Canadian Dental Care Plan
What is the Canadian Dental Care Plan (CDCP)?
The Canadian Dental Care Plan (CDCP) is a federal initiative designed to support Canadian residents who lack dental insurance and have a household income under $90,000 annually. This program aims to reduce financial barriers to oral health care by offering access to a broad range of dental services.
At Orchard Dental Clinic, we are pleased to offer CDCP-covered services to patients in Meaford and the surrounding communities.
Eligibility
To qualify for the CDCP, you must satisfy the following criteria:
- No existing dental insurance coverage
- Have an annual adjusted family net income of less than $90,000
- Be a Canadian resident for tax purposes
- Have filed your tax return for the previous year
To check your eligibility, please visit Health Canada
Orchard Dental Clinic is accepting the Canadian Dental Care Plan (CDCP)
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What Services Are Covered
The Canadian Dental Care Plan (CDCP) will help pay a portion of the cost for a wide range of oral health care services.
Note: Some services and additional treatments beyond established frequency limits will require preauthorization by the CDCP. This means your provider will recommend treatment and the CDCP will assess if the treatment will be covered. This pre-approval must happen before you can receive the treatment. The decision will take into consideration your oral health history and medical conditions. Services and additional treatments requiring approval in advance will be available in November 2024.
Examples of services that could be covered under the CDCP when recommended by an oral health provider, include:
These are services to check your oral health status, keep your teeth, gums and mouth healthy, and prevent cavities and gum disease and detect mouth conditions (like cancer) earlier. CDCP covers:
- dental exams, including complete, routine, specific and emergency exams
- x-rays
- cleaning (scaling)
- fluoride applications
- sealants
Restorative services
These services treat cavities and broken teeth. CDCP covers:
- permanent fillings
- temporary fillings
- pain control for diseased teeth
- other treatments for cavities
Endodontic services
These services treat teeth that are severely decayed, infected or broken. CDCP covers:
- root canal treatments
- pulpectomies (first step of a root canal treatment)
- procedures to reduce infection and relieve pain
- re-treatment of previously completed root canal treatment (requires preauthorization)
Periodontal services
These services treat areas around the teeth, including gums and bone. CDCP covers:
- cleaning under the gumline
- treating abscesses
- bonding for mobile teeth (requires preauthorization)
- post-surgical evaluations (requires preauthorization)
- non-surgical gum disease management
Restorative services
These services restore teeth when they’re too damaged to be fixed with basic fillings. CDCP covers:
- posts and post removal
- repairs to crowns and re-bonding of crowns and posts
- crowns (requires preauthorization)
- cores (to support crowns) (requires preauthorization)
- posts for crown (requires preauthorization)
Removable prosthodontic services
These services replace missing teeth. CDCP covers:
- complete dentures, including standard and temporary dentures
- denture repairs, relines and rebases
- placing lining in dentures to condition oral tissues (for comfort and healing)
- complete immediate and overdentures (requires preauthorization)
- partial dentures (require preauthorization)
Oral surgery
These services remove teeth or tumours and fix other problems in the mouth and jaw that need surgery. CDCP covers:
- removal of teeth and roots
- surgical removal of tumours and cysts
- surgical incisions, including draining
- treatments for broken jaw bones
These are services to sedate you and control your pain while another service is being performed. CDCP covers:
- minimal sedation (conscious)
- moderate sedation (requires preauthorization)
- deep sedation (requires preauthorization)
- general anaesthesia (requires preauthorization)
These are not available yet. In 2025, we’ll add orthodontic services to the CDCP. These services will only be covered in cases of medical need based on strict criteria. There will be a maximum spending limit for them.
How Much Will Be Covered
- Only oral health providers get reimbursed for services covered under the CDCP.
Co-Payments
You may have a co-payment based on your adjusted family net income. A co-payment is the percentage of the CDCP fees that isn’t covered by the CDCP, and that you will have to pay directly to the oral health provider. Your co-payment is based on your adjusted family net income
| Adjusted family net income | How much will the CDCP cover | How much you will cover |
|---|---|---|
| Lower than $70,000 | 100% of eligible oral health care service costs will be covered at the CDCP established fees. | 0% of the CDCP established fees. You may face additional charges as described above. |
| Between $70,000 and $79,999 | 60% of eligible oral health care service costs will be covered at the CDCP established fees. | 40% of the CDCP established fees. You may face additional fees as described above. |
| Between $80,000 and $89,999 | 40% of eligible oral health care service costs will be covered at the CDCP established fees. | 60% of the CDCP established fees. You may face additional charges as described above. |
