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.
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.
At North York Eye Clinic, we can direct bill to the following insurance companies:
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.
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.
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.
Copyright © 2023 North York Eye Clinic - All Rights Reserved.