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What does OHIP cover?

New OHIP Coverage for Eye Examinations As of November 1st, 2004 your Ontario Health Card coverage for full eye examinations has been changed. OHIP still insures eye exams for:

  • Children aged 0 to 19 years: One full eye examination annually (unchanged)
  • Seniors aged 65 years and above: One full eye examination annually (unchanged)

Coverage for medical necessity has been announced. Patients aged 20 to 64 years with the following, are still possibly insured by OHIP annually:

  • Diabetes
  • Glaucoma
  • Cataracts
  • Amblyopia (lazy eye)
  • Strabismus (crossed eye)
  • Retinal Disease
  • Corneal Disease
  • Visual Field Defects

Ocular emergencies like eye infections are usually not covered.

For more information, please visit The Ontario Ministry of Health and Long-Term Care Website

The cost of routine eye exams and prescription eyewear can be of real concern, especially for large families. In many cases, vision insurance can lower these annual expenses.

A vision insurance policy is not the same as health insurance. Regular health insurance plans protect you against financial losses due to unexpected eye injuries or disease. Vision insurance, on the other hand, is a wellness benefit designed to provide routine eye care, prescription eyewear and other vision-related services at a reduced cost.

Please contact us to discuss your insurance optons and to learn if the eye care you need is covered.