CDCP FAQ
Alpha Dental is pleased to announce that we now accept patients eligible for coverage under the new Canadian Dental Care Plan (CDCP) government program.
It's important to note that Alpha Dental will continue to adhere to our regular fee guide, not the CDCP fee guide. As there will likely be variations between the CDCP fee guide and the Dental Association fee guide, patients may encounter differences in coverage percentages.
While Alpha Dental will directly accept bulk payments from SunLife, the insurance provider for the CDCP plan, we expect patients to settle any remaining co-pay balance at the time of service.
Patients are responsible for understanding their CDCP plan coverage terms. Alpha Dental cannot provide specific details on coverage or percentage of coverage; this information is between the patient and the CDCP plan (Service Canada and SunLife).
At Alpha Dental, we're dedicated to keeping Kitchener's residents smiling bright! If you're seeking clarity on the Canadian Dental Care Plan (CDCP), you've come to the right place. Let's break it down.
The Canadian Dental Care Plan (CDCP), a federal initiative, extends coverage to Canadian residents lacking dental benefits and with a household income under $90,000 annually. However, it's essential to note: the CDCP isn't a free dental program but a valuable government dental benefit.
Designed specifically for individuals without existing dental coverage, the CDCP complements rather than replaces benefits offered through employment, educational institutions, or private plans. Managed by Health Canada and administered by Sun Life, it aims to bridge the gap in dental care accessibility.
At Alpha Dental, we believe in empowering our community with knowledge about available dental resources. Remember, eligibility and coverage decisions for the CDCP aren't made by dental professionals like Dr. Gurdeep Singerkhanee, but rather by governing bodies.
If you have questions or seek further guidance regarding the Canadian Dental Care Plan (CDCP) or any dental concerns, our team is here to assist you every step of the way. Let's work together to ensure you receive the dental care you deserve!
The Canadian Dental Care Plan (CDCP) is a proposed government initiative aimed at providing dental care coverage to Canadians who do not have access to dental insurance. It is part of the federal government's efforts to make dental care more affordable and accessible, especially for low- and middle-income individuals and families.
The CDCP is designed to help cover routine dental care costs, such as exams, cleanings, fillings, and X-rays, for people who meet specific eligibility criteria, which may include income thresholds or lack of existing dental benefits. The program is intended to address gaps in dental coverage across Canada, ensuring that more citizens receive necessary dental treatments without facing significant financial barriers.
The plan is part of the larger federal healthcare reform and is still evolving as the government works with provincial and territorial partners to implement it. The full details of the plan, including the exact coverage and eligibility, are expected to be rolled out in phases over the coming years.
The Canadian Dental Care Plan (CDCP) is helping make the cost of dental care more affordable for eligible Canadian residents.
Applications now open for:- Seniors aged 65 and over
- Children under the age of 18
- Adults with a valid federal Disability Tax Credit certificate for 2023
For further details, visit the Canada.ca website.
Eligibility for the Canadian Dental Care Plan (CDCP) is based on several factors, including age, disability status, and adjusted family net income. To qualify, your adjusted family net income must be less than $90,000 per year.
The application process is being rolled out in phases:
- Seniors aged 65 and above: Applications opened in December 2023.
- Children under 18 and adults with a valid Disability Tax Credit certificate: Applications started on June 27, 2024.
- All remaining eligible Canadian residents: Applications start in 2025.
Eligibility criteria include:
- Being a Canadian resident
- Having filed a tax return in the previous year
- Not having access to dental insurance
The government is sending invitation letters to eligible individuals when it's their turn to enroll.
To determine your eligibility, check the official Government of Canada website for the most up-to-date information.
Important Notes:
- If you have any form of dental insurance, including private or individual plans, you will be ineligible for the CDCP.
- Eligibility is reassessed annually.
For the latest updates and information about the CDCP and the application process, please refer to the official CDCP website.
No, the CDCP is designed for Canadian residents who do not have dental benefits and have an adjusted family net income of less than $90,000 per year.
Who is not eligible for the CDCP?
- Those with employer-provided benefits, including health and wellness accounts (for themselves or family members)
- Those with coverage through professional or student organizations
- Those with pension benefits (for previous employers or family members), unless retired before December 11, 2023, and unable to opt back in under pension rules
- Those with privately purchased coverage or through group plans from insurance or benefits companies
Employers are now required by the Canada Revenue Agency to report dental insurance coverage on T4/T4A forms, ensuring transparency for employees and their families.
Dr. Gurdeep Singerkhanee emphasizes the importance of evaluating your existing coverage before considering CDCP enrollment. Cancelling current coverage could lead to unforeseen costs, as CDCP care may involve co-payments depending on your income level.
For comprehensive eligibility details, visit canada.ca/dental.
The Canadian Dental Care Plan (CDCP) covers a wide range of oral health care services, including:
Diagnostic and Preventive Services:
- Dental exams
- X-rays
- Cleaning (scaling)
- Fluoride applications
- Sealants
Basic Services:
- Restorative services: Permanent and temporary fillings, pain control for diseased teeth.
- Endodontic services: Root canal treatments, pulpectomies, procedures to reduce infection and relieve pain.
- Periodontal services: Cleaning under the gumline, treating abscesses.
Major Services:
- Advanced restorative services: Repairs to crowns, re-bonding of crowns and posts.
- Removable prosthodontic services: Complete dentures, denture repairs, relines, and rebases.
- Oral surgery: Removal of teeth and roots, surgical removal of tumors and cysts.
- Anesthesia or sedation services: Minimal sedation (conscious).
Preauthorization Required for Certain Services:
- Orthodontic services (to be added in 2025 for cases of medical need).
- Certain major services like crowns, partial dentures, and more complex anesthesia.
Important Notes:
- Coverage is based on the CDCP fee guide, which may differ from provincial fee guides.
- The level of coverage (100%, 60%, or 40%) depends on your adjusted family net income.
- Some services beyond established frequency limits may be covered with preauthorization.
- The CDCP is designed to address a range of individual oral health care needs and circumstances.
For a comprehensive list of all covered services, please visit the CDCP Dental Benefits Guide.
No. The CDCP is designed for Canadian residents who do not have dental benefits. To qualify for the CDCP, you must not have access to any type of dental insurance or coverage through:
- Employer-provided benefits, including health and wellness accounts for yourself or family members
- Professional or student organizations
- Pension benefits (for previous employers or family members), unless retired before December 11, 2023, and unable to opt back in under pension rules
- Privately purchased coverage or through group plans from insurance or benefits companies
Important to note: If you're eligible for dental coverage through employment benefits or an organization, you're ineligible for the CDCP, regardless of usage.
Employers are now required by the Canada Revenue Agency to report dental insurance coverage on T4/T4A forms, ensuring transparency for employees and their families.
Dr. Gurdeep Singerkhanee emphasizes the importance of evaluating existing coverage before considering CDCP enrollment. Cancelling current coverage could lead to unforeseen costs, as CDCP care may prove more expensive than private insurance. Understand all details and costs to make the best decision for you and your family.
For comprehensive eligibility details, visit canada.ca/dental.
No. The CDCP is designed for Canadian residents who do not have dental benefits. To qualify for the CDCP, you must not have access to any type of dental insurance or coverage through:
- Employer-provided benefits, including health and wellness accounts for yourself or family members
- Professional or student organizations
- Pension benefits (for previous employers or family members), unless retired before December 11, 2023, and unable to opt back in under pension rules
- Privately purchased coverage or through group plans from insurance or benefits companies
Important to note: If you're eligible for dental coverage through employment benefits or an organization, you're ineligible for the CDCP, regardless of usage.
Employers are now required by the Canada Revenue Agency to report dental insurance coverage on T4/T4A forms, ensuring transparency for employees and their families.
Dr. Gurdeep Singerkhanee emphasizes the importance of evaluating existing coverage before considering CDCP enrollment. Cancelling current coverage could lead to unforeseen costs, as CDCP care may prove more expensive than private insurance. Understand all details and costs to make the best decision for you and your family.
For comprehensive eligibility details, visit canada.ca/dental.
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