How much does a comprehensive eye exam cost?
| Patient | Fee | OHIP |
|---|---|---|
| Adults (20-64) | $198 | Not covered unless qualifying medical condition |
| Children and teens (under 20) | OHIP + $98 | OHIP covers base exam annually |
| Seniors (65+) | OHIP + $118 | OHIP covers base exam every 18 months |
The $98 and $118 supplements cover comprehensive imaging (retinal photos, OCT) and extended assessment beyond what OHIP funds. See our eye exam page for details on what is included.
What does OHIP cover for eye exams?
- Children under 20 - one routine eye exam per year
- Seniors 65 and older - one routine eye exam every 18 months
- Adults 20-64 - covered only with a qualifying medical condition (diabetes, glaucoma requiring treatment, cataracts with reduced vision, retinal disease, and others)
OHIP does not cover glasses, contact lenses, or specialty services. For the full eligibility list, see OHIP eligibility and coverage.
Specialty services
| Service | Fee | Includes | OHIP |
|---|---|---|---|
| Myopia control | OHIP + $98/yr | All follow-ups and measurements for 12 months | Partially covered |
| Scleral lens fitting | $750 | All follow-up visits (typically 3-6). Lenses billed separately. | Not covered |
| Orthokeratology | $1,500 | Fitting, design, all follow-ups. Lenses billed separately. | Not covered |
| Dry eye assessment | Varies | Depends on what is clinically indicated. Discussed at appointment. | Not covered |
| TempSure Envi | Varies | Series + maintenance sessions. Discussed at appointment. | Not covered |
| OACP vision test | $275 | Valid 2 years. Night vision testing $118 extra if needed. | Not covered |
Treatment costs for myopia control (specialty lenses, orthokeratology, or atropine drops) are separate from the management program fee and depend on the approach chosen.
Do we direct-bill insurance?
Yes. We direct-bill many insurance plans. If your plan is not set up for direct billing, we will give you a detailed receipt you can submit for reimbursement.
If you bring your insurance card to your appointment, we can check your coverage and let you know what to expect before we start.
Do I need to wait until my benefits reset?
Many patients time their visits around benefits cycles, and that is fine. But do not delay if you have:
- New or worsening blur
- Headaches or eye strain that is getting worse
- Flashes, floaters, or sudden vision changes
- Eye pain, redness, or light sensitivity
- Diabetes, high blood pressure, or other conditions that affect the eyes
If something has changed, book sooner. Your eyes are more important than timing a benefits cycle.
What if I am not sure what something will cost?
Ask. We will always explain what is recommended, what is optional, and what it costs before we proceed. If you want to know ahead of time, call us at 416-703-2797 and describe what you need.
Prices current as of February 2026. Contact us to confirm.
Common questions
- How much does a comprehensive eye exam cost at Spadina Optometry?
- Adults aged 20 to 64 pay $198 for a comprehensive eye exam. Children and teens under 20 pay $98 on top of OHIP coverage. Seniors aged 65 and older pay $118 on top of OHIP coverage. The supplemental fee covers comprehensive imaging and extended assessment beyond what OHIP funds.
- What does OHIP cover for eye exams in Ontario?
- OHIP covers one routine eye exam per year for children under 20 and one every 18 months for seniors 65 and older. Adults aged 20 to 64 are covered only if they have a qualifying medical condition such as diabetes or glaucoma. OHIP does not cover glasses, contact lenses, or specialty services.
- How much does myopia control cost at Spadina Optometry?
- The myopia management program costs $98 on top of OHIP coverage per year. This includes all follow-up appointments and ongoing measurements for up to 12 months.
- How much does a scleral lens fitting cost?
- The scleral lens fitting fee is $750 and includes all follow-up visits needed to optimize the fit, typically three to six visits. Lenses are billed separately. Scleral lens fittings are not covered by OHIP but may be reimbursable through third-party insurance.
- How much does orthokeratology cost?
- The orthokeratology fitting fee is $1,500 and includes lens fitting, design, and all follow-up visits. Lenses are billed separately. Ortho-K is not covered by OHIP but is covered by most vision plans.
- How much does dry eye treatment cost at Spadina Optometry?
- Dry eye assessment and meibography fees are discussed at the appointment based on what is clinically indicated. TempSure Envi treatment fees are also discussed at the appointment. Dry eye services are not covered by OHIP but may be partially reimbursable through some insurance plans.
- How much does the police vision test (OACP) cost?
- The OACP vision assessment costs $275 and is valid for two years. Night vision testing, if required, costs an additional $118. These assessments are not covered by OHIP.
- Does Spadina Optometry direct-bill insurance?
- Yes. Spadina Optometry direct-bills many insurance plans. If direct billing is not available for your plan, you will receive a detailed receipt suitable for submitting a claim for reimbursement.
- Do I need to wait until my insurance benefits reset to book an eye exam?
- Not always. Many patients time visits around their benefits cycle, but if you have new symptoms, worsening vision, or a medical condition that affects the eyes, it is better to be assessed sooner rather than waiting for a reset date.
Want to confirm what you will pay?
Tell us your insurance plan name (or bring your card) and we will let you know what is covered and what is not.
Prefer to talk first? Call or text us at 416-703-2797.
Spadina Optometry has cared for downtown Toronto patients since 2002 — an independent practice where the same team knows your eyes year after year.
Last reviewed: August 21, 2026