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
Breast cancer screening should start at age 40, Canadian Cancer Society says
The Canadian Cancer Society says all provinces and territories should lower the starting age for breast cancer screening to 40.
DEVELOPING Live updates as Stormy Daniels testifies at Trump hush money trial
Adult film star Stormy Daniels is on the stand a second time Thursday as former U.S. president Donald Trump’s hush money case continues in Manhattan. Follow live updates here.
Ontario family receives massive hospital bill as part of LTC law, refuses to pay
A southwestern Ontario woman has received an $8,400 bill from a hospital in Windsor, Ont., after she refused to put her mother in a nursing home she hated -- and she says she has no intention of paying it.
Here are the ultraprocessed foods you most need to avoid, according to a 30-year study
Studies have shown that ultraprocessed foods can have a detrimental impact on health. But 30 years of research show they don’t all have the same impact.
Ontario man frustrated after $3,500 paving job leaves driveway in shambles
An Ontario man considering having his driveway paved received a quote from a company for $7,000, but then, another paver in the neighbourhood knocked on his door and offered half that rate.
Why these immigrants to Canada say they're thinking about leaving, or have already moved on
For some immigrants, their dreams of permanently settling in Canada have taken an unexpected twist.
BREAKING Sheldon Keefe out as head coach of Toronto Maple Leafs
The Toronto Maple Leafs have fired head coach Sheldon Keefe. The team made the announcement Thursday after the Original Six franchise lost to the Boston Bruins in seven games in the first round of the Stanley Cup playoffs.
Boeing 737 catches fire and skids off the runway at a Senegal airport, injuring 10 people
A Boeing 737-300 plane carrying 85 people skidded off a runway at the airport in Dakar, Senegal's capital, injuring 10 people, according to the transport minister, an airline safety group and footage from a passenger that showed the aircraft on fire.
Canadian-Israeli man shot dead in Egypt; claim links killing to Gaza
A Canadian man 'of Jewish Israeli descent' has been shot dead in the Egyptian city of Alexandria in a suspected criminal case, a security source said, while a previously unknown militant group said it carried out the attack in reaction to the war in Gaza.