Canadian Dental Care Plan

Your Local Clinic Accepting the Canadian Dental Care Plan on Bay Street

Your Local Clinic Accepting the Canadian Dental Care Plan on Bay Street

The Canadian Dental Care Plan (CDCP) is a public dental plan that can partially cover essential dental care services. It is intended for patients who don’t have private dental insurance or who have low-to-moderate incomes.

If you need treatment under the Canadian Dental Care Plan on Bay Street, the team at 4th Floor Dental is ready to assist. Let’s look at what the plan covers, its potential limitations, and help you to get the effective dental care that you need.

The Canadian Dental Care Plan in Downtown Toronto – The Basics 

The Canadian Dental Care Plan in Downtown Toronto is an excellent opportunity for patients to receive the care that they need. Often, patients have postponed care due to finances, and this federal plan now creates an opportunity to treat primary concerns with coverage for some of the cost.

Essentials you need to know about the CDCP:

  • When using the Canadian Dental Care Plan on Bay Street it will cover a portion of your costs, but not all of them.
  • The plan is applicable to a range of diagnostic service, preventative dental care, and even some major treatments and services.
  • You can get coverage for one in-office cleaning per year.

Our patients sometimes face challenges receiving their benefits under the Canadian Dental Care Plan on Bay St. Toronto. We understand that it is frustrating to seek the benefits you are entitled to. We will fight for your benefits and can assist in cases where pre-authorization is necessary.

How Much Does the Canadian Dental Care Plan Cover for Treatment on Bay St. Toronto?

The federal government advertises the plan as covering all (100%) of the costs in many cases. However, it’s important to note that this coverage is based on “established fees”.

Important steps

The government has established baseline fees as the basis for their coverage. These fees aren’t consistent with the cost of dental care in large cities like Toronto. If the cost of your dental care exceeds the CDCP established fees, you will pay part of the bill, like a co-pay on private insurance.

We will work with you to ensure that you understand what is covered by CDCP, and what you would need to pay out of pocket. We can assist with payment options to ensure that you can get the high-quality dental care that you need.

Examples of Covered Services When You Apply for the Canadian Dental Care Plan in Toronto

You can see an extensive list of covered services on the public Canadian Dental Care Plan site. We will briefly look at some essential treatments below.

  • Restorative services like fillings, pain control, and other treatments for cavities.
  • Periodontal services like cleaning under the gumline, treating abscesses, and non-surgical gum disease management.
  • Dental crown placement (with preauthorization).
  • Minimal sedation and moderate/deep/general sedation with preauthorization.
  • Denture repairs and relines.
  • Partial denture or complete denture treatment (with preauthorization).

These are just some of the treatments covered fully or partially within the CDCP-established fee range.

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How Does Preauthorization Work? 

Some more complex treatments require preauthorization. This is a difficult process requiring documentation and medical necessity. It’s vital to choose a dentist who understands the CDCP, how it works, and how to get preauthorization for complicated treatments.

Dr. Emin and the team at 4th Floor Dental are committed to getting the CDCP coverage that you are entitled to under current Canadian law. We have a high success rate of gaining preauthorization for essential treatments.

How Do Payments Work?

If you need treatment under the Canadian Dental Care Plan on Bay Street, the benefits will be paid directly to our clinic. Anything on top of the benefit is an out-of-pocket cost. As an example, If the CDCP established fees covered 80% of the actual treatment cost, you would only need to pay 20% of the bill. You don’t need to wait to receive money from the CDCP (or claim a reimbursement), it is handled directly with the oral health provider.

Making the Most of the CDCP Dental Benefits in Downtown Toronto

We understand that the CDCP can be confusing. Let’s briefly cover the most crucial points to remember:

  • Eligibility is based on family net income.
  • The CDCP covers the cost of some services based on “established fees”, which don’t always align with the actual cost of your treatment. In short: the CDCP covers part of your bill.
  • The program covers a wide range of general and complex treatments, but many require preauthorization.
  • 4th Floor Dental will advocate on your behalf to maximize the benefits you receive.

Don’t let finances dictate the quality of care that you receive. With our payment programs and social programs like the Canadian Dental Care Plan in Downtown Toronto, there are always options to get essential dental services that improve and protect your oral health.

 

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