Changes to Eye Care Coverage under OHIP : Click Here to learn more .

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Dear patients:

We are writing to inform you of the new changes that have and will be adapted by Ontario Ministry of Health in response to the agreement reached between the Ontario Government and the Ontario Association of Optometrists. As these changes unfold, we will be delivering the most up to date changes as they become available through our website www.pixeleyecare.ca

The following changes will be effective as of September 1st, 2023:

Changes to Senior’s eye care (age 65 and older):

1. Annual Eye Exams (Full comprehensive assessment)

Currently: all seniors are covered once every 12 months for a full eye exam with an Optometrist

Change:

ONLY seniors with eligible medical conditions affecting their eyes such as Macular Degeneration, Glaucoma and/or Diabetes will be covered once every 12 months for a full eye exam with an Optometrist.
Seniors without medical conditions will be covered once every 18 months for a full eye exam with an Optometrist.

2. Follow-up exam (Minor Follow-Up assessment)

Currently: all seniors are eligible to receive unlimited Follow-up visits in the 12 consecutive months from their annual eye exam.

Change:

Seniors with eligible medical conditions affecting their eyes such as Macular Degeneration, Glaucoma and/or Diabetes will be eligible for two (2) follow-up visits every 12 consecutive months from their annual eye exam.
Seniors without medical condition will be eligible for two (2) follow-up visits every 18 consecutive months from their annual eye exam.

Changes to patient between age 20-64 years with eligible medical conditions:

1. Amblyopia (lazy eye) and Strabismus (eye turn)

Currently: all adults aged 20-64 years with Amblyopia and/or Strabismus are eligible for a full eye exam yearly covered by OHIP.

Change: Only adults with sudden onset of Strabismus, acute concerns or complications will be covered by OHIP.

2. Diabetes

Adults with Diabetes will continue to be eligible for annual eye exams covered by OHIP. Documented history of diabetes is not required, and Optometrist can clinically assess and verify whether a patient has diabetes.

3. Cataracts

Currently: Adult with Cataracts are eligible for yearly eye exam covered by OHIP.

Change: Only adult with clinically significant decreased vision that impacts their daily life, or when a surgery referral is made will continue to be eligible for yearly eye exams covered by OHIP.

4. Uveitis (inflammation inside your eye)

Currently: Adult with reoccurring uveitis regardless of active inflammation or not are eligible for yearly eye exams covered by OHIP.

Change: Only Adult with an active case of uveitis will be eligible for an eye exam covered by OHIP.

5. Retinal disease, Corneal disease, and Optic pathway disease

Currently: Adults with these conditions are eligible for yearly eye exam covered by OHIP regardless of it being active or not.

Change: Adult with an active case of these conditions will be eligible to cover their eye exam under OHIP.

Pixel Eye Care Management.
March 2023

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Address:
3000 County Rd 43
Unit B3
Kemptville, ON
K0G 1J0;
Tel: 613 258-7878.

PUBLISHING FIRM

Pixel Eye Care Centre
3000 County Rd 43
Unit B3
Kemptville, ON
K0G 1J0
Tel: 613 258-7878