What is covered by OHIP

OHIP pays for one full eye examination annually, medically necessary partial examinations and visual field testing for:

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  Patients 19 years of age and younger: one full eye examination annually, medically necessary partial assessments.
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  Patients 65 years of age and older with no eligible medical conditions: one full eye examination every 18 months, a maximum of two medically necessary partial assessments in the 18 months following the full examination.
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  Patients 65 years of age and older with one or more eligible medical conditions: one full eye examination every 12 months, a maximum of two medically necessary partial assessments in the 12 months following the full examination.
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  Patients 20-64 years of age with one or more eligible medical conditions: one full eye examination every 12 months, a maximum of two partial assessments in the following 12 months (condition must have been present at the time of the full assessment).
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  Visual field assessment: covered only for specific eligible medical conditions.

OHIP does not pay for retinal imaging (OCT) regardless of age or condition.