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Insured Optometric Services Tariff Regulations
made under clause 13(1)(c) and subsection 17(2) of the
Health Services and Insurance Act
R.S.N.S. 1989, c. 197
O.I.C. 2002-255 (May 3, 2002, effective April 1, 2001), N.S. Reg. 68/2002
as amended by O.I.C. 2010-279 (July 13, 2010), N.S. Reg. 107/2010
Citation
1 These regulations may be cited as the Insured Optometric Services Tariff Regulations.
Insured optometric services
2 The insured optometric services are as set out in the following table:
Health
Service
Code
Description
Conditions for Coverage
Insured Ages
Frequency
Medical
Service
Units
09.02C
Full exam - routine
0-9 years and 65 years and over
1 per every
2-year period
20.48
09.02C
Full exam - non routine
Medical necessity
Any age
1 per year
20.48
3.03
Continuing care
Medical necessity
Any age
1 per year
11
3.03
Continuing care - specific diagnosis
Where eye pathology has been identified or suspected
In conjunction with a noted differential diagnosis or prescribed medication only and not an over-the-counter product
Must be submitted with supporting text, details of which are found in the Department of Health and Wellness ’s Optometric Services Manual
Any age
6 per year
11
22.69A
Punctual occlusion
Where eye pathology has been identified or suspected and where other therapies have been tried
Only for insertion of permanent plugs and not for materials
Not for contact lens-related dry eye
Any age
1 per eye per lifetime
22 for 1 eye, and 33 for both eyes
21.31
Dilation of lacrimal punctum
Where eye pathology has been identified or suspected and where other therapies have
been tried
True epiphora
Positive Jones Test
Patient must not have ectropion
Any age
1 per eye per lifetime
30 for 1 eye, and 45 for both eyes
[Note: the reference to the Department of Health has been updated in accordance with Order in Council 2011-15 under the Public Service Act, R.S.N.S. 1989, c. 376, effective January 11, 2011.]
Tariff of fees3 The tariff of fees for insured optometric services is as follows:
(a) effective on and after the date this Section comes into force, the Medical Services Unit (MSU) is $2.65; and
(b) effective April 1, 2011, the MSU is increased to $2.68.
Section 3 replaced: O.I.C. 2010-278, N.S. Reg. 107/2010.