#23 | Alberta Health Care Does Not Cover Eye Exam Fees for Adults ages 19-64.

Eye Care Tip of the Week #23: Alberta Health Care does not cover eye exams for adults ages 19-64. 

Eye Care Tip of the Week | #23

Alberta Health Care Does Not Cover Eye Exam Fees for Adults ages 19-64 

It's true. In Alberta, routine eye exams for adults between the ages of 19-64, are not covered or paid for by Alberta Health Care. Every week though someone tries to convince our staff otherwise. 

The most common misconception is when it comes to medically necessary testing in patients with conditions such as diabetes and hypertension that require annual dilated retinal exams. Yes, these medically necessary visits are covered under Alberta Health Care. But, medically necessary coverage only applies to the evaluation, treatment or monitoring of the eye condition and does not cover the cost of a complete eye exam for eyeglasses and contact lenses. 

So once again. In Alberta, medically necessary testing is covered, but routine eye exams for eyeglasses and contact lenses are not covered or paid for under Alberta Health Care for adults between the ages of 19-64, regular eye exam fees still apply for these services. 

This Eye Care Tip of the Week is brought to you by Stonewire
 

#1 | The Alberta Health Care billing cycle for eye exams is July 1st to June 30th

Eye Care Tip of the Week | #1

The Alberta Health Care billing cycle for eye exams is July 1st to June 30th.

Why does that matter? Alberta Health Care covers children 0-18 and seniors 65 and over for one routine eye exam with an optometrist every year. The billing cycle for these eye exams begins every July 1st again. 

So even if you're kids had their eyes examined back in November 2016, or in January 2017 they're once again covered. 

You can learn more about booking these types of appointments by visiting our eye exams for children page, or eye exams for seniors page. 

Please use your Alberta Health Care card for prevention, not just urgent treatment. Either way, we're happy to see you. 

Not covered by Alberta Health Care for your next eye exam? Check out our insurance page to see which companies we can direct bill. 

This eye care tip of the week was brought to you by our office manager: Liz