As of November 1, 2004, eye care services such as routine eye examinations provided by either an optometrist or physician for patients aged 20 to 64 are not covered under OHIP (Ontario Health Insurance). These individuals are responsible for payment of these eye care services or have the cost covered by private insurance. For most insurance companies, we can do direct billing to make your visit easy and convenient.
WHY DO WE ASK TO SEE YOUR OHIP CARD?
Our Kodak Lens Vision Centres ask to see your OHIP card because of two important reasons:
- To create a unique identification profile in our system to comply with the Electronic Medical Records Act
- To ensure that your clinical records are streamlined, properly documented and readily available to our optometrists in case they detect and diagnose an eye health issue or emergency
Our licensed optometrist uphold the highest clinical standards and manage OHIP very seriously. The trust between our eye care professionals (optometrists, opticians, and optometric assistants) and patients is very important to us. All eye care services covered under OHIP will be clearly communicated and explained in exam and reception.
HOW DO YOU CHECK IF A HEALTH CARE PROFESSIONAL CHARGED YOUR OHIP CARD?
If you have any questions regarding health or eye care services that you have been charged for please contact: Ministry of Health and Long-Term Care at 613 536-3103 (collect calls are accepted) or toll-free at 1 888 662-6613.
EYE CARE SERVICES COVERED
- People 65 years and older and those younger than 20, are covered by OHIP for a routine eye examination provided by either an optometrist or physician once every 12 months plus any follow-up assessments that may be required.
- Specified ophthalmology services for patients of any age with specified medical conditions or diseases affecting the eyes are insured.
- Insured persons aged 20 to 64 years with specified medical conditions affecting the eye can receive an OHIP insured regular eye examination once every 12 months.
- Insured persons aged 20 to 64 with any of the following conditions can go directly to their optometrist or physician to receive an OHIP insured eye examination: diabetes mellitus, glaucoma, cataract, retinal disease, amblyopia, visual field defects, corneal disease, strabismus, recurrent uveitis or optic pathway disease.
- Insured persons aged 20 to 64 who have certain medical conditions not listed above may also be covered for regular eye examinations. They should discuss this with their primary health care provider.
Any questions or concerns about your eye health, please contact us.