Accepting the Following Insurance Plans:
Children – 19 years old and younger are OHIP covered for a full eye exam every year
Seniors – 65 years and older are OHIP covered for a a full eye exam every year
Adults – 20 to 64 years of age are no longer eligible for OHIP coverage for their eye examinations (as of November 1, 2004.) However, adults with certain ocular/ medical conditions such as : diabetes, glaucoma, retinal disease, corneal disease, amblyopia, strabismus and visually significant cataracts are OHIP covered for a full eye exam every year. (Diabetic and glaucoma patients must bring their medications or a pharmacy print out list of their medications with them to their eye exam.) Diabetic patients can also choose to have their family physician fax over a referral letter to the office, (FAX: 647-352-5559) in order to obtain OHIP coverage for their eye examination.
ODSP (Ontario Disability Support Program) offers coverage for one full exam every 24 months. Partial eye examinations are not eligible during the 24 month period. [Patients must bring their most recent monthly statement from ODSP and their OHIP (Ontario Health Insurance Card) card in order to be eligible.]
OW (Ontario Works) offers coverage for one full exam every 24 months. Partial eye examinations are not eligible during the 24 month period. (Patients must bring their most recent monthly statement from OW and their OHIP [Ontario Health Insurance Card] card in order to be eligible.)
For further information on coverage please visit Ontario Ministry of Health and Long-Term Care — OHIP coverage for eye care services.
IFHP (Interim Federal Health Program) offers coverage for refugees one full exam every 12 months. Partial eye examinations are also eligible during the 12 month period. Single Vision and Bifocal lenses and frames are covered once every 24 months. (Patients must bring their IFHP documentation.)
Adults – 20 to 64 years old who do not have any of the above conditions, are not covered by OHIP and will have to pay for their eye examination. Most insurance companies will provide coverage for eye examinations as well as for glasses and/or contact lenses. North York Eye Clinic can direct bill for the eye examination and/or glasses/contact lenses to specific insurance providers. Please call your insurance provider and find out what type of coverage you have. Patients can also elect to pay and submit the forms and receipt to their insurance company themselves.
At North York Eye Clinic, we can direct bill for the cost of your eye exam, eyeglasses and contact lenses on your behalf directly to the insurance company. The patient would be responsible for paying any difference/balance remaining. We can direct bill to the following insurance companies:
Vision Plans We Accept
- Canada life
- Equitable Life Of Canada
- Government of Canada
- Green Shield Canada
- RBC Insurance
- Health Canada
- First Canadian
- Great West Life
- SSQ Financial
- Blue Cross
- RWAM Insurance
- Standard Life
- Sun Life Financial
- MDM insurance
- The Co-Operators
- Nexgen RX
- Industrial Alliance
- Johnston Group
- BPA Bestlife
- Candadian Construction Workers Union
- Chamber Of Commerce
- Cowan Insurance Group
- Group Health Benefit Solutions
- Group Source
- LiUNA Local 183
- LiUNA Local 506
- Maximum Benefit
Medical Plans We Accept
If you do not see your plan listed here, please give us a call and we would be happy to assist you. Our staff is also always available to answer any questions regarding your benefits.
The cost of routine eye exams and prescription eyewear can be of real concern, especially for large families. In many cases, vision insurance can lower these annual expenses.
A vision insurance policy is not the same as medical insurance. Regular medical health insurance plans protect you against financial losses due to unexpected eye injuries or disease. Vision insurance, on the other hand, is a wellness benefit designed to provide routine eye care, prescription eyewear and other vision-related services at a reduced cost.