In BC, public health insurance is called the Medical Services Plan (MSP). It can cover or partially cover the cost of medically- necessary insured doctor services.
MSP Coverage for Eye Exams in BC
In British Columbia, public health insurance is called a Medical Services Plan (MSP). MSP provides some coverage toward the full cost of an eye exam. Patient’s are responsible for paying the remaining balance set by the clinic.
What does MSP contribute for eligible people?
Who is eligible for some MSP contributions?
- Children aged 0–18
- Adults aged 65+
- Adults aged 19–64 only when the exam is medically required. Some reasons for medically required eye exams include a diagnosis of diabetes, glaucoma, macular degeneration, or if you are taking high risk medications. If you are identified as being eligible during your routine visit, MSP will provide the partially covered amount.
What does this mean for you?
Optometry clinics set their exam fees and the testing included in the exam. If your eye exam costs more than the MSP contribution, you are required to pay the difference.
Make sure to ask about clinic fees when booking your appointment.
Optometrists may be able to directly bill to extended health insurance plans (like Blue Cross or Green Shield). You can find an optometrist near you using our Find A Doctor tool.
Optometric services not covered by MSP
Optometric services not covered by MSP include:
- Recommended treatments such as eyeglasses, contact lenses, low vision aids, eye co-ordination exercises, eye medications
- Contact lens fitting
- Eye examinations that are required by potential employers or other third parties
- Laser refractive surgery management (pre- and post-operative visits)
How much do I have to pay for an eye exam?
Medical Services Plan (MSP) provides limited or partial coverage for optometric services as a benefit* for the following population groups:
- Children aged 0–18 years: one full eye examination annually
- Adults aged 19–64: eye exams not covered by MSP unless medically required
- Seniors aged 65+: one full eye examination annually
* MSP currently covers:
- $47.08 for a full eye exam
- $32.96 for a minor or follow-up examination
Doctors of optometry are eligible to set their own fees for services and may bill MSP on behalf of their patients when there is coverage available. Patients are expected to pay the balance, if there is one. In advance of an appointment, the patient should be advised of the expected cost of the services, and whether MSP may cover any or all of it.
Can I get additional coverage for my child?
The BC Healthy Kids Program helps middle- and low-income families with the costs of basic dental care and prescription eyewear for their children. Eligible clients include dependent children under 19 years of age who receive MSP premium assistance through the Ministry of Health.