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September 1, 2023 OHIP Updates For Eye Examinations

Starting September 1, 2023, there are some changes to how OHIP covers eye exams in Ontario.

These adjustments are the result of thoughtful discussions between the Ontario Ministry of Health and the Ontario Association of Optometrists and are based on sound clinical evidence and expert advice. The shared goal is to ensure all Ontarians have access to the best, up-to-date eye care available and that patients at greatest risk of vision loss are publicly funded by OHIP.

To discover more about how these changes might impact you or your family members, select one of the tabs below. They provide more detailed information about OHIP’s coverage for eye exams across different age groups.

On March 24, 2023, the Ontario Government issued a media release about these changes, which you can read here.

Home » Eye Care Services » What to Expect

What to Expect

Preparing for Your Eye Exam

Person wearing glasses reading before an eye doctor's appointment

You might be going to a regularly-scheduled eye exam. You may be following a recommendation to see an optometrist after a vision screening at a local clinic or wellness center. Or your next eye doctor visit could be a response to vision problems or eye discomfort.

The more you know going in, the easier the entire vision care process will be.

For regularly scheduled eye exams, expect to talk about any changes in your medical history since the last time you saw your eye doctor. And if this is your first time in a new practice, you’ll be asked to provide a more complete medical history, including a list of medications you’re currently taking, and any vision problems your parents may have experienced.

In addition, you’ll undergo a series of vision and eye tests that help determine the overall health and quality of your vision. These tests also help to check that your current prescription glasses or contacts (if you have one) is still meeting your vision needs. Your optometrist will also check your eyes for signs of any potential vision problems or eye diseases. In many instances, your pupil may be dilated (opened) using special drops so that your eye doctor can better see the structures of the eye.

You’ll then have an honest discussion about the current state of your eye health and vision, and your eye doctor may prescribe vision correction for you in the form of eyeglasses or contact lenses. Any health concerns or possibly serious vision complications will also be discussed, including the next steps you must take to preserve and protect your sight.

How Long Is a Vision Test?

In general, a routine eye exam will last less than an hour depending upon the number of tests you have, and may be partially or completely covered by many vision insurance plans.

Visiting eye doctors as a result of a vision screening is also common, but remember: vision screenings offered by health clinics, pediatricians, public schools or local charitable organizations are not a substitute for comprehensive eye exams. Be sure to bring the findings from your screening to your eye doctor—it’s a great way to begin the discussion of your current eye health.

For eye doctor visits that result from eye pain, eye discomfort or vision problems you actually can see, expect to take many of the steps involved in a routine eye exam, but specific to the symptoms you’re having. There may be a number of additional tests required as well, so it’s important—especially when suffering pain or discomfort—to allow for as much time as possible for a complete, comprehensive eye exam.

And if you feel you are in an emergency situation with your eyes or your vision—don’t wait. Seek immediate emergency medical treatment.

What to Remember For The Eye Doctor’s Appointment

Many vision problems and eye diseases often present minimal, if any, symptoms. That’s why it’s so important to make regular appointments to see your eye doctor. And since vision can change gradually over time, it’s important to know that you’re seeing your best, year after year.

Remember the following for your next eye doctor visit:

  • Know your medical history and list of current medications
  • Know your current symptoms and be able to describe them—write them down if necessary
  • Know your family history—some eye diseases like glaucoma and cataracts are hereditary
  • Ask in advance about your particular vision insurance plan, and if a co-pay will be due
  • Bring your insurance card, identification and method of payment, if necessary
  • Bring your most recent prescription for glasses or contact lenses
  • Bring your corrective eyewear to the exam
  • If undergoing a test using dilation eye drops, bring proper eye protection, like sunglasses, for after your appointment

Most importantly, remember that eye doctors — and everyone within the eye care practice — are there to help you see your best and feel your best.

You can contact our office at your convenience to schedule your next eye doctor’s appointment.