Wondering whether your eye exam is covered by OHIP? You’re not alone — it’s the first question many of our patients ask. Here’s a clear, up-to-date guide to eye exam coverage and costs in Ontario, from the team at River EyeCare in Renfrew.
Who is covered by OHIP?
In Ontario, OHIP covers one major eye exam (generally once every 12 months) for:
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- Children and youth under 20 — fully covered.
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- Seniors 65 and older — fully covered.
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- Adults 20 to 64 with a qualifying medical condition — covered when an eye exam is medically necessary. Qualifying conditions include diabetes, glaucoma, cataracts, retinal disease, and certain other conditions or medications that affect the eyes.
If you fall into one of these groups, your routine eye exam is typically covered — and we’re happy to confirm your eligibility when you book.
What if I’m 20–64 with no qualifying condition?
If you’re between 20 and 64 and don’t have a qualifying medical condition, OHIP doesn’t cover a routine eye exam — but keeping up with your eye health is still important, and it’s more affordable than most people expect.
A comprehensive eye exam at River EyeCare is available , and many extended health and vision insurance plans cover part or all of the cost. Bring your plan details and we’ll help you make the most of your coverage.
What’s included in your eye exam at River EyeCare?
Whether your exam is covered by OHIP or paid privately, you receive the same thorough care. Our comprehensive eye exam checks your vision and prescription and examines the health of your eyes to screen for conditions like glaucoma, cataracts, macular degeneration, and the eye-related effects of diabetes
How often should I have an eye exam?
Most adults should have an eye exam every one to two years. Children, seniors, contact lens wearers, and anyone with a health condition affecting the eyes should be seen every year. For more detail, the Canadian Association of Optometrists offers helpful, trustworthy guidance on eye health at every age.
Frequently asked questions
Is an eye exam free with OHIP?
For those under 20, 65 and older, or with a qualifying medical condition, OHIP covers one major eye exam per year. Others pay privately or through their insurance.
Does OHIP cover glasses or contact lenses?
No — OHIP covers the exam (for eligible patients), not eyewear. Many insurance plans help with glasses and lenses, and we carry options for every budget.
How do I know if I’m covered?
Just ask us when you book — we’ll confirm your OHIP eligibility for you.
Book your eye exam in Renfrew today — request an appointment online or call (613) 432-4488.