A-29, r. 5 - Regulation respecting the application of the Health Insurance Act

Section 34 Disposition versions

2012-09-01

34. The optometric services listed hereafter are to be considered insured services for the purposes of subparagraph c of the first paragraph of section 3 of the Act for insured persons under 18 years of age or 65 years of age or over and for insured persons 18 years of age or over and less than 65 years of age who have held, for at least 12 consecutive months, a valid claim booklet issued in accordance with section 71 or 71.1 of the Act:

(a)  complete eye test;

(b)  (paragraph revoked);

(c)  follow-up eye test;

(d)  extended study of colour vision;

(e)  examination of the central visual field;

(f)  examination of the peripheral visual field;

(g)  ocular motility study;

(h)  adaptometry;

(i)  specific examination of subnormal vision;

(j)  specific examination of aniseiconia;

(k)  specific examination of contact lenses in the case of:

— deformity of the cornea

— coloboma

— albino

— aniridia

— polycoria

— aphacia (where there was no insertion of intraocular lenses)

— antimetropia or anisometropia of at least 2 diopters difference between the 2 eyes

— myopia of at least 5 diopters

— hypermetropia of at least 5 diopters

— ordinary astigmatism of at least 3 diopters difference between the major meridians

— amblyopia where correction in the better eye does not exceed 20/40

— therapeutic lenses in the case of ocular pathology necessitating the wearing of contact lenses following a doctor’s orders;

(l)  specific control examination for subnormal vision, aniseiconia, or for contact lenses.

In addition, a partial vision examination and an emergency examination, as defined in the agreement entered into in accordance with section 19 of the Act between the Minister of Health and Social Services and the Association des optométristes du Québec are considered insured services for all insured persons.

R.R.Q., 1981, c. A-29, r. 1, s. 34; O.C. 1192-92, s. 2; O.C. 124-93, s. 1; O.C. 729-93, s. 2; O.C. 896-94, s. 2; O.C. 1287-96, s. 2; O.C. 894-2009, s. 2.