Canada Dental Care Plan (CDCP)

What Does the CDCP Cover for Denturists?

The Canada Dental Care Plan is a new federal program that is helping those eligible with their teeth whether they are natural or prosthetics. When it comes to dentures, the plan covers new complete dentures and partial dentures as well as repairs, relines, adjustments to existing dentures.

Although the CDCP advertises up to 100% coverage for dental procedures, it is important to understand that this coverage is based on their specific fee schedule, which does not align exactly with the Denturist Association of Ontario's current fee guide. As a result, some procedures may not be fully covered.

Additionally, certain services are excluded from the program, such as implants. There are also limitations on specific treatments, for example, repairs are only covered once every 12 months. While the program can be beneficial, it is essential to recognize that not all services may be fully covered.

Why Haven't I Received a Response Regarding My Pre-Authorization?

We understand that delays in pre-authorization can be frustrating, and we want to assure you that we are doing everything we can to assist. As the program is open to all Canadians, the CDCP insurance adjusters are extremely busy with estimates and claims coming in to process. Currently, pre-determinations can take up to 90 days for review.

Overview from our end:

As dental providers, we continue to bear the burden of the program's administrative challenges.

Health Canada is responsible for overseeing the program’s administration, and we hope to see improvements that will provide better support and faster responses for both patients and dental professionals in the future.

What Can You Do?

In the meantime, we kindly ask for your continued patience. Rest assured, we are regularly following up and will keep you informed of any developments. We understand the importance of timely dental care and remain committed to advocating for you and working toward solutions.

Thank you for your understanding and trust as we navigate these challenges together. We truly appreciate your ongoing support and are here to assist with any questions or concerns you may have about the program.