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OHIP COVERAGE

OHIP (Ontario Health Insurance Plan) covers some optometric exams and services:

Ontario residents who are less than 19 years of age: one major eye exam for vision and general eye health every 12 months, plus any minor assessments needed.

Ontario residents who are 65 years of age and older: one major eye exam for vision and general eye health every 12 months, plus any minor assessments needed.

The patient must have a specific covered medical optical condition which requires monitoring. If diagnosed as qualified, a major eye exam every 12 months, and follow up attendance related to the condition will be covered.

Covered conditions are:

  • Diabetes mellitus
  • Glaucoma
  • Cataract
  • Retinal disease
  • Amblyopia
  • Visual field defects
  • Corneal disease
  • Strabismus
  • Recurrent uveitis
  • Optic pathway disease

Patients may be eligible for additional eye care under the Ontario Disability Support Program (ODSP) or Ontario Works (OW) program.

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