Eye health and opticians
Who gets a free NHS eye test? Eligibility explained
Free NHS sight tests are available to people in set groups, including under 16s, people aged 60 or over, people with diabetes or glaucoma, and people receiving certain benefits or holding a valid low-income certificate. Optical vouchers towards glasses or contact lenses have a narrower list. This guide sets out the groups described on the NHS website and what to do if you paid and think you qualified.
Last checked: 2026-10-10 · Voucher values and penalty amount as stated on the NHS website page (last reviewed July 2023); check current figures
Key facts
At a glance.
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Age groups
You are entitled if you are under 16, aged 16 to 18 in full-time education, or 60 or over.
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Medical groups
You are entitled if you have been diagnosed with diabetes or glaucoma, are registered as partially sighted or blind, or are at risk of glaucoma as advised by an eye doctor.
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Family history
People aged 40 or over whose mother, father, sibling or child has been diagnosed with glaucoma are entitled.
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Benefits and low income
You or your partner receiving Income-based Jobseeker's Allowance, Pension Credit Guarantee Credit or Universal Credit (and meeting the criteria) may entitle you, as may a valid HC2 certificate.
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Refunds
If you paid for a test but may have qualified, ask for a receipt and claim using the HC5(O) refund form together with the original receipt.
Who is entitled to a free NHS sight test
The NHS website sets out the groups who are entitled to a free NHS sight test. If you are not eligible for an NHS-funded test or an optical voucher, you have to cover the costs yourself. The main groups are listed here.
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Aged under 16.
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Aged 16, 17 or 18 and in full-time education, including being taught full-time at a school, college, university or at home.
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Aged 60 or over.
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Registered as partially sighted or blind.
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Diagnosed with diabetes or glaucoma.
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Aged 40 or over and your mother, father, sibling or child has been diagnosed with glaucoma.
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Advised by an ophthalmologist that you are at risk of glaucoma.
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A prisoner on leave from prison.
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Eligible for an NHS complex lens voucher.
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Entitled to, or named on, a valid NHS certificate for full help with health costs (HC2).
Benefits and the low income scheme
You are also entitled if you or your partner, including a civil partner, receive Income-based Jobseeker's Allowance, Pension Credit Guarantee Credit or Universal Credit and meet the criteria. The same applies if you are under the age of 20 and the dependant of someone receiving one of those. The NHS notes that people named on an HC3 certificate, which gives partial help with health costs, may get help with the cost of a private sight test.
The NHS page points readers to the NHS Low Income Scheme for more information about help with health costs.
Optical vouchers for glasses and contact lenses
A free test is not the same as a voucher towards glasses. The NHS lists a narrower group for optical vouchers: people under 16, those aged 16 to 18 in full-time education, prisoners on leave, people eligible for an NHS complex lens voucher, and people entitled to or named on an HC2 certificate, plus the benefit groups above. People aged 60 or over and people with diabetes or glaucoma are entitled to the free test but are not automatically entitled to a voucher on those grounds alone.
Complex lens vouchers are for lenses of -10 or +10 dioptres or stronger, or prism-controlled bifocal lenses, and are available only to people who meet the clinical criteria and are not eligible for one of the main vouchers. The NHS page gave the contribution as £15.81 for single vision lenses and £40.57 for bifocal lenses at the time it was last reviewed, so check the current values.
| Group | Free NHS sight test | Optical voucher |
|---|---|---|
| Under 16 | Yes | Yes |
| 16 to 18 in full-time education | Yes | Yes |
| 60 or over | Yes | Not on age alone |
| Diagnosed with diabetes or glaucoma | Yes | Not on that basis alone |
| Registered partially sighted or blind | Yes | Not on that basis alone |
| Valid HC2 certificate | Yes | Yes |
| Qualifying benefits (partner or dependant rules apply) | Yes | Yes |
Sight tests at home or in a care setting
If you are eligible for a free NHS sight test you may also be entitled to a mobile sight test, where an optometrist visits you. The NHS lists three situations: at home if you are unable to leave home unaccompanied because of physical or mental illness or disability, at a residential or care home if you are a resident and cannot leave unaccompanied, and at a day centre if you cannot get a test at an optician's practice because of illness or disability or have difficulties communicating your health needs unaided.
If you paid and think you qualified
The NHS says to ask the optometrist for a receipt that shows you paid and the date of payment. You then download, print and return an HC5(O) refund form with your original receipt to the address on the form. For glasses or contact lenses, you also include your optical prescription. The maximum refund is the voucher value that matches your prescription, and you cannot claim the difference between a voucher and the actual cost, unless it was a complex lens voucher.
You must check that you are entitled before signing any declaration. The NHS warns that a false claim can lead to paying the cost of the test and the voucher value plus a penalty charge of up to £100.
How often a free test is available
Another NHS page says an eligible person can have a free test every 2 years, and possibly more often if the practitioner or optometrist recommends it. The NHS also notes that a free test is only for tests considered clinically necessary. The frequency guide linked below covers when to ask for an earlier test.
The pages used for this guide are published on the NHS website. If you live in Scotland, Wales or Northern Ireland, check with your own national NHS service for the rules that apply to you.
Frequently asked
Questions people ask.
Quick, plain-English answers to the questions we hear most.
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Is everyone over 60 entitled to a free eye test?
Yes, according to the NHS website, people aged 60 or over are entitled to a free NHS sight test. That does not automatically entitle them to an optical voucher for glasses.
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Do people with diabetes get free eye tests?
Yes. The NHS lists people diagnosed with diabetes or glaucoma as entitled to a free NHS sight test.
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What if a relative has glaucoma?
If you are 40 or over and your mother, father, sibling or child has been diagnosed with glaucoma, you are entitled to a free NHS sight test.
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Does a free test include glasses?
No. A free sight test and an optical voucher are separate. The voucher group is narrower, and the voucher value depends on your prescription.
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What is the complex lens voucher?
It is a contribution for lenses of -10 or +10 dioptres or stronger, or prism-controlled bifocal lenses. It is only for people who meet the clinical criteria and do not qualify for a main voucher.
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Can I get a refund if I paid for a test?
If you qualify, you can claim with an HC5(O) form and your original receipt. The NHS suggests asking the optometrist for a receipt showing that you paid and the date.
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What if I cannot leave the house?
If you are eligible for a free sight test you may also be entitled to a mobile test at home, in a care home or at a day centre when illness or disability prevents you from reaching a practice.
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What happens if I claim wrongly?
You might have to pay the cost of the test and the voucher value, plus a penalty charge of up to £100, according to the NHS. Check before signing a declaration.
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Are the rules the same across the UK?
This guide is based on pages on the NHS website. If you live in Scotland, Wales or Northern Ireland, check your own national NHS service for the rules that apply there.
Where this comes from
Sources and checking.
This guide is for information, not medical advice.
Your GP or consultant knows your history and can tell you which parts apply to you. If your symptoms are severe, rapidly worsening, or come with red-flag features, seek urgent medical care. Figures and availability change, so treat them as a guide and confirm with the provider.
Published 2026-10-10, next review 2027-10-10.
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NHS: Free NHS eye tests and optical vouchers, https://www.nhs.uk/nhs-services/opticians/free-nhs-eye-tests-and-optical-vouchers/ , retrieved October 2026
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NHS: How often can I have a free NHS sight test?, https://www.nhs.uk/nhs-services/opticians/how-often-can-i-have-a-free-nhs-eye-test/ , retrieved October 2026
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