As of November 1st 2004, changes were made to the eye care coverage by the Ontario government:
Children (aged 0 to 19 years)
- covered for a full eye exam once every 12 months
Adults (aged 20 – 64 years)
- No OHIP coverage (some medical exceptions coverage on doctor’s referral)
Seniors (aged 65 years and older)
- covered for a full eye exam once every 12 months
Medical Exceptions
- People with certain medical conditions like diabetes, glaucoma, retinal disease, amblyopia, visual field defects, cataract, strabismus, corneal disease etc are also covered for a full eye exam every 12 months.
Eye examination fee is charged for patients or services not covered by OHIP.
Patient may be covered by their own insurance plan. For more information please contact your benefits provider. Please find below a few of the providers:
- Great West Life
Phone: 1-800-461-6090 or 1-800-665-2648 - ManuLife and Maritime Life
1-800-268-6195 - Sun Life
1-800-361-6212 or 1-800-361-2128 X2693 - Clarica
1-888-864-5463 - Green Shield
1-888-711-1119 - Blue Cross
1-800-234-8881 or (416) 626-1688
