OHIP (Ontario Health Insurance Plan) covers comprehensive eye exams for specific age groups and medical conditions. If you’re 19 years or younger, or 65 years and older, you’re eligible for one full eye exam every 12 months, plus any follow-up assessments required by your optometrist. Adults aged 20 to 64 are generally not covered unless they have certain eye-related medical conditions such as diabetes, glaucoma, retinal disease, or other conditions affecting the eyes that require regular monitoring.
For those not covered under OHIP, Vision Clarity in Mississauga offers affordable eye exams performed by experienced optometrists using advanced diagnostic technology. Protect your vision and ensure your eyes are healthy book your eye exam today by calling 289-805-0019 or visiting us directly for expert care and personalized service.
How Often Can You Get an OHIP-Covered Eye Exam?
The frequency of OHIP-covered eye exams in Ontario depends on your age and medical condition. OHIP aims to ensure that individuals most at risk of eye disease—children, seniors, and patients with specific conditions—receive regular, medically necessary care.
Here’s what OHIP covers:
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Children and youth (0–19 years): One full eye exam every 12 months, plus follow-up appointments if needed.
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Seniors (65 years and older): One comprehensive eye exam annually, with coverage for additional visits if new symptoms develop.
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Adults (20–64 years): Coverage only applies if you have a qualifying eye-related medical condition (see Section 3).
Even if you’re not eligible for OHIP-covered exams, routine eye checkups remain essential. Eye health can change subtly over time, and early detection is key to preventing serious conditions like glaucoma or macular degeneration. At Vision Clarity Mississauga, our optometrists recommend annual exams for everyone, regardless of coverage, to ensure your vision stays clear and healthy.
Which Eye Conditions Qualify for OHIP Coverage?
Adults aged 20–64 may still qualify for OHIP-covered eye exams if they have certain medical or eye conditions that require regular monitoring. These include:
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Diabetes mellitus – due to higher risk of diabetic retinopathy
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Glaucoma or elevated intraocular pressure
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Cataracts or a history of cataract surgery
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Retinal disease (e.g., macular degeneration)
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Corneal disease or infection
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Amblyopia (lazy eye) or visual field defects
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Optic nerve disorders or recurrent uveitis
If you’re unsure whether your condition qualifies, your optometrist can confirm eligibility and provide documentation. At Vision Clarity, we’ll guide you through the process to ensure you get the coverage you deserve—making your eye health journey simple and stress-free.
What Eye Exams Are Not Covered by OHIP?
While OHIP provides essential coverage for certain groups, some eye care services fall outside its scope. Understanding what’s not covered helps you plan ahead for your vision care.
Services not covered by OHIP include:
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Routine eye exams for adults (20–64) without qualifying conditions
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Contact lens fittings and assessments
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Laser eye surgery consultations
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Prescription updates outside the covered interval
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Vision therapy and visual training
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Specialized imaging not deemed medically necessary
Even without OHIP coverage, these exams and services are still vital for maintaining clear vision and overall eye health. Vision Clarity Mississauga offers affordable private eye exams with transparent pricing, allowing you to access premium care without financial stress. Our team takes time to explain your results and help you choose the best options for your lifestyle and budget.
Affordable Eye Exams in Mississauga — Visit Vision Clarity
At Vision Clarity Mississauga, we believe everyone deserves access to expert eye care—whether you’re covered by OHIP or not. Our clinic offers comprehensive eye exams, advanced diagnostic imaging, and personalized treatment plans tailored to your vision needs.
Why patients choose Vision Clarity:
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State-of-the-art diagnostic equipment
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Friendly, experienced optometrists
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Transparent pricing and flexible scheduling
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Wide selection of designer eyewear and prescription lenses
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Convenient Mississauga location with easy parking
We also specialize in early detection of eye conditions, such as glaucoma, cataracts, and diabetic retinopathy, helping preserve your vision for years to come.
Take the first step toward clearer, healthier vision today — book your appointment by calling 289-805-0019 to experience trusted care with a personal touch.
