OHIP eye exam coverage depends on your age, eligible medical conditions, and when you last had an insured exam. A valid Ontario health card alone does not guarantee coverage. Call our office and our team can help check your OHIP eligibility before your appointment.
At Peel Eye Care, we understand that cost matters. We can review exam fees, OHIP coverage, insurance, and payment options with you before your visit.
Use our short questionnaire as a starting point for understanding OHIP eye exam coverage. Eligibility depends on your age, eye health and previous covered visits. A quiz result does not confirm coverage. Contact our team to discuss your eligibility and any possible fees.
Navigating insurance shouldn’t be a hurdle to your health. We help you maximize your provincial and private benefits so you can focus on what matters—protecting your vision with the best technology available.
Regular exams catch early signs of glaucoma, cataracts, and diabetic retinopathy before vision loss begins.
Many patients are surprised to find they qualify for annual provincial coverage.
If you aren't covered by OHIP, we seamlessly bill your private insurance (Sun Life, Manulife, etc.) on the spot.
Coverage depends on age and eligible medical conditions. Here is what OHIP typically includes.
19 and under — covered for 1 full eye exam every 12 months.
May be covered every 12 months for conditions such as diabetes, glaucoma, retinal disease, significant cataracts, corneal disease, visual field loss, uveitis, or optic nerve disease.
OCT scans are highly recommended for detecting and monitoring eye disease, but they are not covered by OHIP at this time. Please be prepared for an additional fee if your optometrist recommends OCT imaging as part of your eye health assessment.
We bill many major providers directly, so you can focus on your visit and not the paperwork. Bring your insurance information and our team will check your eligibility. Read our vision benefits checklist before your visit.
Answer a few simple questions to find out if your eye exam is covered by Ontario Health Insurance.
