Eye Care Services Covered by Ontario Health Insurance Plan (OHIP):
- People younger than 20 years and older than 65 years are covered by OHIP once a year for a routine eye examination as well as any follow-up assessments/referrals that may be required.
- Insured persons aged 20 to 64 years with certain diagnosed medical conditions affecting the eye can receive an OHIP insured regular eye examination, once every 12 months (e.g. diabetes, glaucoma). However, Dr. Fydell may need to examine you first to determine whether you are eligible for such OHIP coverage.
- Ontario Disability Support Program (ODSP) offers coverage for one comprehensive exam every 2 years. Documentation that you are on ODSP is required.
- Ontario Works (OW) offers coverage for one full exam every 2 years. Documentation that you are on OW is required.
(Note: a valid OHIP card must be presented to our office in order for OHIP to cover your examination or if a referral to a health care specialist is required, otherwise, the standard examination fee will apply.)
If you have any questions about the coverage provided under this program, please call our office at (807) 622-4447.
Eye Care Services Not Covered by OHIP:
- Routine eye examinations for patients aged 20 to 64, are not covered by OHIP. These individuals are responsible for payment for eye examinations unless they have third party coverage or private insurance.
- However, under the Ministry of Community and Social Services (MCSS), persons receiving assistance through the Ontario Disability Support Program, Ontario Works, or the Family Benefits Program will receive coverage for routine eye examinations once every two years. (Note: Upon arrival for your examination, it will be necessary to present a valid drug card with your name and/or your dependents name(s) listed on it, for the month the eye examination is taking place in order to receive coverage by OHIP).
(Note: In addition to the drug card, a valid Ontario Health Insurance Plan card must be presented to our office in order for OHIP to cover your examination or if a referral to a health care specialist is required.)