Key Takeaways
- The Canadian Dental Care Plan (CDCP) is a federally funded dental insurance program for lower-income Canadians.
- To qualify for CDCP dental coverage, eligible Canadian residents must not have access to private dental coverage and must have an adjusted family net income below $90,000.
- The CDCP covers up to 100% of eligible dental procedures, including diagnostic services, preventative care, restorative services, and oral surgeries.
- The CDCP doesn’t cover orthodontic services or costs that exceed its coverage limits.
PolicyMe is not affiliated with the Government of Canada or the Canadian Dental Care Plan. For the most accurate and up-to-date eligibility and coverage details, please refer directly to Canada.ca.
What does the CDCP cover?
The Canadian Dental Care Program covers up to 100% of eligible preventative, basic, and major dental services. However, individual coverage amounts vary by dental service and how much coverage you qualify for based on your annual family income.
Dental services covered by the CDCP include:
- Diagnostic and preventative services to detect and prevent oral health problems, including dental exams, x-rays, cleaning, and scaling.
- Restorative services to treat cavities and broken teeth, including permanent fillings, temporary fillings, and pain control.
- Endodontic services to treat decayed, infected, or broken teeth, including root canals, infection treatments, and re-treatments.
- Periodontal services to address the health of your gums and bones, including cleanings, abscess treatments, and bonding.
- Major services to restore teeth that can’t be fixed with basic fillings, including installing, repairing, and bonding dental crowns.
- Prosthodontic services to replace missing teeth, including providing and repairing full or partial dentures.
- Oral surgery services to remove teeth or fix major problems in the mouth and jaw, including the surgical removal of teeth, tumours, and cysts.
- Anesthesia or sedation services to help manage the pain of major dental procedures.
Some services require preauthorization. This means your oral health provider must submit a request to the CDCP and wait for approval before they complete the service.
What isn’t covered by the CDCP?
The CDCP currently doesn’t provide coverage for:
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Orthodontic services, including braces, aligners, and retainers.
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Cosmetic services to improve the appearance of teeth, including teeth whitening or cosmetic crowns.
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¾ Dental crowns to protect damaged teeth with strong structural foundations.
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Bone grafts to replace missing or lost bone in the jaw, which may be required prior to dental surgery.
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Bridges and bridge-related procedures to restore missing teeth or missing rows of teeth.
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Dental guards to protect or correct dental and breathing issues, including sports guards, night guards, or mouth guards.
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Dental implants to replace missing teeth or support crowns, full dentures, or partial dentures.
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Veneers, inlays, and onlays in composite or ceramic materials.
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Temporomandibular joint therapy and appliances.
Generally speaking, there are three major CDCP gaps that create out-of-pocket costs, even for qualifying Canadians:
- Ineligible dental services: If a dental service isn’t covered by the CDCP, or you need the service more frequently than what’s covered, you’ll pay out of pocket.
- Costly dental services: If the dental service costs more than the coverage limit, you must cover the difference.
- Co-payments: If you make $80,000 - $89,999, CDCP co-payment amounts range from 40%-60%.
It’s also worth noting that not every dentist participates in the CDCP, which can limit your options for dental treatment.
Who is eligible for the CDCP?
To qualify for CDCP dental benefits, applicants must meet four eligibility criteria:
- You must be a Canadian resident. According to the federal government’s income tax guidelines, you can claim Canadian residency if you have a Canadian home address, driver’s license, or passport; or your partner and/or children live in Canada, among other things.
- You have no dental insurance or coverage, whether it’s through an employer plan, private health insurance, a family member’s employer benefits, or an organization. A source of dental coverage still counts even if you decide not to enroll in it, pay your premiums, or use it.
- Your adjusted family net income must be less than $90,000. CDCP coverage amounts are tiered by income, with families who have a household income under $70,000 receiving full coverage for eligible services.
- You and your partner (if you have one) have filed your previous years’ tax returns. The CDCP uses tax returns from the Canada Revenue Agency (CRA) to assess your adjusted family net income for the previous requirement.
If you’re unsure whether or not you qualify for the CDCP, you can always apply and wait to see if you’re accepted. Registering for coverage is free and can be done online or by phone.
What does ‘adjusted family net income’ mean?
Your adjusted family net income is your net income for the year with two adjustments: subtract any Universal Child Care Benefit (UCCB) or registered disability savings plan (RDSP) income you received, then add any UCCB or RDSP amounts you repaid.
You can calculate your adjusted family net income by adding lines 23600, 21300, and 23200 from your tax return. Then, subtract lines 11700 and 12500.
How do I apply for the CDCP?
The CDCP application process is available online or by phone. You’ll need the following information to complete your application:
- Date of birth
- Full name
- Home and mailing address
- Notice of assessment for the previous tax year (only required for adults)
- Social Insurance Number (SIN)
If you have dental coverage through another government program, you must also bring a list of dental services you receive coverage for.
Call Service Canada at 1-833-537-4342 to apply over the phone with an agent, or 1-833-677-6262 if you’re using a teletypewriter device. A friend, family member, caregiver, or other trusted person can also help you apply over the phone.
Apply online for one of the most affordable health insurance plans in Canada.
How do CDCP co-payments work?
The amount you pay for eligible dental services depends on your CDCP coverage rate. This rate is determined by your adjusted family net income from the previous tax year.
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Under $70,000
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100%
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0%
|
|
$70,000 - $79,999
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60%
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40%
|
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$80,000 - $89,999
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40%
|
60%
|
So, let’s say you get a dental exam that costs $191. The CDCP coverage limit for dental exams is about $165. Here’s what your final bill might look like, depending on your income:
|
Service cost
|
$191
|
$191
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$191
|
|
CDCP coverage
|
$165 (100%)
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$99 (60%)
|
$66 (40%)
|
|
Your out-of-pocket costs
|
= $26
|
= $92
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= $125
|
CDCP dental benefit grids can be accessed through Health Canada’s CDCP administrator, Sun Life.
Direct billing, no second-guessing.
How high are the CDCP’s dental coverage limits?
If the cost of a dental service exceeds the CDCP’s coverage limit, you pay the difference out of pocket. These differences can range from a few cents for basic preventive care to several hundred dollars for more complicated procedures.
The table below compares the CDCP dental coverage limits for a range of dental services with the 2026 Ontario Dental Association’s (ODA) Suggested Fee Guide.
One bitewing X-ray image |
$43 |
$34 |
$9 |
Complete dental exam |
$191 |
$165 |
$26 |
One dental cleaning (approximately 1 hour) |
$264 |
$261 |
$3 |
Filling (single molar) |
$257 |
$203 |
$54 |
Root canal (single) |
$732 |
$620 |
$112 |
Dental crown |
$1,417 |
$884 |
$533 |
A set of complete, standard dentures |
$1,230+ |
$945 |
$285 |
Tooth extractions (one tooth, uncomplicated) |
$228 |
$181 |
$47 |
Tooth extractions (one tooth, complicated) |
$328 |
$260 |
$68 |
30 Minutes of nitrous oxide sedation |
$129 |
$102 |
$27 |
* The estimations provided are for illustrative purposes only and should not be considered personal health or financial advice.
It’s worth noting: dentists aren’t required to follow the ODA’s suggested fee guide — they set their own rates. This means the cost of dental services may be different from one clinic to another.
Tip: Ask your dentist for a quote
To avoid being blindsided by your dental bill after the work is complete, ask your dentist to calculate your potential costs upfront so you can decide if it fits your budget.
Is the CDCP worth it?
The CDCP covers a comprehensive list of dental services, and for families making less than $70,000 per year, a 100% coverage rate clears the way to affordable dental care. As long as you’ve filed your tax returns and met the eligibility requirements, it’s worth applying and subsidizing the oral health care that you and your family need.
For families making more than $79,999 per year (especially those without children), co-payments for CDCP coverage begin to climb. The time you spend waiting for the CDCP to preauthorize certain costs may not be worthwhile, and you may be able to access faster, more comprehensive dental coverage that better supports your family’s well-being through private health insurance.
“CDCP coverage limits are quite low relative to both what dentists typically charge and also what the associations, like the Ontario Dental Association, suggest the dentist charge. You’re getting 40% or 60% of something that already is under-covered, and there’s a really strong chance that you’re gonna have to pay significant dollars out of pocket.” — Andrew Ostro, PolicyMe CEO
PolicyMe’s Guaranteed Issue Economic Health and Dental Plan covers 70% of restorative and preventive services (up to $500 per year). That’s $57 out of pocket for a complete dental exam, plus coverage for prescription drugs, eyewear, and paramedical services.
Coverage for the healthcare you need, when you need it.
FAQs about the CDCP
You won’t be eligible for the Canadian Dental Care Plan (CDCP) if you have access to dental coverage through any other source, including employer benefits, private insurance, or a group plan through a member association. If you benefit from CDCP coverage while holding private dental insurance, the federal government may require you to repay it later.
Canadian dentists aren’t required to accept patients with dental coverage under the Canadian Dental Care Plan (CDCP). You can search online for dentists in your area who accept CDCP coverage, or call the nearest clinic to ask.
To continue receiving dental coverage, you must re-enroll in the Canadian Dental Care Plan every year so the federal government can re-assess your eligibility. Renewals for the 2027-2028 benefit year are set to open in spring 2027.
Once your CDCP application is approved, you don’t need to wait for your welcome package from Sun Life to get dental care. Just provide your CDCP member ID, a piece of identification, your benefit coverage start date, and co-payment level at your first appointment.
The Canadian Dental Care Plan excludes implants and all implant-related procedures. Dental implants can replace missing teeth or rows of teeth in your mouth, and provide support crowns, bridges, and dentures.
There are no annual limits on CDCP dental coverage, but the program limits the frequency and maximum reimbursement available for eligible services. Both limits can change depending on your age, dental health, province, and oral health care service provider.
Even if a necessary dental service is covered by the CDCP, you may experience delays while waiting for preapproval. The Canadian Dental Association (CDA) suggests that 52% of CDCP pre-authorization requests were denied between November 2024 and June 2025, and 92% of dental offices reported that delays discouraged patients from proceeding with necessary treatment.
Yes, topical fluoride is a covered preventive service under the CDCP. Children and teens (up to age 16) can receive fluoride treatment up to twice a year, while adults (17+) are covered once a year.
Prices listed on this page are based on information available as of June 2026. The prices shown are for general reference only and may vary based on factors like your age, location, and product selection.