Tooth Connection Dental Information On The Canadian Dental Care Plan (CDCP)

Co-payments Are Required

A co-payment is the portion of the CDCP fee that is not covered and must be paid directly to Tooth Connection Dental. You will be responsible for paying the difference between the CDCP coverage and the cost of treatment at our office, in addition to any required co-payment, if:

• The cost of your oral health care services is greater than what the CDCP reimburses, or
• You choose to receive services that are not covered by the CDCP.

Before receiving oral health care, please speak with our team about any fees that may not be covered by the plan, so there are no surprises.

Renew Your Plan!

You can renew your coverage each year after you have filed your tax return and received your Notice of Assessment from the Canada Revenue Agency (CRA). This confirms that you continue to meet all eligibility requirements.

If you have questions about your coverage, you may also contact the Government of Canada directly through their “Contact Us” page or by using their automated phone service.

The CDCP Covers the Following:

Cleanings (Scaling) – (1 Unit = 15 Minutes)

Ages 0-11 years – 0.5 unit, ages 12-16 years – 1 unit, age 17 and over – 4 units.

All 3 of the above per 12-month period.

Panoramic X-rays – Maximum of 3 lifetime occurrences per patient.

Bitewing X-rays – Maximum of 4 occurrences per patient over a period of 12 months.

Complete Oral Exam – Maximum of 1 occurrence per patient over a period of 60 months.

Examination – Maximum of 1 occurrence per patient over a period of 12 months.

Polishing – Maximum of 1 occurrence per person over a period of 12 months.

Fluoride – Maximum of 1 occurrence per patient over a period of 6 months. (This limit only applies to claimants under the age of 17).

Root Canal Therapy

Tissue Conditioning – Maximum of 1 occurrence per patient over a period of 24 months.

Examining A Specific Area – Maximum per patient is 1 exam every 12 months.

Composite (White) Filling -Maximum of 1 occurrence per patient over a period of 24 months.

Tooth Extractions

Complete Dentures

Partial dentures, crowns and night guards – Pre-authorization is required.

The CDCP does not cover Bridges, pontics, sealants, implants, braces/orthodontics.