A lot of Canadians are struggling to pay for the dental care services they require, that are essential for general health and well-being. To combat this issue, Federal government officials have launched the the Canadian Dental Care Plan(CDCP). The plan was created to assist eligible residents get and pay for essential dental services which will help ease the financial burden that can be associated from dental treatments.
The CDCP specifically targets those who are not able to access to any kind of dental insurance, and those who meet the conditions for eligibility. On August 8 2024 CDCP members will be in a position to select any dental provider they like provided that the provider is willing to directly bill Sun Life for the services. Direct billing arrangements make it simpler for patients to access the dental services they need without having pay for upfront costs.
This article will explain all you must learn about The Canadian Dental Care Plan. There are details on the eligibility requirements, how and when to apply, the eligible services, and the details of the plan’s coverage.
Table of Contents
Who is Eligible for CDCP?
To be eligible in the CDCP applicants must meet certain requirements:
- There is no access for Dental Insurance The applicant must have no access to insurance for dental care in order to be qualified to be eligible for the CDCP.
- Income Requirements The applicants need to have a family net income that is less than $90,000. This means that the plan is targeted at those who require financial aid the most.
- Resident: Applicants must be Canadian residents for tax purposes.
- Returns for Taxes: It is mandatory to file an income tax return during prior years.
If someone is covered by dental insurance through provincial or federal Social programs, then they could still be eligible under the CDCP. The coverage of the programs is synchronized together with CDCP to ensure there is no missing or duplicate services. Each year, the participant must satisfy the eligibility requirements in order to remain covered by the CDCP.
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Which services are covered by this Plan?
The CDCP seeks to cover the full range of oral health services to help maintain the health of your teeth to prevent problems, as well as cure illnesses. The services covered by the CDCP are:
- Prevention Services This includes cleanings sealants, sealants and treatments with fluoride, which are crucial to maintain oral hygiene and preventing dental diseases.
- Diagnostic Service: Examinations and X-rays are included in this category and aid in the detection and early treatment of dental problems.
- Restoration Services It includes dental fillings which restore functionality and strength that damaged teeth have lost.
- Endodontic Treatments: Root canal treatments required to save teeth with an infected pulp are also included.
- Prosthodontic Services Dentures, for example which can replace teeth that are missing in this section.
- periodontal services: A deep scale to treat gum disease is part of the package.
- oral Surgery Solutions: This includes tooth extractions as well as other surgical procedures that are required to ensure oral health.
Coverage Details
The CDCP pays a proportion of dental expenses that are based on the established CDCP fees and the patient’s adjusted net income of the family. There may be additional costs, referred to as co-payments, which patients must pay directly to their dentist. Co-payments are necessary in the following situations:
- The net income of a family adjusted is anywhere between $70,000 and $89999.
- The price of oral health services is higher than the accepted CDCP charges.
- Services that are agreed upon aren’t included in the CDCP.
When Can You Apply?
CDCP is being implemented in phases. CDCP will be implemented in stages to make sure that the rollout is smooth.
- Seniors Seniors have had the option of being eligible in applying for health insurance from the 2023 end date.
- Children under 18: Beginning August 2024 parents may request the CDCP on behalf of their child who are less than 18 years old.
- Children under 12 If a child is less than 12 years old of age and doesn’t have an insurance plan for dental care, then they may already be qualified to receive this benefit called the Canada Dental Benefit. The benefit is available through June 30 2024. It also will pay tax-free $260, $390 or $650 to cover the child’s dental needs during their transition to the federal dental program.
- Adults who have Disability Tax Credit: Adults with an active Disability Tax Credit certificate can apply for the CDCP beginning in June 2024.
- Resident who is still eligible: All other eligible Canadian residents are eligible to be eligible to apply for CDCP in 2025.
How to Apply for the Canadian Dental Care Plan?
In order to apply to an application for Canadian Dental Care Plan (CDCP) You can apply online or via telephone. Below are the steps for both ways:
- Go to this website for online applications.
- Fill in all the required information precisely.
- After you have completed the form, you can review the information you have entered.
- After successful submission after successful submission, you will be issued the Application Code or Client Number. Make sure to keep this number safe since it will be required to determine whether your submission is in good order.
By Phone
If you’re not able to fill out an online application then you can apply via calling using these steps:
- Contact the Application Line: Dial 1-833-537-442 to connect with the team that supports applications.
- Fill in Your Details Make sure you have the required information. It is also necessary confirm that you’ve completed your tax return for 2023 and received the notice of Assessment.
- Complete the Application with Help Support staff will assist you throughout the application process via phone, making sure that all the required information is taken note of.
- Receive confirmation: At the end of the call you will receive your application Code as well as a Client Number. Save this number for future reference in order to verify the status of your application.
Checking the Status of Your CDCP Application
After you have submitted your application and received your application, you can verify whether your application is in the process on the internet or via telephone:
- Online Access the website for application status and type in your Application Code or Client Number.
- On the phone To call 1-833-537-442 Select option 2, and give your Application Code, the Client’s Number as well as your SIN in order to confirm your identity.
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CDCP Documents Requirements
To apply, you’ll require:
- Social Insurance Number
- Date of Birth
- Full name
- Addresses for mailing and home
- Information about any dental benefits provided by government social programs
- Filled tax return for 2023 along with a notice of assessment for you and either your partner in common (if you have one).