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Canadian Dental Care Plan (CDCP) – Coverage Information Explained

BY Smile Shapers Napanee

Access to dental care is essential for maintaining overall health, yet many Canadians struggle with the cost of routine and unexpected dental treatments. The Canadian Dental Care Plan (CDCP) was introduced to make oral healthcare more affordable for millions of people across the country. But what exactly does it cover? Who can apply? And what expenses might you still need to pay?

 

What Does the Canadian Dental Care Plan (CDCP) Cover?

Understanding what the Canadian Dental Care Plan (CDCP) covers is the first step toward using the program effectively. The plan includes a wide range of services divided into four main categories: preventive, basic, restorative, and emergency care.

Preventive Coverage

Preventive care is one of the core benefits. The CDCP covers services such as dental exams, X-rays, cleanings,fluoride treatments, and scaling. These procedures may be fully covered depending on your household income. For example, families earning under the lowest income threshold may have no co-pay, while those in higher brackets may need to pay a portion.

Basic Dental Care Coverage

This includes fillings, tooth extractions, and treatment for gum diseases. Basic care under the CDCP is usually partially covered, meaning patients may pay 40–60% depending on income.A simple filling, for instance, may be partly funded, while an extraction maybe fully covered if it is medically required.

Restorative Coverage

Restorative services under the CDCP include crowns, dentures, and root canals. These treatments are partially covered and often require a co-pay. A sample scenario:

  •  A root canal costing $800 may be covered up to 60%, leaving the patient responsible for the remaining 40%.
  • Dentures, depending on complexity,may have varying coverage amounts.

Emergency Dental Services

The CDCP also helps with urgent dental needs such as infections, broken teeth, or sudden pain. Emergency procedures typically fall under basic or restorative coverage, meaning full or partial coverage applies depending on the patient’s income level.

In short, what the Canadian Dental Care Plan covers includes most essential treatments that protect your oral health, with coverage levels based on household income.

 

Who Is Eligible for CDCP Coverage and How Do You Apply?

Before applying, it’s important to know who is eligible for CDCP coverage and how to apply. The Government of Canada uses three main criteria:

Eligibility Requirements

Income Thresholds

Your adjusted family net income must be below $90,000 to qualify, with the highest level of coverage available to households earning under $70,000.

Age Criteria

The program is being rolled out in phases: seniors, adults with disabilities, children, and eventually all Canadians without private dental insurance.

Tax Filing Requirement

Applicants must have filed their taxes for the previous year, as eligibility is assessed through tax records.

Rules for People With Existing Dental Insurance

If you already have private dental insurance, you do not qualify for the CDCP. However, individuals with provincial or territorial dental benefits may still be eligible.

How to Apply for CDCP

If you meet the eligibility criteria, here’s how to apply for CDCP coverage:

  1. Check your eligibility online through the Government of Canada website.
  2. Gather required identification, such as SIN and tax documents.
  3. Complete the online application form, ensuring all information is accurate.
  4. Submit and wait for confirmation—you will receive a welcome package and coverage start date.
  5. Book an appointment with a dentist registered under the CDCP

The process is simple, and approval is typically quick once documentation is confirmed.

 

What Isn’t Covered Under the CDCP and What Out-of-Pocket Costs to Expect

Even though the plan offers extensive support, it’s equally important to understand what isn’t covered under the CDCP and what out-of-pocket costs to expect.

Services Not Covered

The CDCP does not cover cosmetic or elective procedures. These include:

Any procedure that is not medically necessary will be paid entirely by the patient.

Co-Pays and Out-of-Pocket Costs

Your household income determines how much you contribute:

  • $70,000 or less: 0% co-pay
  • $70,000–$79,999: 40% co-pay
  • $80,000–$89,999: 60% co-pay

Sample Cost Scenarios

  • A $200 dental cleaning for a household earning $75,000 → You pay 40% → $80
  • A $1,000 denture procedure for a household earning $85,000 → You pay 60% → $600

These examples show that while the CDCP greatly reduces dental costs, some expenses remain based on income level.

 

Your Guide to CDCP Confidence

The Canadian Dental Care Plan is a major step forward in improving access to oral health services across the country. By understanding what the CDCP covers, who is eligible and how to apply, and what isn’t covered, Canadians can make informed decisions about their dental health.Whether you’re seeking preventive care, managing a dental issue, or planning future treatments, the CDCP can significantly reduce financial barriers and help you maintain a healthy smile.

Book a dental cleaning at info@smileshapersnapanee.ca, and one of our top-rated dentists will examine your teeth for signs of wear.

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