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    • About Us
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  • Home
  • About Us
  • Services
  • Insurance/OHIP
  • Technology
  • BOOK ONLINE APPOINTMENT
  • Contact Us
  • Eyeglasses Lenses
  • Contact Lenses
  • Myopia control
  • Shop
  • Cosmetic Consultation
  • Emergency Eye Exams
  • LASIK, PRK, ICL and RLE
  • Securovision Safety
  • Privacy Policy
  • Speciality Contact Lenses
  • Patient Registration Form
  • Orthokeratology Lenses
  • New Technology Lenses
  • Soft Contact Lenses

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Insurance and OHIP coverage

Children & Senior Eye Exams

 The Ontario Health Insurance Plan (OHIP) pays for annual full eye exams for Children and Seniors.


Children - 19 years old and younger are OHIP covered for a full eye exam every year.


Seniors - 65 years and older are OHIP covered for a a full eye exam every year.

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Adult Eye Exams

Insurance

Adults - 20 to 64 years are not covered by OHIP and will have to pay for their eye examination. Most insurance companies and University/College health insurance will provide coverage for eye examinations as well as for glasses and/or contact lenses. Please call your insurance provider and find out what type of coverage you have prior to your eye examination. Patients can also elect to pay and submit the forms and receipt to their insurance company themselves.


At North York Eye Clinic, we can direct bill for the cost of your eye exam, eyeglasses and contact lenses on your behalf directly to the insurance company. The patient would be responsible for paying any difference/balance remaining. 

INSURANCE COMPANIES

 

At North York Eye Clinic, we can direct bill to the following insurance companies:

  • Avantages Sociaux Medic Construction (Greenshield)
  • Beneva by LaCapitale
  • Blue Cross
  • BPA - Benefit Plan Administrators
  • Canada Life
  • Canadian Construction Workers Union
  • Chambers of Commerce Group Insurance Plan
  • CINUP – Benefits for First Nations
  • Claimsecure
  • Co-Operators Insurance
  • Coughlin
  • Cowan Insurance Group
  • D.A. Townley
  • Desjardins
  • Empire Life (Greenshield)
  • Equitable Life of Canada
  • Express Scripts Canada
  • First Canadian Group of Companies
  • GMS Carriers 49 and 50 (Express Scripts Canada)
  • Great West Life
  • Green Shield Canada
  • GroupHEALTH
  • GroupSource
  • Industrial Alliance
  • Johnson Inc.
  • Johnston Group
  • La Capitale
  • LiUNA - Local 183
  • LiUNA - Local 506
  • Manion
  • Manulife
  • Maximum Benefit
  • MDM Insurance
  • Nexgen Rx
  • People Corporation
  • RBC Insurance (Greenshield)
  • RWAM Insurance
  • SSQ Financial Group (Greenshield)
  • Standard Life
  • Sun Life Financial
  • Telus AdjudiCare
  • Union Benefits
  • UV Insurance

IFHP REFUGEES

IFHP (Interim Federal Health Program)

Eye Examinations - IFHP offers free coverage for refugees one full exam every 12 months. Partial eye examinations are also eligible during the 12 month period. 


Eye Glasses - IFHP offers free coverage for Single Vision and Bifocal lenses and frames, once every 24 months. Patients must bring their IFHP documentation. 

OHIP covered Adult Eye Exams

OHIP Criteria:

Adults - 20 to 64 years of age with certain ocular/ medical conditions such as: diabetes, glaucoma, retinal disease, corneal disease, amblyopia, strabismus and visually significant cataracts are OHIP covered for a full eye exam every year with their OHIP card.


Diabetic and glaucoma patients must bring their medications or a pharmacy print out list of their medications with them to their eye exam or they will be charged and will have to pay. Diabetic patients can also choose to have their family physician fax over a referral letter to the office. The office fax number is: 647-352-5559. 

OW AND ODSP

ODSP (Ontario Disability Support Program) and 

OW (Ontario Works) offers coverage for one full exam every 24 months.


Partial eye examinations are not eligible. Patients must bring a print out of their most recent monthly statement from OWODSP and their OHIP (Ontario Health Insurance Card) card in order to be eligible.

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Sun Life Financial
SSQ Financial Group
RRWAM
Insurance
nexfenRx
Maximum Benefit
Manulife
Manion
North York Eye Clinic
Liuna local 18
Johnstom Group
Johnson
IA Financial Group
Health Canada
Group Source
Group Health
gSC
Great West Health Care
Government of Canada
Gms
First Canadian Insurance Coorporation
Equitable Life of Canada
Empire Life
Desjardins
Cowan Insurance Group
ClaimSecure
CINUP
Chanbers of commerce Group Insurance Plan
CCWU
Canada Life
Canada Life
Blue Cross
Blue Cross

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