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Optometry (eye-health services)
Starting September 1, 2023, there are some changes to how OHIP covers eye exams in Ontario.
These adjustments are the result of thoughtful discussions between the Ontario Ministry of Health and the Ontario Association of Optometrists and are based on sound clinical evidence and expert advice. The shared goal is to ensure all Ontarians have access to the best, up-to-date eye care available and that patients at greatest risk of vision loss are publicly funded by OHIP.
OHIP covers the cost of one major eye exam (for vision and general eye health) every 12 months, plus any minor assessments you need, but only if you are:
- 19 years and younger
OHIP covers the cost of one major eye exam (for vision and general eye health) every 18 months, plus a maximum of 2 OHIP-insured follow ups in between 18 month period, but only if you are:
- 65 years and older
If you are 20 to 64 years old, and you have a specific medical condition affecting your eyes that requires regular monitoring, OHIP will cover a major eye exam for you once every 12 months related to the condition. Covered conditions are:
- Diabetes
- Glaucoma
- Cataracts
- Retinal Disease
- Corneal Disease
- Optic Nerve Pathway Disease
- Uveitis
- Patients taking any of the following medications: Chloroquine, Hydroxychloroquine, Ethambutol, Tamoxifen
- Sudden onset of strabismus (crossed-eyes) due to injury or disease
You may be eligible for additional eye care if you are on the Ontario Disability Support Program (ODSP) or Ontario Works . OHIP covers the cost of one major eye exam (for vision and general eye health) every 24 months.