Who and What is Covered under OHIP
Generally, eligible Ontario Health Insurance Plan (OHIP) holders are provided the following coverage:
Children aged 0 to 19 years
One full eye examination annually.
Adults aged 20 to 64 years
OHIP does not insure eye exams, unless the patient has certain medical conditions such as diabetes mellitus, glaucoma, cataract, retinal disease, amblyopia, visual field defects, corneal disease or strabismus, in which case, one full eye examination annually is covered
Seniors aged 65 and above
One full eye examination annually
The following optometric services are NOT covered by OHIP:
- Additional full eye examinations or second opinions within the periods listed above
- Eye examinations that are required by potential employers or other third parties (eg. Ministry of Transportation and associated reporting forms)
- Contact Lens Progress Checks
- Laser Refractive Surgery management (pre and post-operative) visits
- Recommended Treatments such as eyeglasses, contact lenses, low vision aids, eye co-ordination exercises, eye medications
For further information, or to check eligibility, please call our office at (807) 221-2020.
How often should I get an eye examination?
Unfortunately, many ocular conditions are not always accompanied by symptoms. There is often an increased risk to the patient if treatment is not initiated soon enough. As such, periodic optometric examinations are imperative.
The Canadian Association of Optometrists (CAO) recommends the following:
Birth to 24 months
Infants and toddlers should undergo their first eye examination between the ages of 6 and 9 months.
2 to 5 years
Preschool children should undergo at least one eye examination between the ages of 2 and 5 years.
6 to 19 years
School children should undergo an eye exam annually.
20 to 39 years
Young adults should undergo an eye examination every 2 to 3 years
40 to 64 years
Adults should undergo an eye examination every 2 years
65 years or older
Older adults should undergo an eye examination annually