My optometrist recommended some special testing that isn’t covered by OHIP. What’s involved, and why is it important?
At Ilex Eye Associates, we employ several special testing procedures to provide the best care possible. For some patients, there may be full or partial OHIP coverage; for others, it may be an out-of-pocket expense, or billed to a third party plan.
- Automated Visual Field (AVF) Analysis: maps the peripheral (side) vision, and is a critical component of diagnosing and monitoring any disease affecting the optic nerve, including neurologic deficits and glaucoma. AVF analysis is an OHIP-insured service for patients 19 and under, 65 and over, and adults with medical conditions qualifying them for OHIP coverage.
- Pachymetry: measures the central corneal thickness (CCT), essential in the diagnosis of glaucoma and helpful in diagnosing and monitoring many diseases of the cornea. Pachymetry is not an OHIP-insured procedure for any patient.
- Digital Retinal Imaging (photography): provides a high-resolution digital image of the retina that is of great value in diagnosing and monitoring diseases affecting the retina and optic nerve including diabetes, age-related macular degeneration (AMD), and glaucoma. Photography is not an OHIP-insured procedure for any patient.
- Optical Coherence Tomography (OCT): provides a non-invasive and high-resolution cross-sectional image ... think of OCT as an optical ultrasound. It has become invaluable in the diagnosis and management of a number of retinal and optic nerve diseases, including glaucoma, AMD, diabetic retinopathy, and others. Like photography, OCT is not an OHIP-insured service for any patient.
Our fees for these procedures mirror those charged for other non-insured partial assessments: between $25 and $60. Particularly for seniors and patients with diabetes, the care OHIP covers is no longer the best care available ... in fact, it often falls far short. Regardless, our priority will remain providing the highest standard of care available to each and every patient.
Your optometrist will only recommend these procedures when there are strong clinical benefits that improve the quality of your care. We partner with you in all decision-making, and it is always your prerogative to decline any procedure, insured or otherwise. That being said, we trust that you recognize that our recommendations are made with your best interests in mind.