OHIP Coverage of Vision Care

As of November 1st, 2004, routine eye examinations provided by either an optometrist or physician, for patients aged 20 to 64 are no longer covered by OHIP.

Children aged 0 to 19 years

One full eye examination annually.

Adults aged 20 to 64 years

One full eye examination annually for people with certain medical conditions. Check with your optometrist for details.

Patients age 20 to 64 years who are in receipt of benefits under either the Ontario Disability Support Program Act, 1997, the Ontario Works Act, 1997 or the Family Benefits Program are eligible once every 24 months to receive a periodic oculo-visual assessment service provided by an optometrist or physician.

Seniors aged 65 and above

One full eye examination annually.

Changes do not affect ophthalmology or specialist services for patients of any age with medical conditions or diseases affecting the eyes (cataract, glaucoma, macular degeneration...etc), but they are by referral only and require a letter of referral from your optometrist.

Patients may be covered by their own insurance plans. Please contact your Benefits Provider to inquire. Below are some frequently used plans:

For further information, please review OHIP Coverage for Eye Care Services from the Ontario Ministry of Health and Longterm Care.