Canadian Dental Care Program

Effective November 1st, 2024  we will no longer accept payment for dental services through the Ontario Disability Support Program (ODSP), Healthy Smiles Ontario (HSO), or Ontario Works (OW).

Individuals eligible for ODSP, HSO, or OW are now covered under the new Canada Dental Care Plan (CDCP), which we do accept. To receive coverage, you must apply for the CDCP. Please note that there may be an out-of-pocket expense, which ODSP, HSO, or OW may reimburse.

Important: For individuals on ODSP, HSO, or OW who do not yet meet the age requirements for the CDCP, we will continue to accept ODSP, HSO, or OW coverage until you become eligible. We will also provide services during the transition period, especially if you’re waiting for your CDCP card or other necessary documentation.

Please be aware that we will not accept individuals who have been eligible for the CDCP for several months but have not yet applied.

You can apply for the CDCP here: Canada Dental Care Plan

FEES:

The Fee Guide for the Canada Dental Care Plan is BELOW the current Ontario Dental Association Fee Guide, the fee guide we utilize. We do NOT accept the Fee Guide of the Canada Dental Care Plan as full payment of our fees. The difference between OUR fee and the Canada Dental Care Plan fee WILL be billed to EVERY patient and that amount will be due DIRECTLY from the patient AT THE TIME OF TREATMENT. Additionally, the portion of the Canada Dental Care Plan fee that is the co-pay responsibility of the patient WILL be billed to EVERY patient, and that amount will be due DIRECTLY from the patient AT THE TIME OF TREATMENT.

COVERAGE:

The Canada Dental Plan does NOT cover all recommended procedures. We can assist you with determining what coverage you have for any procedures. However, please be aware that your health needs are not dependent on your coverage. The Canada Dental Plan does not cover the recommended frequency of cleanings, exams, and other procedures. Please be aware that for most adults, the recommended frequency for these will be higher than what is covered, so additional required treatments would be out of pocket.

EXPENSES:

If you qualify for 100% coverage under the plan, your out-of-pocket expense will be ROUGHLY 15% of the fee. This means there will ALWAYS be an out-of-pocket expense even when you have 100% coverage. This amount may be more or less, depending on the specific procedure. If you qualify for 60% coverage under the plan, your out-of-pocket expense will be ROUGHLY 50% of the fee. This amount may be more or less, depending on the specific procedure. If you qualify for 40% coverage under the plan, your out-of-pocket expense will be ROUGHLY 65% of the fee. This amount may be more or less, depending on the procedure.

ENROLLMENT​:

You MUST be enrolled in the Canada Dental Plan and your enrollment has to be verified BEFORE treatment starts. It is YOUR responsibility to ensure you are enrolled and to provide that information to us BEFORE your appointment. Failure to do so does not absolve you of responsibility for payment of any services rendered by our office. If in doubt, please contact us and we can help you verify your enrollment in the program. The Canada Dental Care Plan coverage runs from July 1 to June 30 (12 months). You MUST re-apply every year to ensure eligibility. It is NOT like a normal plan that continues year after year.