Vision insurance: coverage for eye exams and glasses

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Vision care is an essential part of a comprehensive health plan. In Canada, many vision-related expenses aren’t covered by provincial health plans. That's why it's important to find supplemental coverage, like Sun Life's personal health insurance plans, to help cover vision-related health expenses. 

Whether you need regular eye exams, new prescription glasses, contacts, or even laser eye surgery, Sun Life vision coverage is designed to help you protect your eye health without the burden of significant out-of-pocket costs.

Please note: Vision coverage includes a 1-year waiting period before coverage begins, so plan accordingly if you need immediate vision care coverage.

Sun Life's vision coverage 

Sun Life offers vision coverage through two of its personal health insurance (PHI) plans - Standard, and Enhanced - each with different levels of coverage. Here's a quick breakdown: coverage. 

FeatureBasic PlanStandard PlanEnhanced Plan
Reimbursement RateNo coverage100%100%
Maximum (Every 2 Calendar Years)Not available$250$300
Eye Exam Maximum (Per Year)Not available$50 per exam$50 per exam
Waiting PeriodNot available1 year1 year
Coverage IncludesNot availablePrescription eyeglasses, contact lenses, prescription sunglasses, laser eye surgeryPrescription eyeglasses, contact lenses, prescription sunglasses, laser eye surgery
Learn moreMore about the basic planMore about the Standard planMore about the Enhanced plan

What's covered under Sun Life PHI plans 

Comprehensive vision benefits in the Standard and Enhanced plans include: 

  • Routine eye exams 
  • Prescription eyeglasses 
  • Contact lenses 
  • Laser eye surgery 
  • Other vision-related healthcare needs 

The exact coverage amounts depend on your specific plan, so you can choose the level of protection that matches your lifestyle and budget. 

Why choose Sun Life PHI for vision coverage 

Vision coverage through a PHI plan has many features, including:

Comprehensive coverage 

  • 100% reimbursement for eligible vision expenses (Standard and Enhanced plans)  
  • Covers prescription eyeglasses, prescription contact lenses, prescription sunglasses, and laser eye surgery

Reasonable benefit limits 

  • Standard plan: $250 maximum every 2 calendar years  
  • Enhanced plan: $300 maximum every 2 calendar years - Both include $50 maximum per year per eye exam

Part of broader protection 

Vision coverage works alongside other health benefits like prescription drug coverage, dental care, paramedical services, and emergency travel medical coverage

Flexible options 

Vision coverage is included in both Standard and Enhanced plans  

Allows you to choose a plan level that matches your overall health needs and budget

Beyond vision: additional health coverage 

Sun Life PHI plans cover a range of additional health services that can enhance your overall wellbeing, all in one plan:

Prescription drug coverage

Get basic to maximum drug coverage depending on your plan tier.

Dental care

Preventive dental care included in the Basic plan; optional restorative and orthodontic coverage available on the Enhanced plan.

Paramedical services

Including physiotherapy, chiropractic care, naturopath services, registered massage therapy, acupuncture, and podiatry.

Mental health support

Psychologists, social worker, and other mental health services with enhanced coverage limits.

Hearing aids

Get hearing aid coverage for up to $500-$600 maximum every 5 years depending on your plan.

Emergency travel medical

Coverage for emergency medical expenses while traveling (Standard and Enhanced plans). 

Each plan tier - Basic, Standard, and Enhanced - offers different reimbursement levels and annual maximums to match your coverage needs and budget. This integrated approach means you can access the diverse health services you need through a single personal health insurance plan. 

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Frequently Asked Questions

The Canadian Association of Optometrists recommends that adults get an eye exam every two years. If you wear glasses or contacts, an exam is a great opportunity to ensure your prescription is up-to-date. It's also your chance to check on your overall eye health and catch potential problems like glaucoma or cataracts as early as possible.

Provincial health insurance generally provides only limited coverage for eye exams, and only to specific groups like seniors, children, and those with lower incomes, depending on your province. Corrective lenses, whether glasses or contacts, are almost never covered by provincial plans. This is why private vision coverage through plans like Sun Life's PHI is worth considering.

The amount of vision coverage you need depends on your eye care habits and budget. Consider how often you need eye exams, glasses or contact lens replacements, and whether you're interested in procedures like laser eye surgery.

A good approach is to calculate your typical annual vision expenses and compare them to the plan maximums. If you have regular vision care needs, the Standard or Enhanced plans typically provide better value than paying out-of-pocket. Keep in mind there's a 1-year waiting period before coverage begins.

Laser eye surgery is an increasingly popular option for people who want to reduce their dependence on glasses or contacts. On average, laser eye surgery costs between $2,000 and $3,000 per eye in Canada, though pricing varies by clinic and individual circumstances.

Yes. Both the Standard and Enhanced PHI plans can help offset the cost of laser eye surgery. Depending on your plan, you can use your annual vision allowance toward laser eye surgery, or split it between exams, glasses, and contacts.

This information is meant for educational and illustrative purposes only. Some conditions, exclusions and restrictions apply.