Ontario changes eye exam eligibility for seniors under OHIP
Ontario has reached a funding agreement with optometrists that increases some payments to them, but reduces some coverage for patients, including less frequent general eye exams for seniors.
As of Sept. 1, people aged 65 and older will be covered for one eye exam every 18 months, instead of one a year, unless they have a condition affecting their eyes such as macular degeneration, glaucoma or diabetes.
The province said that decision was made with the Ontario Association of Optometrists. It is based on "the best clinical evidence and prioritizes seniors with the highest needs," the government said, noting Manitoba and Nova Scotia insure eye exams every two years for healthy seniors.
NDP Leader Marit Stiles said the move will hurt seniors.
"Seniors are having a hard enough time right now without having to go longer between eye exams, which are critical to seniors' health," she said in a statement.
"Preventative eye care is important to catching issues early and could impact seniors' ability to live independently. Only seniors who can afford to pay out-of-pocket will be able to get more frequent eye exams."
The four-year agreement comes after contentious and lengthy talks. Optometrists withdrew from performing provincially insured eye services from September to November 2021 amid a dispute over the amount they were being reimbursed.
The province's health plan covers annual eye exams for residents aged 19 and under, 65 and older and people with specific health conditions. Optometrists said the province had been underfunding the OHIP-covered services, leaving them paying around 45 per cent out of pocket.
A statement Friday from Health Minister Sylvia Jones said optometrists have ratified a four-year funding agreement that includes an increase to payments for some OHIP-insured services and eye exams for social assistance recipients, but it didn't detail amounts.
"The way eye care is delivered has changed over the past decade," Jones said in the written statement.
"Together, we were able to come to a long-term and sustainable agreement. Through their OHIP card, people of all ages will continue to be connected to high-quality and publicly-funded eye care that better reflects the latest best practices and expert advice."
The statement also lists a number of other eligibility changes under the agreement.
As well, seniors will no longer be able to receive unlimited minor follow-up assessments after an annual eye exam. Instead, they would be able to get two of those assessments every 18 months, or 12 months for seniors with certain medical conditions affecting their eyes.
Adults between age 20 and 64 with lazy eye will no longer be covered for eye exams. People in that age range with strabismus - who are currently covered for eye exams - will now only be able to receive them through OHIP if the condition has a sudden onset.
People with cataracts are currently covered for eye exams, but starting Sept. 1 they will only be covered if they have "clinically significant decreased vision that impacts their daily life" or if a surgery referral is made.
People with retinal disease, corneal disease and optic pathway disease will only be covered if their cases are active, as opposed to being insured for an eye exam at any time.
This report by The Canadian Press was first published March 24, 2023.
CTVNews.ca Top Stories
BREAKING King Charles' cancer treatment progressing well, says Buckingham Palace
King Charles III’s doctors are 'sufficiently pleased' with his cancer treatment and he is expected to return to public-facing duties, Buckingham Palace announced on Friday.
Orca calf that was trapped in B.C. lagoon for weeks swims free
An orca whale calf that has been stranded in a B.C. lagoon for weeks after her pregnant mother died swam out on her own early Friday morning.
'Unacceptable': Trudeau reacts after AFN chief says headdress taken from plane cabin
After the Assembly of First Nations' national chief said her headdress was taken from an airplane cabin this week, Prime Minister Justin Trudeau called the incident 'unacceptable' and a 'mistake' on the part of Air Canada.
Regina police officer injured after being accidentally shot by fellow officer's gun
An investigation is underway after a Regina police officer was accidentally shot by a fellow officer’s gun during the search of a house early Friday morning.
Sophie Gregoire Trudeau on navigating post-political life, co-parenting and freedom
Sophie Gregoire Trudeau says there is 'still so much love' between her and Prime Minister Justin Trudeau, as they navigate their post-separation relationship co-parenting their three children.
DEVELOPING Bird flu outbreaks: WHO weighs in on public health risk
The current overall public health risk posed by the H5N1 bird flu virus is low, the World Health Organization said on Friday, but urged countries to stay alert for cases of animal-to-human transmission.
Taylor Swift dons Montreal designer's dress in 'Fortnight' video
A pair of Montreal designers' work has now been viewed over 41 million times. Taylor Swift dons a Victorian throwback black gown in her latest music video, 'Fortnight', designed by UNTTLD due Simon Belanger and Jose Manuel Saint-Jacques.
From faulty kids' cribs to flammable kids' bathrobes, here are the recalls of the week
Health Canada issued recalls for various items this week, including kids’ bathrobes, cribs and henna cones.
Island near Mull of Kintyre for sale for US$3.1 million
An idyllic 453-acre private island is up for sale off the west coast of Scotland and it comes with sandy beaches, puffins galore, seven houses, a pub, a helipad and a flock of black-faced sheep.