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Canada·Learn·Canadian Dental Care Plan: eligibility and co-payments
Explainer

Canadian Dental Care Plan: eligibility and co-payments

The Canadian Dental Care Plan uses adjusted family net income for eligibility and co-payments, with coverage based on the plan's established fees.

Source: Health Canada, Canadian Dental Care Plan coverageChecked ·1 min read
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Income eligibility
Adjusted family net income below $90,000.Health Canada, CDCP eligibility
Below $70,000
0% co-payment on established CDCP fees.Health Canada, CDCP co-payments
$70,000 to $79,999
40% co-payment on established CDCP fees.Health Canada, CDCP co-payments
$80,000 to $89,999
60% co-payment on established CDCP fees.Health Canada, CDCP co-payments

Income is one eligibility condition

Eligibility requires no access to private dental insurance or coverage, filed Canadian tax returns, adjusted family net income below $90,000 and Canadian tax residency. The tax-return and residency conditions also apply to a spouse or common-law partner where applicable. Coverage through a government social program can still be compatible with eligibility. Health Canada, CDCP eligibility (opens in a new tab).

The co-payment bands

At adjusted family net income below $70,000, the co-payment is 0% of established CDCP fees. For $70,000 to $79,999 it is 40%, and for $80,000 to $89,999 it is 60%. These percentages apply to the plan's established fees for eligible services. Health Canada, CDCP co-payments (opens in a new tab).

A co-payment is not the whole possible bill

Additional charges can arise where a provider charges more than the CDCP reimburses or where services are not covered. A zero co-payment therefore does not rule out additional charges. Some services require preauthorization, and not every request is approved. Health Canada, CDCP coverage and charges (opens in a new tab).

Scope of this explanation

This is general information about Canada, not personal tax or financial advice. This page does not decide eligibility, authorize treatment or estimate a dental bill. It does not reproduce the full dental benefits guide or service limits. The government does not endorse this website.

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