OHIP Coverage

OHIP exams & Direct Billing

Eye Exam Mississauga

OHIP Coverage for Children Ages 0-19 years:

One full eye examination every year plus minor exams for emergencies such as conjunctivitis.

Adults ages 20-64:

Patients with diabetes, cataracts, retinal disease, strabismus (turned eye), amblyopia (lazy eye), glaucoma, corneal disease, or visual field loss are covered for annual eye examinations.

OHIP Coverage for Seniors (65 and up):

One full eye examination every year plus minor exams for emergencies.

OHIP Job Action:

Ontario’s optometrists are currently engaged in job action. This is the result of a 30-year funding shortfall in eye care and the province’s refusal to formally negotiate with optometrists. Ontario optometrists should not have to pay to examine patients that are insured by OHIP, but currently have to subsidize 45% of the cost to deliver these services. Ontario optometrists should not be the lowest compensated in all of Canada, as they provide service in one of the most expensive and heavily taxed provinces in the country. Please visit www.saveeyecare.ca to sign our petition and help restore access to eye care.

Private Insurance:

Many private insurance plans cover eye exam fees, spectacle, and contact lens costs. Please check with your insurance provider prior to your visit for the eligibility and terms of coverage for self and dependents, or call us and we can help you.

Direct Billing:

We are now able to directly bill the following insurance providers for eye exam services and eye care products: O.D.S.P., Refugee Program, Ontario Works, Green Shield, Blue Cross, Manulife, Maximum Benefit, Standard Life, Sun Life, Group Source, Group Health, Chambers of Commerce Group, ClaimSecure, Cowan, Desjardins, Great-West Life, Industrial Alliance, Maximum Benefit, Johnston Group,  Canadian Construction Workers Union, GMS Carrier 49 and 50, Liuna Local 183 and 506, Telus, Adjudicare and Johnson Inc.

We have partnered with paybright for financing your purchases with interest-free options if needed. To check your eligibility, click the logo below.