Optometrists provide certain services covered under the Québec Health Insurance Plan. Children, persons age 65 or over and those with a visual impairment, among others, may benefit from free optometric services. An emergency service is covered for all.
Who is eligible?
You may benefit from optometric services free of charge if you are insured by the Québec Health Insurance Plan and in any of the following situations:
- You are under the age of 18 or age 65 or over
- You are age 18 to 64 and have been a recipient of a financial assistance program with claim slip (carnet de réclamation) for at least the past 12 consecutive months
- You are age 60 to 64, have been receiving a spouse’s allowance under the Old Age Security Act for at least the past 12 consecutive months (without this allowance, you would be eligible for financial assistance program with claim slip (carnet de réclamation) benefits) and hold a valid claim slip (carnet de réclamation)
- You have a visual impairment (additional condition: you must register with a recognized facility specialized in visual aids)
Services covered for eligible persons
The following services are covered only for eligible persons. Certain restrictions apply. To obtain these services, you have to present your valid Health Insurance Card. Recipients of financial assistance program with claim slip (carnet de réclamation) and persons age 60 to 64 must also present their valid claim slip (carnet de réclamation).
- Examinations to detect vision disorders, monitor their evolution and assess eye health
- Examinations specific to a particular condition, such as strabismus or aniseikonia (the image seen by one eye differs from that seen by the other)
- Eye examinations to obtain a driver’s licence (bus, taxi, commercial or emergency vehicle)
- Prescription of exercises to improve vision
- Referrals to another health professional, for instance, an ophthalmologist
- Writing and handing over of prescriptions for eyeglasses or contact lenses (corneal lenses) following an examination
- Reimbursement following the purchase of eyeglasses or contact lenses for children under 18: See the webpage Eyeglasses and contact lenses for children.
Restrictions concerning examinations
Complete examinations and evaluation of colour vision
- Under age 18: 1 examination per year
- Age 65 or over: 1 examination per year
- Recipients of financial assistance program with claim slip (carnet de réclamation) age 18 to 64: 1 examination every 2 years
Orthoptic examinations: Diagnoses of strabismus, among other conditions
Covered only for children age 16 or under
Examinations with dilation of the inner eye and retina
Covered for persons being treated for diabetes and those with myopia of 5 diopters or more
Services covered for all
Emergency examinations performed by optometrists are covered for all insured persons experiencing a sudden eye problem. All you need to do is present your valid Health Insurance Card. Here are some examples:
- Inflammation of the eyelid
- Foreign body of the surface of the eye
On the other hand, you have to pay for certain additional non-covered services:
- Treatments (extracting a foreign body or prescribing a medication, for example)
- Supplemental tests to establish a diagnosis such as photographing the ocular fundus
Services not covered
You have to pay for certain optometric services. Here are some examples:
- Purchase, fitting and replacement of eyeglasses or contact lenses, except for under 18s
- Corrective laser surgery or other eye surgery aimed at doing away with eyeglasses or contact lenses
The surgery is covered if the following 2 conditions are met:
- Documented failure regarding the wearing of corrective eyeglasses or corneal lenses
- Anisometropia of more than 5 diopters or astigmatism of more than 3 diopters
- Examinations to obtain a driver’s licence for a passenger vehicle or motorcycle
- Cycloplegic examinations, which entail the use of eye drops to temporarily paralyze the focusing eye muscles in order to measure and analyze refraction
- Photos of the retina or Optomap
- Writing of reports of an eye examination required by educational institutions, employers, insurers, summer camps, associations or organizations
- Optical coherence tomographies
- Treatments necessary following an eye emergency
Frequently asked questions
To file a complaint on the quality of services rendered by an optometrist, please contact the Ordre des optométristes du Québec.
- By mail
Bureau du syndic
Ordre des optométristes du Québec
1265, rue Berri, bureau 505
Montréal (Québec) H2L 4X4
- By telephone
514 499-0524, ext. 230 (Montréal)
1 888 499-0524 (toll-free)
If the situation is one where laws were not observed, refer to the webpage Report wrongdoing (a person or situation). To file a complaint regarding a service provided by RAMQ, SAAQ or a CLSC, use the form File a complaint on the quality of services.
No. Neither the purchase of prescription eyeglasses nor contact lenses is covered by the public plan. Consequently, we do not reimburse the costs billed for this service. There is an exception for children: the financial assistance program See Better to Succeed offers a reimbursement for the purchase of eyeglasses or contact lenses for a child under the age of 18.
No. The administration of eye drops during a covered service cannot be billed by an optometrist participating in the public plan, whether the service is rendered in a medical clinic or hospital centre. However, if you wish to purchase eye drops for use at home, you have to pay for them.