Beginning May 1st, 2024 the Canadian Dental Care Plan (CDCP) provides dental care coverage to eligible Canadian residents, to help cover the cost of various oral health care services.
To qualify for the CDCP, you must:
- NOT have access to other dental insurance; (a) through your own or a family member’s employment benefits; (b) through a professional or student organization (this is true even if you decide not to take it or use it); (c) yours or a family member’s pension benefits; (d) coverage purchased by you or a family member or through a group plan from an insurance or benefits company.
- have an adjusted family net income of less than $90,000.
- be a Canadian resident for tax purposes
- have filed your tax return in the previous year.
When Can You Apply?
The fully updated application process is available here.
When Can You Visit Your Denturist?
Sun Life will manage the Canadian Dental Care Plan (CDCP) for the Government of Canada.
Once you’ve applied and they’ve confirmed that you qualify, they’ll share your information with Sun Life, who will enrol you in the CDCP.
Sun Life will then send you a welcome package, which will include:
- information on the CDCP
- your member card
- your coverage start date
For additional information about your starting date, visit the government’s webpage here.
What Services Are Covered?
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
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.
Norland Denture Centre is proud to be a registered provider with the CDCP beginning May 1st, 2024. As this new plan for eligible Canadians is continually evolving, we encourage you to contact our office to learn the necessary steps regarding denture care at our clinic using your CDCP coverage.
For full and complete information about the CDCP, please visit the Government of Canada website here.
