Canadian Dental Care Plan And Denture Coverage

Yes, the Canadian Dental Care Plan Covers New Dentures!

What is the Canadian Dental Care Plan (CDCP)?

The Canadian Dental Care Plan (CDCP) offers Canadians with access to dental and denture care when they don't have dental insurance.

Does the CDCP Cover New Dentures?

Yes! Under the CDCP, all denture treatments are covered including complete dentures, partial dentures, flexible dentures, and one-tooth flippers. Regardless of the type of denture required, the CDCP fully covers all of the following:

• Initial Denture Consultation: CDCP covers diagnostic assessments, including exams and imaging, to evaluate your suitability for dentures.
• Denture Fabrication and Fitting: Full or partial dentures are included, making it easier for eligible Canadians to receive the right solution for their oral health needs.
• Adjustments and Repairs: The plan covers adjustments and necessary repairs to existing dentures to ensure comfort and functionality.
• Preventive Services: Routine check-ups related to denture maintenance may be covered, helping you keep your dentures in good shape.

Who is Eligible for Denture Coverage under the CDCP?

For complete and up-to-date details on CDCP coverage, please visit Canada.ca.

Eligibility as of Nov 2024

At this time, CDCP eligibility is as follows:

Age Requirements:

Coverage is available to seniors (65+), children under 18, and adults who hold a federal Disability Tax Credit.

Income Requirement:

To qualify for the CDCP, your adjusted family net income must be below $90,000.

• Less than $70,000: 100% coverage
• $70,000 to $79,999: 60% coverage
• $80,000 to $89,999: 40% coverage
• No Private Insurance: Eligible applicants must not have private dental insurance.

What Denture Services Does the CDCP Cover?

Denture coverage through the CDCP includes both partial and complete dentures. Here are some specifics:

• Initial Denture Consultation: CDCP covers diagnostic assessments, including exams and imaging, to evaluate your suitability for dentures.
• Denture Fabrication and Fitting: Full or Partial dentures are covered, including Flexible Dentures, One-Tooth Flippers
• Adjustments and Repairs: The CDCP also fully covers Denture Repairs to existing dentures as well as adjustments for fit and comfort.
• Preventive Services: Routine check-ups related to denture maintenance may be covered, helping you keep your dentures in good shape.

How Do I Apply For The CDCP?

The first step is to visit the Canada.ca website to confirm you are eligible for the plan. If you're eligible, you can then apply for your CDCP Insurance Card. If you'd prefer to speak to someone over the phone, you can complete the application process by calling 1-833-537-4342.

What You'll Need To Apply

To complete the application, you'll need the following information for each applicant including your spouse or common-law partner:

• Social Insurance Number (if available for children)
• Date of Birth
• Full Name
• Home and mailing address
• List of dental coverage through any other government social programs
• 2023 tax returns for all applicants

What do I do When I Receive My Insurance Card?

Here's What to Expect at Twogether Dentures under the CDCP

Start With A Consultation (Covered By CDCP):

Every patient has unique needs so the first step is to visit our office for an in-person consultation. Consultations are key to determine the amount of work needed, and to determine coverage. 

Treatment Plan Submission:

Once the consultation is complete, the next step is to submit a treatment plan for review and approval. Here, it's important to note some treatments require preauthorization while others do not. Your Denturist will be able to tell you which treatments need preauthorization.

Impressions, Measurements and Fabrication

As soon as your treatment is approved, the next step is to fabricate the denture in our lab. This involves taking an impression and measurements of your mouth to create a precise and contoured fit.

Fitting and Adjustments

In the final phase, your denture will be ready for you to try. During this stage, minor adjustments may need to be made for a perfect fit. These adjustments can typically be done in less than an hour while you wait.

Need Application Assistance?

If you’re unsure whether you qualify for CDCP, call us today at 647-249-7176. Our staff can help guide you through the application process.

Additional Considerations

While the CDCP covers the essentials of denture care, you may still encounter certain fees:

• Co-Payments Based on Income: Depending on your income, the plan may require a co-payment.
• Specialized Denture Services: Some customized or enhanced denture solutions may fall outside CDCP coverage limits.

This article provides an overview of CDCP denture coverage and explains how Twogether Dentures can assist patients in making the most of this plan.