Introduction
The Canadian Dental Care Plan (CDCP) represents a significant step forward in making dental care more accessible for eligible Canadians. At Valley Dental Port Alberni, we’re committed to helping our patients understand and navigate this new program, which takes effect November 1, 2024.
What Services Are Covered Under the CDCP?
Preventive Care
- Regular check-ups and examinations
- Dental cleanings
- Fluoride treatments
- Dental sealants for children and youth up to age 17
Basic Dental Services
- Fillings
- Root canals
- Extractions
- Periodontal (gum) treatments
- X-rays and diagnostic services
Major Dental Work
- Dentures
- Crowns (with preauthorization)
- Oral surgery services
- Orthodontic services will only be covered for medical necessity based on strict criteria in 2025. A maximum spending limit will apply for orthodontic treatments
Key Points for Patients
Eligibility and Coverage Period
- Coverage extends for 12 months (July 1 to June 30 annually)
- Eligibility reassessment occurs before July 1 each year
- Patients must be assessed by Service Canada to qualify
CDCP Implementation Schedule
The program is rolling out gradually based on age groups and eligibility:
- Seniors aged 87 and older (began December 2023)
- Seniors aged 77-86 (began January 2024)
- Seniors aged 72-76 (began February 2024)
- Seniors aged 70-71 (began March 2024)
- Seniors aged 65-69 (starting May 2024)
- Persons with a valid Disability Tax Credit certificate (starting June 2024)
- Children under 18 years old (starting June 2024)
- All remaining eligible Canadians (2025)
Important Coverage Details
- Direct Billing: Patients cannot submit claims for reimbursement; all claims must be submitted directly by dental providers
- Preauthorization Requirements:
- Re-treatment of previously completed root canal treatment
- Bonding for mobile teeth
- Post-surgical evaluations
- Crowns and cores
- Posts for crown support
- Complete immediate and overdentures
- Partial dentures
- Claims Process: All claims must be submitted directly to Sun Life, the official service provider managing CDCP
Direct Billing: Patients cannot submit claims for reimbursement; all claims must be submitted directly by dental providers to Sun Life
Preauthorization Requirements: Some procedures require advance approval
Frequency Limitations: Many services have specific time intervals between treatments
What’s Not Covered?
The CDCP does not cover:
- Cosmetic treatments
- Teeth whitening
- Veneers
- Dental implants
- Night guards
- Bridge work
How We Can Help at Valley Dental Port Alberni
As your local dental care provider, we’re here to:
- Verify your CDCP coverage
- Submit preauthorization requests when needed
- Provide direct billing services
- Help you understand your treatment options
- Ensure you receive maximum benefits under the plan
Schedule Your Visit
To learn more about how the CDCP can benefit you and your family, contact Valley Dental Port Alberni today. Our team is ready to help you navigate this new program and ensure you receive the dental care you need.
Disclaimer: This information is based on the current CDCP guidelines as of November 2024. Coverage details and eligibility criteria may change. Please consult with our office staff for the most up-to-date information.
