Alberta Health Care Coverage for Eye Exams
Alberta Health will fund all types of eye examinations including routine comprehensive exams for patients ages 18 and under, and 65 and over. For ages 19-64, routine comprehensive eye examinations are not covered under Alberta Health, but medically necessary examinations are.
What Types of Medically necessary examinations and treatments Are Covered?
Alberta Health provides full coverage for visits for medically necessary eye problems. These include:
- Eye or eyelid infections, abrasions, red or pink eye, pain or sudden vision loss
- Foreign body requiring assessment and/or removal
- Retinal examination and diagnostic imaging for diabetic patients
- Monitoring and treatment for chronic eye diseases such as glaucoma and uveitis
- Pre-and Post-operative surgical care
Note that routine eye care including eyeglass prescriptions and all contact lens fittings are still uninsured services for ages 19-64. You may be eligible for coverage of these services under your personal or employer health care plan. Fittings for medically necessary contact lenses (patients with corneal disease) are also likely eligible for extended coverage through most employee benefit plans.