OHIP coverage for optometry services:

• Children 0 to 19 years old: An annual, full comprehensive eye examination plus any follow-up assessments that may be required.
• Seniors aged 65 +: An annual, full comprehensive eye examination plus any follow-up assessments that may be required.
• Adults aged 20 to 64 years: OHIP does not cover comprehensive eye examinations for this age group. These individuals have private insurance coverage or self-pay. Some exceptions to OHIP coverage apply depending on the medical condition. Ask your optometrist if you qualify.

Some optometric services NOT covered by OHIP:

• Additional comprehensive eye exams during the same year of an OHIP-covered exam
• Eye examinations that are required by potential employers or other third parties
• Contact lens fitting exams and progress checks
• Retinal imaging (such as retinal photography, ocular coherence tomography, Heidelberg retinal tomography, etc)
• Laser refractive surgery co-management (pre- and post-operative) visits
• Treatments, such as:
• Eyeglasses
• Contact lenses
• Low vision aids
• Vision Therapy (Eye co-ordination exercises)
• Medications to manage diseases of the eye and surrounding tissues