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OHIP coverage for optometry services:

  • Children 0 to 19 years old: An annual, full comprehensive eye examination plus any follow-up assessments that may be required.
  • Seniors aged 65 +: An annual, full comprehensive eye examination plus any follow-up assessments that may be required.
  • Adults aged 20 to 64 years: OHIP does not cover comprehensive eye examinations for this age group. These individuals have private insurance coverage or pay out-of-pocket. Some exceptions to OHIP coverage apply depending on the medical condition. Ask your optometrist if you qualify.

Some optometric 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
  • Contact lenses
  • Low vision aids
  • Vision Therapy (Eye co-ordination exercises)
  • Medications to manage diseases of the eye and surrounding tissues

 

     

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