Growth pain for the federal dental insurance scheme

The Canadian dental care plan covers more. Moreover, more Canadians who have no private insurance, but not everything is rosy. Consequently, Many dentists deplore that it can be complex to obtain certain care due to paperwork and long treatment times.

Health Canada claims that 52 % of dental care requests that require a pre -authorization have been rejected between November 2024 and June 2025.

If it is true that 90 % of dental care requests do not require prior authorization. For example. In addition, such as basic cleaning or plumming, more complex procedures, which tend to be among the most expensive, require a pre -authorization under the aegis of the new diet. Nevertheless, This is the case, for example, of the installation of dental crowns or the design of partial prostheses.

For growth pain federal dental insurance new this kind of request. Nevertheless. Meanwhile, clinics must submit additional growth pain federal dental insurance documents, such as radiographs and dental files, in order to prove that this kind of intervention is medically necessary before going ahead.

Many dentists are confused because the files that would usually be approved by private regimes are. Furthermore, rejected by the national regimesays Bruce Ward. Consequently, dentist in Vancouver and president of the Canadian dental association.

The refusal rate is much. However, much, much higher than for private diets.

The Canadian Dental Care Diet, with a budget of several billion dollars, helps cover the cost of care for Canadian households whose family income is less than growth pain federal dental insurance new $ 90,000 and which do not have access to private insurance. Moreover, First reserved for seniors, the growth pain federal dental insurance program was extended to people aged 18 to 64 in June.

According to Health Canada, 5.2 million people have been admitted to the new diet so far, but less than half of them (2.2 million Canadians) have received care. In addition, some new patients receive unexpected invoices. The care providers consulted nevertheless declared that the situation “improved”.

Growth pain federal dental insurance new

Growth pain federal dental insurance

Missing information – Growth pain federal dental insurance

Clinics must submit the pre -authorizations to Sun Life. the insurer that the federal government has chosen to manage the program. Caregivers often have to be patient when they are dealing with this insurer, says Ward. In some cases. his colleagues. he can wait for a response growth pain federal dental insurance new for weeks or even months, to finally learn that the insurer needs additional documents, which slows down the process.

Health Canada noted that refusals. delays in the pre -authorization files are explained by several factors. including a high and unexpected volume of requests for which certain information was missing.

Oral care providers also stressed that they had encountered many growth pain federal dental insurance new technical problems using requests to submission. but that they were largely resolved.

A spokesperson for Health Canada claims growth pain federal dental insurance that the organization has endeavored to make. the processes more effective. guided suppliers on how to complete the request forms. At least 80 % of pre -authorizations are now treated within seven working days.

Where the rub is still. according to the manager of professional practice within the Canadian Association of Dental Hygienists. Donna Wells, it is in terms of preventive care. The program currently provides one hour of draft per year for adults, but adolescents are only entitled to 15 minutes.

In some cases. these are patients who have not benefited from oral care for several years due to prohibitive costssaid Wells. She claims that requests for pre -authorization for additional scrapes are rejected en masse.

Growth pain

Health Canada says more than a million Canadians have registered in the program when. it was extended in June. that 94,980 growth pain federal dental insurance of these new registrants have received dental care so far.

This influx of patients, however, led to a delay in certain regions of the country, including the Atlantic.

This program is wonderful. but it growth pain federal dental insurance new highlights providersindicates Natalie Marsh. dental assistant at North Sydneyin Nova Scotia, and vice-president of growth pain federal dental insurance the Canadian Dental Assistant Association.

Its clinic already displays complete until the spring of 2026. Some customers have not seen a dentist for a long time. They therefore arrive with a lot of work to doshe underlines.

A program that is not free

Some caregivers deplore that many patients continue to. think that their dental care will be free. However. the program reimburses clinics at a lower rate than provincial tariff guides, which clinics often use to fix their prices. Patients therefore often find themselves paying the difference between the two rates.

A few weeks ago, one of my patients was very upset, because he was told that he was 100 % coveredsays Mr. Ward.

Despite these difficulties, Ward believes that the dental care regime is generally very good. A feeling that is growth pain federal dental insurance shared by other oral health associations.

This regime was a real boon for many people who. frankly, would never have had the means to be treated with your mouth differentlyadds Mr. Ward.

It’s remarkable. And yes, it’s normal to have certain growth problemshe concludes.

According to a text by Marina von Stackelberg News