Our Clinic in Oakville Accepts The Following:

If you do not see your plan listed here, please give us a call and we would be happy to assist you. Our staff is also always available to answer any questions regarding your benefits.

The cost of routine eye exams and prescription eyewear can be of real concern, especially for large families. In many cases, vision insurance can lower these annual expenses. A vision insurance policy is not the same as medical insurance. Regular medical health insurance plans protect you against financial losses due to unexpected eye injuries or disease. Vision insurance, on the other hand, is a wellness benefit designed to provide routine eye care, prescription eyewear and other vision-related services at a reduced cost.

What Does OHIP Cover?

• Persons 19 and younger receive coverage once every 12 months through Ontario Health Insurance Plan (OHIP).
• Persons 65 and older receive coverage once every 12 months through OHIP.
• Persons receiving assistance under the Ontario Disability Support Program, Ontario Works or the Family Benefits Program receive coverage for routine eye examinations once every 2 years.
• If you are between the ages of 20-64 and you have an eye disease or a medically required health condition that puts you at risk of eye disease also receive coverage once every 12 months through OHIP. Below is a list of examples:

• • • Diabetes
    • Cataracts
    • Macular Degeneration
    • Glaucoma
    • Lazy eye or very poor sight
    • Recurrent corneal compromise (keratitis)
    • Plaquenil (hydroxychloroquine) medication usage

We Direct Bill for you!

We know insurance paperwork is overwhelming and can get in the way of using the benefits your vision insurance offers. Direct billing is as simple as it sounds. We bill your insurance company directly so you don’t have to mess with forms, claims, and phone calls. Unsure if your insurance is accepted? Give Dr. Fallon Patel and Associates a call to find out!

Flexible Spending Accounts

Many employers are offering Flexible Spending Account (FSA) options to employees. Sometimes these are referred to as cafeteria plans and are elective, supplemental insurance savings plans. These plans are designed to let you save money in an account, pre-tax, to pay for additional medical expenses such as eye exams, glasses, contacts, and often laser vision surgery. Check with the benefits administrator at your work to see if you are eligible for this program. FSAs can typically be used in conjunction with any vision insurance plan to offset any out-of-pocket costs on your behalf.