Confused about how Alberta’s health care changes impact your eye exams? You’re not alone. According to the Alberta governments official health care coverage guidelines, recent updates mean the costs for annual eye exams for children (0-18) and seniors (65+) remain partially covered, with certain portions of the billing process that are no longer funded. At My Optometrist in Calgary & Three Hills, we’re here to support you with personalized care & guidance on navigating these changes. Don’t let adjustments to government funding stop you from prioritizing your eye health. Visit our Sunridge, Sundance, or Three Hills locations to receive the quality care you deserve. Book your appointment today!
At My Optometrist in Calgary & Three Hills, we are dedicated to ensuring that you and your family receive the highest quality eye care. Recent changes to Alberta Health Care funding for optometry services may affect some patients, specifically children (0-18) and seniors (65+). While the majority of eye exam costs for these age groups remain covered, adjustments to government funding mean that certain portions of the billing process will no longer be supported as they were in the past.
Here’s what you need to know about these changes and how they may impact your eye care.
What is Still Covered by Alberta Health Care?
Eye Exams for Children (0-18)
Children’s vision is essential to their development, and annual eye exams are critical for identifying and addressing issues early. As specified by the Alberta Health Care Insurance Plan, Alberta Health continues to provide partial coverage for annual eye exams for children aged 0-18, ensuring that their eye health remains a priority.
Eye Exams for Seniors (65+)
Seniors aged 65 and over remain eligible for partially covered annual eye exams under Alberta Health Care. Regular checkups are vital for detecting and managing age-related conditions like cataracts, macular degeneration, and glaucoma.
Emergency Eye Care Services
Alberta Health Care also covers emergency eye exams for sudden or urgent conditions, such as eye injuries, infections, or sudden vision changes.
While Alberta Health Care provides partial funding for the following symptoms, there will be an additional fee for these visits:
- Assessment and treatment for eye or eyelid infections, abrasions, red or pink eye, pain, or sudden vision loss
- Evaluation of foreign objects in the eye and removal
- Retinal examinations and diagnostic imaging for diabetic patients
- Monitoring and management of chronic eye conditions, including glaucoma, macular degeneration, dry eye disease, uveitis, keratoconus, and more
- Pre- and post-operative care for eye surgeries
- Diagnostic imaging conducted multiple times per year as needed
Subject to change depending on government regulations. Please visit Alberta Government website for more details.
What Has Changed in Alberta Health Care Funding?
Recent adjustments to Alberta Health Care funding mean that while most of the costs associated with annual eye exams for children and seniors remain covered, some portions of the billing process are no longer funded. This may result in additional fees for services provided during these visits.
Follow-Up Eye Exams
Follow-up eye exams for any age group are no longer funded by Alberta Health. If you require additional monitoring or treatment beyond your initial visit, fees may apply depending on the services provided.
At My Optometrist in Calgary & Three Hills, we are working hard to minimize the impact of these changes on our patients. Our goal is to ensure that everyone can continue to access exceptional, personalized eye care without disruption.
Why Annual Eye Exams Are Essential
For Children
Regular eye exams play a key role in detecting and addressing vision issues that can affect learning, development, and overall quality of life. Conditions like nearsightedness, farsightedness, and amblyopia (lazy eye) can significantly impact a child’s ability to thrive if left untreated.
For Seniors
Aging increases the risk of eye conditions such as cataracts, glaucoma, and macular degeneration. Annual exams help monitor these conditions, ensuring timely treatment and preserving vision for years to come.
How My Optometrist Supports You Through These Changes
At My Optometrist in Calgary & Three Hills, we are committed to making eye care accessible and ensuring that every patient feels supported during these adjustments. Here’s how we’re here to help:
- Affordable Pricing: At My Optometrist in Calgary & Three Hills, we believe in accessible care for everyone. We offer competitive pricing for routine eye exams and follow-up visits, ensuring you can prioritize your eye health without financial strain.
- Transparent Communication: Our team is happy to discuss your specific coverage and explain any associated costs during your visit.
- Comprehensive Care for All Ages: From pediatric vision care to managing chronic conditions for seniors, we are here to support every stage of life.
Exceptional Eye Care, Always
Navigating Changes Together
While recent adjustments to Alberta Health Care funding may result in some changes to billing processes, our commitment to providing exceptional eye care remains stronger than ever. Children and seniors continue to benefit from partially covered annual eye exams, and we remain dedicated to offering affordable, accessible care for every patient.
If you have questions about how these changes impact your coverage or want to book your next exam, visit us at our Sunridge or Sundance locations in Calgary, or our office in Three Hills. Contact us today and let us help you prioritize your vision health!
FAQ’s
Q: What eye exams are still covered under Alberta Health Care?
A: Partial coverage is available for annual exams for children (0-18) and seniors (65+), as well as emergency eye exams for adults aged 18-64.
Q: What does “partial coverage” mean for children and seniors?
A: Alberta Health Care covers a portion of the cost for annual exams, with additional fees for some services.
Q: Can private insurance cover routine exams?
A: Many third-party insurance plans offer coverage for routine eye exams. Check with your provider for details. Contact us to learn more about insurers we accept.