For Every Stage of Life
Who is covered and how it works
UNDER 20
Children & Youth
One comprehensive exam per year. No cost with OHIP. We recommend starting as early as 6 months.
65 and older
Seniors
One comprehensive eye exam every 12–18 months. Coverage may be annual for certain conditions.
Ages 20 to 64
Conditions
Covered if you have diabetes, glaucoma, or are at high risk. One exam per year.
Private Benefits
Insurance Plans
We direct bill most major plans. Bring your card and we’ll handle the claim before you leave.
Not sure?
Call Us First
We will confirm your eligibility before your appointment so there are no surprises. 905-454-4749
Private Benefits
We handle the billing for you.
We direct bill most major private benefits providers and employee benefit plans. You pay your portion at the time of your visit, and we submit the claim on your behalf.
1. Bring your insurance card
Your benefits card or plan details. Group number and member ID are usually on the card itself.
2. We check your coverage
We verify your benefits before or during your appointment so there are no surprises.
3. We submit the claim
We bill your insurer directly. You pay only any remaining balance before you leave.
What to bring
✓ Your OHIP card
✓ Your private insurance or benefits card
✓ Your current glasses or contact lenses
✓ A list of any medications you are taking
✓ Any previous prescription or eye records if available
What is not covered by OHIP
✗ Routine exams for adults 20 to 64 without qualifying conditions
✗ Contact lens fittings and prescriptions
✗ Frames and lenses
✗ Specialty treatments
✗ Non-medical procedures
What is not covered by OHIP
✗ Routine exams for adults 20 to 64 without qualifying conditions
✗ Contact lens fittings and prescriptions
✗ Frames and lenses
✗ Specialty treatments
✗ Non-medical procedures
Common Questions
Your Eye Care Questions, Answered
No referral needed. You can book directly with us by phone or online. New patients and families are always welcome.
Only if you have diabetes, glaucoma, or are at high risk of either condition. If you are unsure, call us before your appointment and we will help you determine your eligibility. Most adults in this age group are covered through private benefits plans instead.
We direct bill most major Canadian benefit plans including Sun Life, Manulife, Canada Life, Green Shield, Blue Cross, Desjardins, Industrial Alliance, Empire Life, and The Co-operators, among others. Call us with your plan details and we will confirm before your visit.
You pay the remaining balance at the time of your visit. We will tell you exactly what your out-of-pocket cost will be before we proceed so there are no surprises.
OHIP does not cover frames, lenses, or contact lenses. However, many private benefit plans include an optical allowance. Check your plan or ask us to verify your optical benefit at the time of your exam.
Specialty treatments such as Intense Pulsed Light (IPL) therapy, Radiofrequency (RF) therapy, and contact lens fittings are not covered by OHIP. Many private benefit plans include some coverage for these services. We will let you know the cost before any treatment begins so there are no surprises.
Our Services
Comprehensive eye care for every stage of life.
From routine exams to ongoing care, we provide full-scope eye care in one clinic. We assess vision, detect and monitor eye conditions, and guide treatment with personalized care at every stage of life.
© 2026 Mahil Optometrist. All rights reserved.
