Canadian Dental Care Plan (CDCP)

Coverage Overview

You may be responsible for additional charges if:

• You are required to pay a co-payment based on your co-payment tier*
• Your oral health provider charges more than the CDCP-approved fees.
• You agree to receive services not covered by the CDCP (you will be responsible for the full cost of these services).

* A co-payment is the percentage of the CDCP fee not covered by the plan and must be paid directly to your provider. This percentage is based on your adjusted family net income.

Before receiving care, always confirm which services or costs are not covered by the CDCP. Services not covered by the CDCP will need to be paid in full by the client.

Predetermination and Previous Approvals

Services such as partial dentures, immediate dentures, and dentures with soft-liners require approval before proceeding with treatment. Approval times vary depending on Sun Life’s processing volume. Claims will be paid based on the active coverage on the date the service is completed — NOT the coverage % on preauthorization or estimates approved before your coverage was renewed. This could mean that the co-pay or balance billing might change. The patient must be eligible on the date of service for the plan to cover the claim.

Eligibility & Renewal:

• Eligibility is reassessed annually by the appropriate government authority.
• You must renew your CDCP coverage annually to maintain uninterrupted access to benefits.
• It is not the responsibility of Ottawa Valley Denture Clinic to ensure your eligibility.

Coordination of Benefits

To ensure accurate coordination of benefits, please indicate any additional programs you are enrolled in:

Agreement & Acknowledgements

By signing below, you agree to the following:

• I confirm I have active CDCP coverage and understand I am responsible for any fees incurred outside my coverage period.
• I understand that I must renew my CDCP coverage annually; it does not renew automatically.
• I acknowledge that certain factors beyond the denturist’s control—including but not limited to delays in predetermination processing or external lab turnaround times—may affect the timing of when I receive my denture.
• I am fully responsible for all fees not covered by the CDCP, including co-payments, balance billing, and costs for missed appointments. The CDCP does not cover cancellation or no-show fees.
• I acknowledge I am responsible for any costs not paid by Sun Life due to inaccurate or incomplete coverage information.

We strive to complete your treatment before your coverage renews. However, due to circumstances beyond our control, this cannot be guaranteed.