Canadian Dental Care Program

New Canadian Dental Program

Starting May 2024, we will be accepting patients under the Canadian Dental Care Program. 

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Canadian Dental Care Program

Starting August 1, 2024, we are no longer accepting coverage for Ontario Disability Support Program (ODSP), Healthy Smiles Ontario (HSO) and Ontario Works (OW) for payment of dental services.  Individuals who qualify for ODSP, HSO or OW now qualify for the new Canada Dental Care Plan (CDCP) which we do accept.  You must apply for the CDCP for coverage.  There will be an out of pocket expense which may be reimbursed to you from ODSP, HSO or OW.

 

 

You can apply here: https://www.canada.ca/en/services/benefits/dental/dental-care-plan/qualify.html

 

 

To help you understand how it works, we have prepared a quick guide. If you have any further questions, please feel free to give us a call.

 

Please Note: For those on ODSP or OW who are not yet in the age category that qualifies for CDCP, we will continue to accept ODSP and OW until you are eligible.

Dentist shaking the hand of his patient

FEE GUIDE

  • The Fee Guide for the Canada Dental Care Plan is BELOW the current Ontario Dental Association Fee Guide, the fee guide we utilize.
  • We do NOT accept the Fee Guide of the Canada Dental Care Plan as full payment of our fees.
  • The difference between OUR fee and the Canada Dental Care Plan fee WILL be billed to EVERY patient and that amount will be due DIRECTLY from the patient AT THE TIME OF TREATMENT.

Additionally, the portion of the Canada Dental Care Plan fee that is the co-pay responsibility of the patient WILL be billed to EVERY patient, and that amount will be due DIRECTLY from the patient AT THE TIME OF TREATMENT.

COVERAGE

  • The Canada Dental Plan does NOT cover all recommended procedures. We can assist you with determining what coverage you have for any procedures. However, please be aware that your health needs are not dependent on your coverage.
  • The Canada Dental Plan does not cover the recommended frequency of cleanings, exams, and other procedures. Please be aware that for most adults, the recommended frequency for these will be higher than what is covered, so additional required treatments would be out of pocket.

Expenses

  • If you qualify for 100% coverage under the plan, your out of pocket expense will be ROUGHLY 15% of the fee. This means there will ALWAYS be an out of pocket expense even when you have 100% coverage. This amount may be a bit more or less, depending on the specific procedure.
  • If you qualify for 60% coverage under the plan, your out of pocket expense will be ROUGHLY 50% of the fee. This amount may be a bit more or less, depending on the specific procedure.
  • If you qualify for 40% coverage under the plan, your out of pocket expense will be ROUGHLY 65% of the fee. This amount may be a bit more or less, depending on the specific procedure.

ENROLLMENT​

  • You MUST be enrolled in the Canada Dental Plan and your enrollment verified BEFORE treatment is done. It is YOUR responsibility to ensure you are enrolled and to provide that information to us BEFORE your appointment. Failure on your part to do so does not absolve you of responsibility for payment of any services rendered by our office. If in doubt, please contact us and we can help you in verifying your enrollment.
  • The Canada Dental Care Plan coverage runs from July 1 to June 30 (12 months). You MUST re-apply every year to ensure eligibility. It is NOT like a normal plan that continues year after year.

DISCLAIMER

  • We reserve the right to opt out of participating in the Canada Dental Plan at any time.
  • Due to the registration process and verification of your eligibility that is required, we will likely not be able to schedule patients on the plan who are looking to get work done that is covered by the plan until the start of June 2024.
  • You may contact us before that time to get scheduled in June or later. It is IMPERATIVE that you advise us if you are enrolled and eligible for the plan at the time you call to book.  If you do not advise us before your appointment, we may not be able to verify your eligibility before the appointment in which case you may not actually have coverage for the visit.