Understanding CDCP Dental Coverage in Canada

Understanding CDCP Dental Coverage in Canada
CDCP dental coverage helps eligible Canadians access essential dental care at reduced costs. Learn how the Canadian Dental Care Plan supports preventive, restorative, and specialized oral health services.

Are you in Canada, and are regular dental services too expensive for you? The Canadian Dental Care Plan (CDCP) is here to pay a portion of the costs! People who are kids or seniors and meet other eligibility criteria can access CDCP dental coverage and use a wide range of oral health care services. Let’s dive deeper and learn what services are included and how much CDCP covers. 

How to Know If You’re Qualified for CDCP

First of all, you may want to know if you can use CDCP dental coverage. To be qualified for it, you need to meet the following criteria:

  • Be a Canadian resident for tax purposes.
  • Filled out your tax return for the previous year.
  • Have an adjusted net family income of less than $90,000.
  • Not have dental insurance through an employer or an employer of a family member, pension plans, professional or student organizations, or private insurance plans.   

Want to know how you can apply for CDCP? Visit Apply for CDCP for a detailed guide and process explanation. 

What Dental Services are Covered by CDCP?

If you are going to get any kind of dental services done, it’s better to know what services are covered by CDCP beforehand.

Diagnostic Services

Diagnostic Services with dentist

It’s very important to detect problems early and get the proper treatment on time. CDCP covers comprehensive and recall dental exams, consultations, and a range of x-rays (bitewing, periapical, panoramic) to find cavities, assess bone health, and detect other dental problems. 

Preventive Services

Preventive services are beneficial for maintaining good oral health and preventing dental problems like decay or gum disease before they even start. They include routine dental check-ups, professional cleanings, fluoride treatments, and sealants applied to molars. 

Restorative Services

Do you want to repair your damaged teeth, restore their function, and relieve pain? CDCP dental coverage provides permanent and temporary fillings for cavities, posts and post removals, repairs to crowns and re-cementations, and core buildup for crown support.

Read more:Complete Guide to Restorative Dentistry: Everything You Need to Know

Endodontic Services

Well, if you have a severely infected, decayed, or broken tooth, endodontic services are also included under the CDCP. It covers things such as root canals, pulpectomies, and retreatment of previous root canals. You can use these services to treat the tooth pulp and save the tooth from extraction.  

Periodontal Services

Don’t forget about your gums! It’s essential to address gum disease and stop it from progressing. The CDCP plan covers deep cleanings below the gumline, abscess treatment, bonding for mobile teeth (preauthorization required), and non-surgical gum disease management.

Removable Prosthodontic Services

Replace your missing teeth and restore your chewing ability and speech function by using the prosthodontic services that CDCP provides. They include complete and partial dentures, denture repairs, relines, and rebasing to improve fit. Also, immediate and overdentures may be included with preauthorization.

Oral Surgery

oral surgery by a dentist

Are you experiencing dental emergencies that can’t be cured by other treatments? Oral surgery services such as the extraction of teeth, removal of cysts or tumors, incisions and drainage of infections, and fracture treatments for jawbones are also covered by CDCP. 

If you don’t know whether you need oral surgery or not, check out Oral Surgery Signs to know what to watch for. 

Anesthesia or Sedation Services

These services ensure you or your kids experience a painless and comfortable surgery, especially when the surgery is too long. CDCP covers minimal sedation, moderate sedation, deep sedation, and general anesthesia for complex or lengthy treatments (preauthorization may be required).

Orthodontic Services

If you or one of your dear ones is experiencing severe bite or jaw problems that affect their oral health and function, CDCP offers plans for medically necessary orthodontics. But remember that elective or cosmetic orthodontics are not included. 

What is Not Covered By CDCP Dental Coverage?

teeth whitening by dentist

Not all dental care services are included under CDCP dental coverage, as it mainly focuses on health, not cosmetic services. Here is a list of what’s not covered: 

  • Teeth whitening, veneers, cosmetic crowns, or bridges
  • Orthodontics without a medical reason
  • Different types of dental implant services
  • Sports guards, night guards, or mouthguards for snoring
  • Temporomandibular joint therapy (TMJ)
  • Bone grafting
  • Experimental treatments that are not widely accepted or approved

Factors Affecting How Much CDCP Covers

You have to pay extra fees directly to your dental care provider if your adjusted family net income is between $70,000 and $89.999, the cost of your dental care services is more than what CDCP will reimburse, and you and your oral health care provider agree to services that are not covered by CDCP.

Here you can see how much CDCP dental coverage offers and how much you need to cover based on your adjusted net family income: 

Adjusted net family incomeHow much the CDCP will coverHow much You cover
Lower than $70,000100% of eligible oral health care service costs.0% of the CDCP established fees. 
Between $70,000 and $79,99960% of eligible oral health care service costs.40% of the CDCP established fees. 
Between $80,000 and $89,99940% of eligible oral health care service costs.60% of the CDCP established fees. 

Note: Keep in mind that besides the co-payment requirements in the table above, you also have to pay the extra fee if the cost of a dental service is more than what the CDCP covers.

Access Cheaper Dental Care with CDCP Dental Coverage

We understand that dental services can be expensive, especially for those who can’t afford them, but CDCP helps you restore your oral health and have a beautiful smile at a fraction of the cost. If you are in downtown Toronto and looking for oral health services, Dentistry in Gloucester offers professional dental exams and dental cleanings with convenient scheduling. Book an appointment at Oral Health Gloucester.

Are you a senior and want to know more about government dental plans in Canada? Click on Canada Government Dental Plans for Seniors to read more.

FAQ

  1. Am I eligible for CDCP dental coverage?

    To be eligible for CDCP, you need to be a Canadian resident for tax purposes, have filed your tax return for the previous year, have an adjusted net family income of less than $90,000, and not have dental insurance through an employer, pension plans, professional or student organizations, or private plans. 

  2. What services does CDCP cover?

    It covers a wide range of services like diagnostic, preventive, restorative, endodontic, periodontal, removable prosthodontic, oral surgery, anesthesia or sedation, and orthodontic (with a medical reason) services. 

  3. How can I apply for CDCP?

    If you meet the criteria for eligibility, you can either apply online (visit canada.ca/dental, create an account, and complete the form), by phone (call 1-833-537-4342), or in person (you can visit Service Canada Centres or get help from trusted interpreters).   

  4. How to know if a dentist accepts CDCP?

    You can visit the official CDCP dental clinic directory website, use online platforms like CDCP Clinic Finder, check with local dental offices directly by phone or through their website to confirm if they accept CDCP, and ask your primary care provider or community health center for recommendations. 

  5. What if I have an existing dental insurance?

    Well, if your insurance is through another government social dental program (federal, provincial, or territorial), you are not automatically disqualified for CDCP. But if you have access to dental insurance through an employer, pension plans, professional or student organizations, or private insurance plans, you are not eligible for CDCP. 

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