OHIP Coverage for Eye Care Services
People 65 years and older and those younger than 20, are covered by OHIP for a routine eye examination, once every 12 months plus any follow-up assessments that may be required.
Patients aged 20 to 64, are not covered by OHIP. These individuals are responsible for payment for these examinations or have the cost covered by private insurance.
However persons aged 20 to 64 years with specified medical conditions affecting the eye, (as follows), are covered for a regular eye examination once every 12 months by OHIP: diabetes mellitus, glaucoma, cataract, retinal disease, amblyopia, visual field defects, corneal disease, strabismus, recurrent uveitis or optic pathway disease.
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Get assistance from OHIP and the ODSP
Under the Ministry of Community and Social Services (MCSS), persons receiving assistance through the Ontario Disability Support Program, Ontario Works, or the Family Benefits Program will receive coverage for routine eye examinations once every two years.
If you have any questions about the coverage provided under these programs, please call Client Services at MCSS at 1 888 789-4199 (toll free) or 416 325-5666 (Toronto) or 1 800 387-5559 (TTY).
Working with ODSP and other government agencies, At CIVIL OPTICAL we strive to give you the best for your eligible assistance.