Denture Coverage Under The Canadian Dental Care Plan
Summit Denture Clinic is a CDCP oral health care provider
Summit Denture Clinic is a registered provider with the Canadian Dental Care Plan.
This program helps make quality denture care more accessible. With CDCP coverage, eligible patients can focus on restoring their smile and function, knowing they are receiving exceptional care while easing the financial commitment.
We’re committed to supporting our community by making dental care more affordable and accessible for everyone.
What is the Canadian Dental Care Plan?
Canadian Dental Care Plan (CDCP), is a program offered by the Canadian Government, with the core objective to make dental care more accessible and affordable for those who might not otherwise be able to afford the care needed to maintain good oral health.
The CDCP plan covers a portion of the cost of an enrolled patient’s oral health treatments to prevent and treat oral disease which, in turn, can protect against serious health problems.
Sign Up For CDCP
Anyone who meets the following requirements is eligible to participate in this plan, and they must.
- Be a Canadian resident for tax purposes.
- Filed an income tax return for the previous year.
- Do not have dental insurance through a private or pension plan or with an employer.
- Have a net (after tax) family income of less than $90,000 annually.
In order to participate, you must register with CDCP before receiving any dental treatment.
Applications for the CDCP are open for the groups listed below. All other Canadian residents can apply starting in 2025.
The table below shows the application schedule.
Eligible Age Groups | Date Applications Open |
---|---|
Seniors 65+ | Now |
People holding a valid Disability Tax Credit Certificate | Now |
Children under 18 | Now |
All other eligible Canadian citizens and residents | 2025 |
Once you have applied, Health Canada will confirm your eligibility and share your information with Sun Life to enroll you in the plan. You will receive a welcome package from Sun Life within three months of your application, which will include:
- The start date of your coverage
- Your membership card
- Information about the CDCP
Once enrolled, you must meet the eligibility requirements each subsequent year with an annual reassessment. Details about the reassessment process have yet to be released.
The plan covers a portion of the cost of an enrolled patient’s oral health treatments to prevent and treat oral disease and ensure proper dental function. These treatments will, in turn, protect against serious health problems.
The plan is set to provide coverage for a range of denture services, from complete dentures to denture repairs, relines and rebases. Some services require preauthorization. Please ask us if you have any questions!
How does CDCP work?
Denture Services that could be covered under the CDCP include the following, with some services only becoming available in fall 2024:
- Complete dentures – standard, immediate, overdentures
- Complete dentures – transitional/provisional
- Partial cast dentures (initial placements require preauthorization)
- Partial acrylic dentures – standard, immediate, overdentures (initial placements require preauthorization)
- Partial acrylic dentures – transitional/provisional (initial placements require preauthorization)
- Repairs/additions
- Reline/rebase
- Tissue conditioning
Overview of the services covered, see the CDCP Coverage webpage.
For a complete list of covered prosthodontic services see the CDCP Dental Benefits Guide.
The CDCP is technical and complex. We are happy to answer any questions you may have.
Request appointment for consultation.
The CDCP has established a fee for each service covered under their program. Summit Denture Clinic, like every denturist in British Columbia, relys on the schedule of fees for services set by the BC College of Dental surgeons.
The CDCP adopted fees may not be the same as those set by the BC College of Dental surgeons. You may have to pay fees in addition to the CDCP contribution. Some examples of the coverage eligibility by CDCP coverage plan.
Before beging treatment we will provide you a written estimate of your denture services and we will submit any neccessary predeterminations to CDCP. You will know in advance what the CDCP will contribute and what your patient share may be.
Coverage under the CDCP is limited to basic services that protect and preserve natural teeth so people can benefit from teeth that function properly. Many people have missing teeth or teeth that are failing and need removing. When this is the case, the CDCP includes the provision of removable dentures, allowing people to eat and talk effectively.
The plan is not designed to improve the overall appearance of teeth or provide purely aesthetic benefits. It also excludes more complex treatments. Treatments not considered for coverage under the CDCP include those listed below.
- Composite resin or porcelain veneers
- Fixed dental bridges
- Precision attachments for partial dentures
The CDCP is technical and complex. We are happy to answer any questions you may have. Request appointment for consultation.
The CDCP will reimburse a percentage of the cost of your treatment, but it may not pay the full amount. Only oral health providers (denturist) get reimbursed for services covered under the CDCP. You will not receive any payment from the CDCP directly.
Patients may be required to make a co-payment (that is, pay for a portion of their dental care under the CDCP) to your denturist. The amount of coverage paid under CDCP is based on established CDCP fees and your adjusted family net income.
Co-payments based on adjusted family net income
Adjusted family net income | How much will the CDCP cover | How much you will cover |
---|---|---|
Lower than $70,000 | 100% of eligible oral health care service costs will be covered at the CDCP established fees. | 0% of the CDCP established fees. You may face additional charges as described below. |
Between $70,000 and $79,999 | 60% of eligible oral health care service costs will be covered at the CDCP established fees. | 40% of the CDCP established fees. You may face additional fees as described below. |
Between $80,000 and $89,999 | 40% of eligible oral health care service costs will be covered at the CDCP established fees. | 60% of the CDCP established fees. You may face additional fees as described below. |
Additional charges
The CDCP fees may not be the same as what providers charge. You may have to pay fees in addition to the potential co-payment if:
- the cost of your oral health care services are more than what the CDCP will reimburse for these services;
- you agree to receive care that the plan doesn’t cover.
Examples of co-payments and additional charges are described in the CDCP coverage plan.