ontario regulation 138/05

made under the

Family Benefits Act

Made: March 23, 2005
Filed: March 24, 2005
Printed in The Ontario Gazette: April 9, 2005

Amending Reg. 366 of R.R.O. 1990

(General)

1. Clause 15 (6) (b) (ii) of Regulation 366 of the Revised Regulations of Ontario, 1990 is amended by striking out “and subsection 30 (4)” and substituting “and subsections 30 (4) and (4.1).

2. Section 30 of the Regulation is amended by adding the following subsections:

(4.1) Subject to subsection (4.2), Ontario shall pay on behalf of a beneficiary an amount equal to $39.15 for a periodic oculo-visual assessment once every 24 months.

(4.2) The amount set out in subsection (4.1) is payable only if,

(a) the beneficiary has not had a periodic oculo-visual assessment or a major eye examination in the preceding 24 months; and

(b) the beneficiary is not entitled to payment on his or her behalf for the periodic oculo-visual assessment or the major eye examination under the Ontario Health Insurance Plan established under the Health Insurance Act.

. . . . .

(6) In this section,

“major eye examination”

(a) has the same meaning as a major eye examination as described in the document entitled “Schedule of Benefits for Optometry Services (November 1, 2004)”, published by the Ministry of Health and Long-Term Care and available from that Ministry, when the examination is performed by an optometrist, or

(b) has the same meaning as a major eye examination as described in the document entitled “Schedule of Benefits — Physician Services under the Health Insurance Act (July 1, 2003)”, including amendments made on and before December 1, 2004, published by the Ministry of Health and Long-Term Care and available from that Ministry, when the examination is performed by a physician;

“periodic oculo-visual assessment”

(a) has the same meaning as a periodic oculo-visual assessment as described in the document entitled “Schedule of Benefits for Optometry Services (November 1, 2004)”, published by the Ministry of Health and Long-Term Care and available from that Ministry, when the assessment is performed by an optometrist, or

(b) has the same meaning as a periodic oculo-visual assessment as described in  the document entitled “Schedule of Benefits — Physician Services under the Health Insurance Act (July 1, 2003)”, including amendments made on and before December 1, 2004, published by the Ministry of Health and Long-Term Care and available from that Ministry, when the assessment is performed by an physician.