OHIP Coverage for Eye Care Services
Effective November 1, 2004
Routine eye examinations provided by either an optometrist or physician, for patients aged 20 to 64 are no longer covered by OHIP. These individuals pay for this service or have the cost of examinations covered by private insurance.
Eye Care Services Covered
Changes do not affect seniors or those under age 20. People 65 years and older and under 20 will continue to have OHIP coverage for an eye examination once every 12 months
Changes do not affect ophthalmology services for patients of any age with medical conditions or diseases affecting the eyes
Persons receiving assistance under the Ontario Disability Support Program, Ontario Works or the Family Benefits Program continue to receive coverage for routine eye examinations once every two years