Under the Health Insurance Act (HIA), an optometrist is obliged to file a report when “in the course of his or her professional or official duties, has knowledge” that any of the following activities have occurred:
The HIA extends the reporting requirements to employees of optometrists who may become aware of the fraud. In cases where reporting of health card fraud arises, the optometrist, or his or her employee, is required to make the report promptly to the General Manager of OHIP.