Will OHIP cover the cost of my eye examination?

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One annual eye examination is insured under OHIP for the following age groups:

• Children age 19 and under

• Adults age 65+

• Adults age 20-64 for certain eye and systemic health conditions: Please check with your optometrist to see if you qualify

Additional follow-up and progress visits may be OHIP insured for the above categories; however, costs for additional diagnostic testing and/or treatments are not OHIP covered.

Here is a list of some optometic services NOT covered by OHIP:

• Additional comprehensive eye exams during the same year of an OHIP-covered exam.

• Eye examinations that are required by potential employers or other third parties

• Contact lens fitting exams and progress checks

• Retinal imaging (such as retinal photography, ocular coherence tomography, Heidelberg retinal tomography, etc)

• Laser refractive surgery co-management (pre- and post-operative) visits

• Treatments, such as :

  • Eyeglasses or contact lenses

  • In-office dry eye treatments

  • Vision Therapy (Eye co-ordination exercises)

  • Medications to manage diseases of the eye and surrounding tissues.

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Will my private health insurance plan cover the cost of my eye examination?

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Routine eye examinations are no longer OHIP insured between the age of 20-64; however, many private health insurance plans will offer coverage for optometry services. Please check with your insurance provider regarding your plan coverage.

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