What services are covered
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Services covered
The Canadian Dental Care Plan (CDCP) will help cover the cost of various oral health care services that keep your teeth and gums healthy and treat problems that can happen.
Examples of services that could be covered under the CDCP when recommended by an oral health provider, 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
- oral surgery services, including extractions
Note: Some services will only become available in fall 2024. We’ll update this page when more details are available.
The CDCP will only pay for oral health care services covered within the plan at the established CDCP fees.
How much will be covered
People covered under the CDCP will not have to pay the full cost out of their own pocket. Oral health providers that participate in the CDCP will be required to submit the claims directly to Sun Life for payment rather than having patients seek reimbursement from Sun Life for services covered under the plan.
The CDCP will reimburse a percentage of any eligible expenses directly to the oral health provider. Of note, some people covered under the plan may have a co-payment. 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.
We encourage oral health providers to follow the CDCP fees, which are not the same as the provincial and territorial fee guides. This is so their patients don’t face additional charges when receiving care.
Before receiving oral health care, patients should always ask their oral health provider about any costs that won’t be covered by the CDCP and will be expected to pay.
| 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% |
| Between $70,000 and $79,999 | 60% of eligible oral health care service costs will be covered at the CDCP established fees. | 40% |
| Between $80,000 and $89,999 | 40% of eligible oral health care service costs will be covered at the CDCP established fees. | 60% |
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