Eye Exam Coverage FAQ

Q.    What ages are still covered by OHIP for an eye examination?

A.    OHIP covers one full eye examination per year for people of ages 19 and under, and 65 and over. The one year period commences from the date of the most recent previous full eye examination that was covered by OHIP. For people between the ages of 20 and 64, the eye examination is no longer covered by OHIP.

Q.    How much does the eye examination cost?

A.    The fee for the full eye examination is $120.00 at our downtown Toronto office.

Q.    Will my private insurance reimburse me if I have to pay for my eye exam?

A.    In many cases, private insurance may provide coverage for the eye examination and may reimburse the examination fee.

Q.    If I am between the ages of 20 and 64, is the eye examination covered by OHIP if I have cataracts, glaucoma or diabetes?

A.    Yes. If you have cataracts, diabetes or glaucoma (or corneal disease, or amblyopia), then your full eye examination as well as any clinically necessary follow-up examinations will be covered under OHIP. In some cases, you may be required to provide a certificate issued by your family doctor or a physician in order to qualify for OHIP coverage.