Starting September 1, 2023, there are some changes to how OHIP covers eye exams in Ontario.
A patient aged 19 years and younger continues to be eligible for an OHIP-insured comprehensive eye examination once per year from an optometrist. Children are also eligible for OHIP-insured “partial examinations” in between regular check-ups for a specific eye or vision problem. For example, a visit to the optometrist to diagnose and treat an eye infection is covered under OHIP for this age group.
A patient aged 20 to 64 with one or more potentially sight-threatening conditions is eligible for an OHIP-insured comprehensive eye examination by an optometrist.
A patient aged 65 and over with one or more potentially sight-threatening conditions is eligible for an OHIP-insured comprehensive eye examination once every 12 months from an optometrist.
A patient aged 65 and over without potentially sight-threatening conditions is eligible for an OHIP-insured comprehensive eye examination once every 18 months from an optometrist.
Please speak to our helpful staff to determine if you have one of these conditions.