Canadian Dental Care Program

What you need to know about the Canadian Dental Care Plan (CDCP)

The CDCP is something the labour unions had a hand in bringing to Canada. Lobbying and meeting with the members of parliament to let them know this is something Canadians need!  Fighting for pharmacare on all levels.

Are you eligible?

• If you have no private insurance through work
• If you have an adjusted family net income of less than $90,000
• If you are a Canadian resident and have filed your tax returns for the previous year

You are eligible for this program!

How to apply- go to

Canadian Dental Care Plan – Apply – Canada.ca

www.canada.ca/en/services/benefits/dental/dental-care-plan/apply.html

Who can Apply	WHEN
Aged 65 or older	NOW
Adults with a valid disability tax credit certificate	June 27, 2024
Children under the age of 18	June 27, 2024
All remaining eligible residents (not included in groups above)	Starting in 2025

Services covered

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 consider 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.

To see the full list of services please go to this link Canadian Dental Care Plan – Dental Benefits Guide – Canada.ca

 

Co-payments based on adjusted family net income

Adjusted family net income	How much CDCP covers	How much you will Pay
Lower than $70,000	100% of eligible oral health care services will be covered at the CDCP established fees	0% of the CDCP established fees. You may face additional charges as described below
Between $70,000 and $79,999	60% of eligible oral health care services will be covered at the CDCP established fees	40% of the CDCP established fees. You may face additional charges as described below
Between $80,000 and $89,999	40% of eligible oral health care services will be covered at the CDCP-established fees	60% of the CDCP established fees. You may face additional charges as described below

Additional charges

The CDCP fees may not be the same as what providers charge. You may have to pay fees in addition to the potential co-payment if:

• the cost of your oral health care services are more than what the CDCP will reimburse based on the established CDCP fees
• you agree to receive care that the plan doesn’t cover

Before receiving oral health care, you should always ask your oral health provider about any costs that won’t be covered by the plan. Make sure you know what you’ll have to pay directly to your oral health provider ahead of receiving treatment.