the canadian care plan
Filling in the facts about the CDCP
- Dental care under the CDCP is expected to start in May 2024.
- The CDCP is a dental benefit administered by Health Canada. It is not a free dental program.
- Patients will be required to make a co-payment (that is, pay for a portion of their dental care under the CDCP) depending on their adjusted family net income, as follows:
- No co-payment of the CDCP benefit for those with an adjusted annual family net income under $70,000.
- A 40 per cent co-payment of the CDCP benefit for those with an adjusted annual family net income between $70,000 and $79,999.
- A 60 per cent co-payment of the CDCP benefit for those with an adjusted annual family net income between $80,000 and $89,999.
- Patients may also have to pay costs the CDCP does not cover.
- Not all dental services are covered under the CDCP.
- Before proceeding with treatment, it is important to understand your dental care costs.
To learn more about the CDCP, visit canada.ca/dental
Expand CDCP: Now Offering Care for Children to Seniors in Your Area!
Frequently Asked Questions
The federal government has opened application for the CDCP in phases starting in December 2023. Seniors who are eligible will receive letters inviting them to apply, with instructions on how to validate their eligibility and apply by telephone. Letters from the government will be sent according to the following age groups:
- December 2023: Ages 87 and above
- January 2024: Ages 77 to 86
- February 2024: Ages 72 to 76
- March 2024: Ages 70 to 71
In May 2024, an online application portal will be open for seniors 65 and older. If you have a valid Disability Tax Credit certificate or have a child under the age of 18, you will be able to apply online as of June 2024. All remaining eligible Canadians will be able to apply online in 2025. For more information on eligibility, visit canada.ca/dental.
Examples of services that could be covered under the CDCP when recommended by your dentist include:
- Preventive services, including scaling (cleaning), polishing, sealants, and fluoride;
- Diagnostic services, including examinations and X-rays;
- Restorative services, including fillings;
- Endodontic services, including root canal treatments;
- Prosthodontic services, including complete and partial removable dentures;
- Periodontal services, including deep scaling; and
- Oral surgery services, including extractions.
Every group has a different level of coverage so that will impact your level of co-payment and also the remaining balance billed by the dental clinic. It is best to call Health Canada to discuss your specific coverage. For more information on services covered, access the CDCP Dental Benefits Guide.
If you are eligible for existing provincial government programs, you will still be able to apply for the CDCP.
Benefits will be coordinated between the programs, which means that your coverage will not be duplicated.
The federal government is now working with the provinces and territories to figure out how this will work.
Health Canada has committed to clarifying which programs will be the first and last payer before services begin as early as May of 2024.
Not having access to dental insurance is defined as:
- no dental insurance through your employer or a family member’s employer benefits, including health and wellness accounts;
- no dental insurance through your pension (previous employer) or a family member’s pension benefits; or
- no dental insurance purchased by yourself or by a family member or through a group plan from an insurance or benefits company.
The government has said that the CDCP is not intended to replace existing workplace or private dental benefits. It is meant for Canadians who do not have dental benefits.
If you have existing insurance, you SHOULD NOT cancel your insurance as not all details of the CDCP are public knowledge at this point.
You’re still considered to have access to dental insurance if you choose to opt out of available benefits like these.
Once you’ve applied through Health Canada and they confirm that you qualify, your information will be shared with Sun Life, who will enroll you in the CDCP.
Sun Life will then send you your coverage start date and member card.
The start date to access care under the CDCP depends on the date you were enrolled. You should contact the government with any specific questions regarding your eligibility under the CDCP.
APPLICATION SCHEDULE:
Â
| Group | Application Open |
|---|---|
| Seniors aged 87 and above | Started December 2023 |
| Adults with a valid Disability Tax Credit certificate | Starting June 2024 |
| Children under the age of 18 | Starting June 2024 |
| All remaining eligible Canadian residents | Starting 2025 |
No. It’s better to continue getting regular dental checkups now to catch problems before they become painful and expensive to treat, and apply for the plan when you are eligible to do so.
We don’t know and this should concern us all. Two-thirds of Canadians have great dental benefits from their work, school, or other group plan. These plans give them a choice of dentist, and the right to choose what dental care they get.
Dentists believe that the CDCP should improve access to care for people who don’t have benefits. It shouldn’t take away the benefits that people already have.
You can verify your eligibility by visiting the Health Canada website.
The program is currently available to Canadian residents over 65, those under 18, and adults with a valid Disability Tax Credit certificate. All other residents will become eligible in 2025.
To apply for the Canadian Dental Care Plan (CDCP), you’ll need to submit your application through Health Canada. Once your application is processed, Sun Life will send you a welcome package within three months. This package will include important details about your coverage, the effective date of your benefits, and your membership card. At Moss Dental, we’re here to help you navigate the process and answer any questions you may have about using your CDCP benefits for your dental care.
The Canadian Dental Care Plan (CDCP) helps cover part of your dental costs, but it does not provide free dental care. You may need to pay for any remaining expenses not covered by the plan.
Co-payments are required based on your adjusted annual family net income:
- No co-payment for those with an adjusted annual family net income under $70,000.
- A 40% co-payment for those with an adjusted annual family net income between $70,000 and $79,999.
- A 60% co-payment for those with an adjusted annual family net income between $80,000 and $89,999.
At Moss Dental, we encourage you to discuss the costs of your treatment and any potential out-of-pocket expenses with us when booking your appointment. We’ll help you understand what is covered by the CDCP and assist with any financial questions you may have.
The Canadian Dental Care Plan (CDCP) offers coverage for a wide range of dental services, helping to maintain and improve your oral health. At Moss Dental, we want to ensure you understand what’s covered under the plan, including:
Preventive care such as cleanings (scaling),
- Diagnostic services like exams and x-rayssealants, and fluoride treatments
- Restorative treatments, including fillings
- Endodontic procedures, such as root canal therapy
- Prosthodontic services, including complete and partial removable dentures
- Periodontal care, including deep scaling
- Oral surgery services, like extractions
Some treatments under the CDCP will require preauthorization. This means certain services, based on the recommendation of your oral health provider, need prior approval to confirm they will be covered. Preauthorization considers your individual oral health history and any medical conditions. At Moss Dental, we can help guide you through the process and ensure you receive the care you need.
