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Are eye exams covered by the Ontario Health Insurance Plan (OHIP)?

Eye exams are not covered by OHIP for most adults between 20-64 years old.

For some patients (19 years and younger, 65 years and older, or those with specific medical conditions) OHIP covers a standard eye exam.

If your optometrist recommends testing that is not covered by OHIP, they will:

  • inform you of any test before it happens;
  • explain why the test is needed in your situation;
  • outline any additional fees and explain what they are for;
  • discuss the benefits (or risks, if any) associated with the test; and
  • obtain your consent to perform the test.