Ottawa – Oral health professionals play a vital role in oral health care. The Canadian Dental Care Plan (CDCP) allows more people to benefit from their care.
Participation in the CDCP
Participation in the CDCP is voluntary. Eligible providers who can bill for their services include:
- dentists
- denturists
- dental hygienists
- dental specialists
- dental schools and educational institutions for oral health professions
There are 2 ways for oral health providers to provide care to CDCP clients; either by:
- Signing up formally through Sun Life
- Submitting claims directly to Sun Life for payment, on a claim-by-claim basis. Please note, there will be no retroactive payment to providers who offered treatment under this option prior to July 8
How to sign-up through Sun Life
In both options, oral health providers agree to bill Sun Life directly for payment of services covered under the CDCP to limit out-of-pocket costs for CDCP clients. Currently, only Electronic Data Interchange (EDI) claims are accepted and processed. Starting in November 2024, both EDI and paper claims will be accepted and processed.
Note: There is no option for CDCP clients to get reimbursement from Sun Life. CDCP clients should not be asked to pay the full cost upfront. CDCP clients should only pay any outstanding amount not covered by the plan, if applicable. In all cases, by submitting a CDCP claim and accepting payment, providers agree to the CDCP Billing Agreement, either on a claim-by-claim basis or by signing up with Sun Life.
Before providing care to CDCP clients, providers will still need to:
- confirm that the client is eligible for the CDCP through their existing patient intake process
- confirm that the client is covered for select services
- submit a claim with assignment of benefits (non-assigned claims will be rejected)