Due for an eye exam? Start with your care schedule
If you’re due for an eye exam and hope to use workplace or private insurance, check your plan before booking. Your optometrist’s recommended follow-up and your insurer’s reimbursement dates are separate. An exam checks how clearly you see and assesses your eye health; the tests depend on your symptoms, history and findings. Even if your glasses still feel right, keep the follow-up interval your optometrist recommended.
Check these three details with your insurer
- Eye-exam eligibility: Is a routine optometry exam covered, and when are you next eligible?
- Your out-of-pocket cost: What amount or percentage is covered, and how much is available?
- Eyewear timing: If you also need glasses or contacts, check their coverage separately. Ask which date determines eligibility and when you must submit a claim.
Don’t assume your benefits reset on January 1. Check the dates and limits in your insurer’s app or call your plan administrator. If your plan does have a December deadline, leave enough time to arrange the appointment and, if needed, order eyewear.
Bring what helps your optometrist
Bring your current glasses, contact lens details if you wear them, a medication list and any questions about changes in your vision. Have your insurance details handy and bring your Ontario health card if you’re checking OHIP eligibility. If you have a new or sudden vision change, call for guidance promptly instead of waiting for a routine year-end appointment.
Request an eye exam in Boxgrove, Markham
RevitalEyes Eye Care welcomes new and returning patients, with care in English and Tamil. A private-pay comprehensive adult eye exam is $100. We can submit eligible claims directly to many insurers; your plan determines reimbursement and any balance you owe. Exams are by appointment on Wednesday, Thursday and Saturday. See exam fees and preparation, request an appointment or call 905-554-5557.
Frequently asked questions
Do all vision benefits expire December 31?
No. Check your plan’s eligibility dates and remaining balance.
Does direct billing mean my exam is fully covered?
No. Direct billing is a way to submit a claim; your insurer determines what it pays.
Do I have to buy glasses after my eye exam?
No. You can book an exam on its own.
Sources: Canadian Association of Optometrists and Sun Life’s coverage guide.