Canada Dental Care Plan (CDCP) Affordable Dental Coverage for All Canadians

The Firehall Dentist is delighted to be enrolled in the Canadian Dental Care Plan (CDCP) to help many Ontario residents access their oral health needs.

Canada’s new dental care plan provides basic oral health care to Canadian citizens who may not otherwise be able to afford it. The program will be phased throughout 2024 and 2025, initially covering Canadians aged 65 years and older. The goal is to eventually provide dental care for all uninsured Canadians with an annual household income less than $90,000.

At The Firehall Dentist we want to ensure comprehensive dental care for all our patients, and now with the financial assistance from the Canadian Dental Plan, it allows you to proceed with treatment required that you may have been putting off for some time.

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When You Can Apply

*Seniors aged 65 and above are now eligible to apply without needing an invitation letter. If you have previously received an invitation letter, please note that the personal access code provided expired on April 30, 2024. Before you can apply for the Canadian Dental Plan, you and your spouse or common-law partner (if applicable) must have filed your tax return for 2023 and have received your Notice of Assessment.

The application schedule based on age group is outlined below.

Criteria to Apply

To qualify for the Canadian Dental Plan, you must; not have access to any other type of dental coverage whether through your employer or a private plan or a plan that is under another family member; have an adjusted family net income of less than $90,000; be a Canadian resident; have filed your previous years’ income tax return.

What to Expect After You Apply

You will receive a welcome package from Sun Life within 3 months of completing your application. The welcome package will include coverage details, a member card and an effective coverage start date. The coverage start date is based on when you apply and when you’ll be enrolled.

What Services Are Covered

There are a variety of treatments that are covered under the Canadian Dental Plan which will help to keep your teeth and gums healthy while preventing and treating oral health care issues and diseases.

Some services covered may include cleanings, exams, radiographs, fillings, extractions, partial and complete dentures. Other services may require an estimate, which is a process where prior approval is required before treatment commences.

Services requiring a pre-authorization will become available in November 2024.

How Much Is Covered

The Canadian Dental Plan will reimburse a percentage of the treatment cost to the dental office, based on the established CDCP fee guide and your adjusted family net income. This fee guide differs from the General Practitioners fee guide, which will also be factored in when calculating your co-payment.

Co-payments are based on your adjusted family net income as outlined below.

Whom to Contact

To learn more about the CDCP and how it applies to your family we encourage you to call Service Canada Canadian Dental Care at 1-833-537-4342 (select option number 2) or visit the Government of Canada website by clicking on this link https://www.canada.ca/en/revenue-agency/services/child-family-benefits/dental-benefit/who-apply.html

Our highly knowledgeable staff is also available to answer any questions you may have regarding this program, and they are looking forward to hearing from you to schedule your appointment!

Call us a call today at (905) 689-9111

Services covered with CDCP

The Canadian Dental Care Plan (CDCP) will help cover a wide range of oral health care services that:

• keep your teeth and gums healthy
• prevent and treat oral health care issues and diseases

Examples of services that could be covered under the CDCP when recommended by an oral health provider, include:

• preventive services, including scaling (cleaning), sealants and fluoride
• diagnostic services, including examinations and x-rays
• restorative services, including fillings
• endodontic services, including root canal treatments
• prosthodontic services, including:
• complete dentures, and
• partial removable dentures
• periodontal services, including deep scaling
• oral surgery services, including extractions

Note: Some oral health care services will require preauthorization. Preauthorization is a process where prior approval is required, based on the recommendation of the oral health provider, before the treatment is provided, to confirm it will be covered under the plan. These treatments and/or services take into consideration an individual’s oral health history and medical conditions. Services requiring preauthorization will become available in November 2024.

The CDCP will only pay for oral health care services covered within the plan at the established CDCP fees. These fees are not the same as the provincial and territorial oral health associations suggested fee guides that providers often use to charge for oral health services. People covered under the CDCP may have to pay any additional charges directly to the oral health provider.

For more information:

https://www.canada.ca/en/services/benefits/dental/dental-care-plan/coverage.html