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Does OHIP Cover Eye Exams?

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View from behind a man's head as he sits in a chair and looks ahead. His eye doctor pointing to an eye chart on the wall.

We know that eye health is essential to you, and that’s why we’re here to answer the burning question on your mind: Does OHIP cover eye exams? As much as we all value our vision and want to take care of it, the cost of doctor visits can often add up. Many people wonder if their provincial insurance coverage in Ontario will help with those expenses. 

While OHIP does cover some aspects of eye care, it is vital to understand the limitations and seek out alternative options for those who do not qualify or have limited coverage. There is a common misconception that only children and seniors are covered for eye exams. However, in reality, certain conditions may qualify you for coverage. 

Eye Exams & OHIP Coverage

Taking care of your eyesight is important, and regular eye exams are the first step. However, we understand that there can be some confusion surrounding whether or not OHIP (Ontario Health Insurance Plan) covers the cost of these exams. 

What Is Covered?

If you depend on OHIP coverage for your eye exams, knowing what is and isn’t covered is essential. OHIP does cover some aspects of eye exams, but there are limits to what is covered. 

For example, if you’re under the age of 19 or over the age of 65, OHIP covers one full eye exam annually. If you have certain medical conditions or high-risk factors, OHIP may cover additional exams. 

Areas that are not covered may include:

  • Specific tests, such as visual field or refraction tests
  • Eye exams for people between 20 and 64
  • Contact lenses or prescription glasses

However, while certain aspects are not covered under OHIP, it is important to continue receiving regular check-ups. 

It’s time to put to rest the misconception that only children and seniors are eligible for eye exams. Eye exams are vital for everyone, from young adults to middle-aged individuals. 

Eye conditions can develop at any age, and regular exams can catch them before they escalate. The benefits of eye exams go beyond detecting vision problems; they can also reveal underlying health issues such as high blood pressure and diabetes. 

Exploring Alternative Options

We know how frustrating and confusing it can be to navigate the Canadian healthcare system without the support of OHIP. But don’t worry, we’re here to help! 

Several options are available to you so you can still receive the healthcare you need without breaking the bank. From community health centres to government-funded programs, we can guide you in finding affordable healthcare options that work with your budget. For instance, OHIP now covers an appointment for those between 20 and 65 with signs of diabetes, cancer, etc.

Employer health benefits may also offer coverage for eye exams, which is a great way to get the care we need without breaking the bank. By exploring these alternative options, we can make sure that our eyes are in tip-top shape and that we are taking care of our overall well-being.

Cost of Glasses or Contacts after an Eye Exam

Getting an eye exam is essential in maintaining good vision health, but the cost of glasses or contacts afterward may worry some. However, there are affordable options available to you. 

Many eyewear providers offer a range of prices for frames and lenses, so you can choose the option that fits your budget. Additionally, some insurance plans may cover the cost of glasses or contacts in part or in full. 

Don’t let the cost of eyewear deter you from caring for your eyes. Let’s work together to find a solution for you and your budget. After all, your vision is priceless!

A woman in an optometry clinic shaking hands with a male optometrist.

Prioritize Your Vision Health

Take action today and prioritize your vision health by scheduling a comprehensive eye exam with Dr. Chris Schell O.P.C., who can provide more information on financing options and help you find an appointment time that works for you.

Written by Dr. Chris Schell

Dr. Chris Schell attended the University of Waterloo, earning a Bachelor of Science degree with honours. Dr. Schell then pursued his Doctor of Optometry from Waterloo and graduated on the Dean’s honour list. In 2003, Dr. Schell began practicing optometry in Barrie and in March 2010, he opened his own vision care clinic. In April 2017, Dr. Schell received his Fellowship from the College of Optometrists in Vision Development, an achievement less than 1% of Canadian Optometrists have obtained. Dr. Schell is passionate about teaching his patients about their vision and eye health.

Dr. Schell is passionate about vision therapy, and its power and possibilities are endless! Dr. Schell is a proud member of the College of Optometrists in Vision Development and Optometric Extension Program Foundation. These two groups focus on educating practitioners and providing the resources to implement vision therapy in their clinics.

Dr. Schell is happily married and has 3 amazing young boys and a wonderful daughter. They love being active, and spending time with family and friends keeps them busy. Dr. Schell loves curling during the winter and golfing in the summer.

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