in the US are more structured compared to some other countries. Here’s what happens:

✔️ Step 1: Vision screening with an automated refraction machine
✔️ Step 2: Manual lens testing (“Which is better, 1 or 2?”) to refine accuracy
✔️ Step 3: Optional eye health checks (glaucoma, retinal imaging)
✔️ Step 4: You receive a written prescription, valid for 1-2 years

If you have astigmatism or need high-index lenses, your optometrist may take extra measurements.

Step 4: How Much Does an Eye Exam Cost in the US?

Unlike in some countries where eye exams are free at optical shops, in the US, you typically pay for your exam unless covered by insurance.

If You Pay Out-of-Pocket:

🟡 Walmart Vision Center: $50 – $75
🟡 America’s Best: $50+ (includes a discount on glasses)
🟡 Private Optometrist: $100 – $250

If You Have Vision Insurance:

Most vision insurance plans, like VSP or EyeMed, cover one eye exam per year and may provide discounts on glasses and lenses.

🟡 Typical Insurance Copay for Eye Exams: $10 – $50
🟡 Discount on Glasses & Contacts: Often 10-50% off, depending on your plan

If You Have Vision Insurance:

Most vision insurance plans, like VSP or EyeMed, cover one eye exam per year and may provide discounts on glasses and lenses.

Step 5: Getting Your Prescription & Buying Glasses

Once you receive your prescription, you can buy glasses:

✔️ At an optical store (LensCrafters, Costco, Warby Parker)
✔️ Online at NextPair, Zenni, or other eyewear retailers

🟡 Tip: If you have a low nose bridge and high cheekbones, choose Asian fit frames for better comfort!

Common Questions About Eye Exams in the US

1. Do I need an appointment for an eye exam?

Most clinics require appointments, but optical chains like Walmart and Costco accept walk-ins.

2. Can I use an old prescription?

If your prescription is over 2 years old, you’ll likely need a new exam before buying glasses.

3. Can I get an eye exam for free?

Unlike some countries, free exams are rare in the US. However, some optical stores discount the exam cost if you buy glasses from them.

4. How long does it take to get my prescription?

Most optical shops provide same-day prescriptions, while private optometrists may take a few days.

5. Can I use vision insurance?

🟡 If you have vision insurance, check if your plan covers:
✔️ Frame allowance (e.g., $150 towards frames)
✔️ Lens coverage (standard lenses often covered; premium lenses may cost extra)
✔️ Contact lens benefits

Final Tips for Getting an Eye Prescription in the US

✔️ If you’re unsure where to go, check reviews before choosing an optometrist
✔️ Compare costs—some places offer discounts if you buy glasses after your exam
✔️ Choose Asian fit frames for a better fit if you have a low nose bridge
✔️ Check your vision insurance benefits to save money on your exam and glasses

👓 Now that you know how the US eye exam process works, you’re ready to get your prescription and find the perfect eyewear!