OHIP coverage of optometric services has changed as of November 1st, 2004:
• Children up to age 19 may have one full eye exam every year • Adults ages 20-64 are not covered for any eye exams unless they have a specified medical condition such as diabetes or glaucoma • Seniors ages 65 and over may have one full eye exam every year
Certain services such as any contact lens related testing and retinal imaging, as well as costs for glasses and contact lenses, are not covered by OHIP, regardless of age.
Other government programs, such as Ontario Works, ODSP, First Nations and Inuit Health, Blue Cross and Veteran’s Affairs, also provide optometric coverage for eye examinations and glasses. Please speak with your worker or representative if you are eligible for benefits under one of these programs.
Private Health Insurance
You may have coverage for optometric fees and glasses or contact lenses through your private insurance provider. We are now able to directly bill most insurance companies on your behalf. Please bring your insurance information to your appointment. Due to privacy legislation, we cannot contact your insurance provider on your behalf. Please contact them directly for further information.
We now direct bill to the following Insurance Companies:
* We can submit to these insurance companies on your behalf, but we are unable to bill directly.