What’s Covered by Insurance at Edmonton’s Eye to Eye Optometry Clinic?

Alberta Health Care Insurance Plan

Children & Seniors:

Eye examinations for children and seniors at Eye to Eye Optometry Clinic in Edmonton are typically covered by Alberta Health Care. Some items NOT covered by Alberta Health Care for this age group include second opinions, contact lens assessments, filling out forms, dispensing fees, or if the patient has already reached the maximum allowable visits by Alberta Health Care.

19-64 Years of Age:

Medically required eye examinations are typically covered by Alberta Health Care. However, routine eye examinations are NOT covered by Alberta Health Care for this age group. An eye examination may qualify as medically required due to a written referral from your family physician/“GP,“ an emergency such as pain or sudden vision loss, or certain health conditions such as diabetes. If you require an exam because of an eye health concern and not simply because you are due for a routine assessment, Alberta Health Care typically covers the exam. These “medically required” exams generally do not include a prescription for glasses.

Other Insurance Plans

  • We direct bill the following insurance plans:
  • Alberta School Employee Benefit Plan (ASEBP)
  • Blue Cross Canada
  • Great-West Life
  • Sun Life Financial
  • Quikcard™
  • Indian Affairs
  • Veterans Affairs Canada
  • Alberta Human Services
  • Occupational Vision Care (OVC)

For all other insurances, you will be required to pay for your examination, and then it is up to you to submit your receipt and any insurance forms to your insurance provider for re-imbursement. If your insurance form contains a section for your “service provider” to fill in, please bring the form to your examination. Contact our office with any questions!

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