CDCP FAQ

Smile Horizons Dental Arts is pleased to announce that we now accept patients eligible for coverage under the new Canadian Dental Care Plan (CDCP) government program.

It's important to note that Smile Horizons Dental Arts will continue to adhere to our regular fee guide, not the CDCP fee guide. As there will likely be variations between the CDCP fee guide and the Dental Association fee guide, patients may encounter differences in coverage percentages.

While Smile Horizons Dental Arts will directly accept bulk payments from SunLife, the insurance provider for the CDCP plan, we expect patients to settle any remaining co-pay balance at the time of service.

Patients are responsible for understanding their CDCP plan coverage terms. Smile Horizons Dental Arts cannot provide specific details on coverage or percentage of coverage; this information is between the patient and the CDCP plan (Service Canada and SunLife).

At Smile Horizons Dental Arts, we're dedicated to keeping Mississauga's residents smiling bright! If you're seeking clarity on the Canadian Dental Care Plan (CDCP), you've come to the right place. Let's break it down.

The CDCP, a federal initiative, extends coverage to Canadian residents lacking dental benefits and with a household income under $90,000 annually. However, it's essential to note: the CDCP isn't a free dental program but a valuable government dental benefit.

Designed specifically for individuals without existing dental coverage, the CDCP complements rather than replaces benefits offered through employment, educational institutions, or private plans. Managed by Health Canada and administered by Sun Life, it aims to bridge the gap in dental care accessibility.

At Smile Horizons Dental Arts, we believe in empowering our community with knowledge about available dental resources. Remember, eligibility and coverage decisions for the CDCP aren't made by dental professionals like Dr. Aatika Ahmed, but rather by governing bodies.

If you have questions or seek further guidance regarding the CDCP or any dental concerns, our team is here to assist you every step of the way. Let's work together to ensure you receive the dental care you deserve!

If you're wondering whether you qualify for the Canadian Dental Care Plan (CDCP), we're here to help you navigate the process.

The federal government is currently reaching out to the first groups of eligible citizens to provide information on the application process. If you haven't received a letter by May, it's possible that you may not be eligible, or at least not yet.

To confirm your eligibility, visit the official government website:

Check Eligibility on Government Website

Stay informed about your eligibility status and take advantage of the resources available to you. If you have any questions or need assistance, don't hesitate to reach out to our team at Smile Horizons Dental Arts. We're here to support you every step of the way.

No. The Canadian Dental Care Plan (CDCP) does not offer free dental care. It's a government dental benefit that assists in covering a portion of your dental expenses. Patients may be responsible for paying the remaining costs that are not covered.

Patient co-payments under the CDCP are determined based on their adjusted family net income:

  • No co-payment for CDCP benefits if your adjusted annual family net income is under $70,000.
  • A 40% co-payment for CDCP benefits if your adjusted annual family net income falls between $70,000 and $79,999.
  • A 60% co-payment for CDCP benefits if your adjusted annual family net income ranges from $80,000 to $89,999.

Smile Horizons Dental Arts will bill our usual and standard fees. Apart from the potential co-payment, patients may also be required to cover any portion of our usual fees not covered by the CDCP.

Prior to scheduling your dental appointment, discuss the treatment costs with Dr. Aatika Ahmed , including any expenses not covered by the CDCP.

Which services will be included under the CDCP in Mississauga?

At Dr. Aatika Ahmed's Dental Care in Mississauga, we're committed to helping you make the most of your benefits under the Canadian Dental Care Plan (CDCP). Below is a summary of the services that are covered, ensuring you receive the dental care you need without financial stress:

Preventive Care:

Diagnostic Services:

  • Comprehensive examinations and X-rays – Regular check-ups and imaging are essential for diagnosing potential dental problems early.

Restorative Treatments:

Prosthodontic Services:

  • Complete and partial removable dentures – If you're missing teeth, dentures can restore your smile and function.

Oral Surgery:

  • Oral surgery procedures, including extractions – For cases where a tooth must be removed, CDCP coverage ensures you're taken care of.

Preauthorization Requirement:

It's important to note that some services may require preauthorization, meaning that approval from the CDCP is needed before the treatment can proceed. Starting in November 2024, services that require preauthorization will be available for coverage. Dr. Aatika Ahmed will assess your individual needs and recommend treatments accordingly, ensuring that the proposed procedures are eligible under the CDCP.

Co-Payment Information:

Depending on your adjusted family net income, you may be required to cover a portion of the cost for some services, as CDCP coverage percentages vary. For example:

  • Families with an income lower than $70,000 will have 100% of the CDCP-established fees covered.
  • Income between $70,000 and $79,999 will have 60% covered.
  • Income between $80,000 and $89,000 will have 40% covered.

Comprehensive List of Covered Services:

For a complete and detailed list of all covered services, including any specific limitations or frequency restrictions, please refer to the CDCP Dental Benefits Guide. This guide will provide you with everything you need to know to maximize your benefits under the plan.

At Dr. Aatika Ahmed's Dental Care, we're here to support you every step of the way in navigating your dental care needs under the CDCP. Should you have any questions or require assistance with preauthorization or understanding your coverage, don't hesitate to reach out to our team.

No. The CDCP is designed for Canadian residents who do not have dental benefits. To qualify for the CDCP, you must not have access to any type of dental insurance or coverage through:

  • Employer-provided benefits, including health and wellness accounts for yourself or family members
  • Professional or student organizations
  • Pension benefits (for previous employers or family members), unless retired before December 11, 2023, and unable to opt back in under pension rules
  • Privately purchased coverage or through group plans from insurance or benefits companies

Important to note: If you're eligible for dental coverage through employment benefits or an organization, you're ineligible for the CDCP, regardless of usage.

Employers are now required by the Canada Revenue Agency to report dental insurance coverage on T4/T4A forms, ensuring transparency for employees and their families.

Dr. Aatika Ahmed emphasizes the importance of evaluating existing coverage before considering CDCP enrollment. Cancelling current coverage could lead to unforeseen costs, as CDCP care may prove more expensive than private insurance. Understand all details and costs to make the best decision for you and your family.

For comprehensive eligibility details, visit canada.ca/dental.

We don’t know and this should concern us all.

Currently, two-thirds of Canadians enjoy dental coverage through their employment, educational institutions, or group plans. These plans afford individuals the freedom to choose their dentist and dictate their dental care.

We believe that the CDCP should improve access to care for people who don’t have benefits. The CDCP should not take away dental benefits that people already have.

Dr. Aatika Ahmed's Dental Care in Mississauga informs families about the Canada Dental Benefit (CDB), a temporary assistance program aiding children under 12 without access to private dental benefits and whose family income falls below $90,000 annually. The CDB offers tax-free payments of up to $650 per eligible child per year for two years to cover out-of-pocket dental expenses.

Applications are open until June 30, 2024, for:

  • Dental care received between July 1, 2023, and June 30, 2024
  • One additional payment for eligible applicants

For further details, visit the Canada.ca website.

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American Association of Implant Dentistry (AAID)
Academy of General Dentistry (AGD)
Canadian Dental Association (CDA)
Jordanian Implant Dentistry Commission (JIDC)
Ontario Dental Association (ODA)
Manitoba Dental Association (MDA)
Newfoundland and Labrador Dental Association
Royal College of Dental Surgeons of Ontario (RCDSO)
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