OHIP Eye Exam Eligibility Calculator

Image Optical — OHIP Eye Exam Eligibility Calculator

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1. How old are you?

years old

2. Do you have an OHIP-eligible eye or medical condition?

This matters for adults age 20 and older.

YesI have been diagnosed with a qualifying condition NoNone of the listed conditions apply to me I’m not sureShow me what may qualify

See OHIP-eligible medical conditions

Diabetes mellitus
Glaucoma requiring or having had treatment with medication, laser (excluding prophylactic laser peripheral iridotomy), or surgery
Cataracts / posterior capsular opacification with visual acuity of 20/40 or worse in the best corrected eye, or when a surgery referral is made
Retinal disease that is acute or chronically progressive
Corneal disease that is acute or chronically progressive
Uveitis that is acute, or chronic during episodes of active inflammation
Optic pathway disease that is acute or chronically progressive
Acquired cranial nerve palsy resulting in strabismus during the acute phase, or until it resolves or stabilizes
Ocular drug-toxicity screening for hydroxychloroquine, chloroquine, ethambutol, or tamoxifen

3. When was your last OHIP-covered major eye exam?

If you remember the date, we can estimate when you may be covered again.

Never / I don’t remember

Your OHIP coverage estimate will appear here after you click Check My OHIP Coverage.

Important: This calculator provides a general estimate only and does not confirm OHIP eligibility or payment. Coverage depends on your age, medical circumstances, valid Ontario health coverage, timing of previous insured services, and OHIP billing rules. Image Optical can verify your eligibility before your appointment. Additional testing may not be covered by OHIP.

Coverage rules reviewed August 2026. Based on Ontario OHIP optometry guidance and the College of Optometrists of Ontario.