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Change to OHIP Coverage
for Eye Care Services

Effective November 1, 2004

Optometry (eye-health services)
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
  • 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 and any follow-up appointments related to the condition. Covered conditions are:
  • diabetes mellitus
  • glaucoma
  • cataract
  • retinal disease
  • amblyopia
  • visual field defects
  • corneal disease
  • strabismus
  • recurrent uveitis
  • optic pathway disease

OHIP may also cover a major eye exam if it has been requested for a specific reasonby your doctor (they will need to give you a referral form).

You may be eligible for additional eye care if you are on the Ontario Disability Support Program (ODSP) or Ontario Works.

Click Here for More Information

Insurance Coverage

Our goal is to promote good eye health and enable you to see the colours of life by having the clearest vision possible with the best lens technology. We accept several types of vision insurance, cash, and most credit cards. We inform our patients about treatment, additional testing, product and service costs at the beginning or during your visit at our clinic. If you require a breakdown of costs, please let us know.

For patients who have insurance with the companies listed below, we can help with predetermination, directly bill or claim your insurance. However some plans may or may not allow us to do direct billing. If you provide us with your insurance information, we can look into your coverage, eligibility and direct billing capability between 10 am to 5 pm. As some insurance providers require authorization to release insurance information, we advise you to contact your insurance to get all important details of your plan and let us know about this information during your visit. Please visit us for full details and let us help you learn more about your individual vision coverage insurance plan.

  • Canada Life (formerly Great West Life)
  • Great West Life (Now Canada Life)
  • Chambers of Commerce Group Insurance
  • CINUP
  • ClaimSecure
  • Desjardins
  • First Canadian
  • GMS Carrier 50
  • GroupHEALTH
  • GroupSource
  • Industrial Alliance
  • Johnson Inc.
  • Johnston Group Inc.
  • Manion
  • Manulife Financial
  • Manulife Financial (OTIP)
  • Sunlife Financial
  • Blue Cross
  • Interim Federal Health Program (IFHP)
  • Veteran Affairs Canada (VAC)
  • Green Shield
  • Great Westlife
  • SSQ Insurance
  • Medic Construction
  • Your Insurance is not on the list? Ask us to Learn More

Vision Insurance

Our knowledgeable optometric assistants are experienced in working with vision insurance providers. We will work directly with you and your vision insurer to submit claims regarding your vision care. We strive to ensure that you understand your insurance coverage and will answer any questions you may have regarding your benefits. To determine your eligibility and coverage, please contact your insurance provider or let us help you contact them and obtain the correct information. Once we know the details of your insurance plan, we can better assist you through the insurance process. Always have your insurance card with you at your appointment, in case we need to contact your provider. Avoid the hassle of doing it yourself and let our services help you. Please contact us or visit our Kodak Lens stores if you have any questions.

Social & Government Assistance

We also accept social and government assistance programs such as OW, ODSP, Indian Affairs, Refugee Status, and Student Care Network. We are a supporter of charity and provide eye care products and services to certain individuals in need. Our Optometrists and clinics have been involved in Gift of Sight, Homeless Connect, and Samiritan’s Purse. Please consult with us so that we can help you see the colours of life.
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