Alberta Health Care Coverage

Alberta Health Care Coverage for Eye Exams

Alberta Health will provide partial coverage towards eye examinations for patients ages 18 and under, and 65 and over, including routine comprehensive annual exams. There may be additional fees above what is funded by Alberta Health depending on the services provided. 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. Browse our list of insurance companies that we can submit to on your behalf. Fittings for medically necessary contact lenses (patients with corneal disease) are also likely eligible for extended coverage through most employee benefit plans.