Member FAQ

Overview, application and personal information

Booking appointments for CDCP members

Coverage, claims and payments

my Sun Life online account

Overview, application and personal information

What’s the Canadian Dental Care Plan (CDCP)?

The CDCP helps ease financial barriers for Canadian residents who have an adjusted family net income of less than $90,000 and don’t have access to  private dental insurance or coverage.

Which services are included in the CDCP?

View the services that are covered by the CDCP.

How do Canadian residents apply?

Eligible Canadian residents will be able for apply to the CDCP through the Government of Canada.

When can Canadian residents start getting dental coverage?

Once deemed eligible, Canadian residents’ information will be shared by Service Canada to Sun Life for CDCP enrolment. Once enrolled, individuals that are covered under the CDCP will receive a welcome package with coverage details (including a member card and their coverage start date). 

The coverage start date is determined based on when an individual's application was received and when an individual was enrolled in the CDCP.

Where can members view their CDCP coverage information and recent claims?

Members can register for my Sun Life online to access self-serve features, like:

  • coverage details,
  • printable member cards,
  • claims history and statements, and
  • the CDCP Dental Benefits Guide.

How do members complete their annual renewal application?

CDCP members are required to complete an annual renewal application to confirm their eligibility under the CDCP. The renewal application period is between April 15th through June 1st. For more information about the renewal process, visit the Government of Canada website during this time frame.

Can members use their member ID for their spouse, common-law partner or dependant children?

A CDCP member ID is assigned to one person. Each person who is declared eligible to the CDCP will receive their own member ID.

How is personal information handled?

The CDCP is a federal government program. Sun Life’s role with the CDCP is to provide dental claims processing services. Personal information is only used when administering the CDCP and it's handled in accordance with the Privacy Act. For more information, visit the CDCP Privacy page.

How do members update their address?

Members can update their address by contacting Service Canada at 1-833-537-4342.

I recently reapplied for the CDCP and my coverage was reactivated. Why didn’t I receive a new welcome package or member card?

Members who renew or reapply for the CDCP will not receive a new welcome package. Their member ID will remain the same. Once a member’s coverage is reactivated, they will receive a letter from the CDCP confirming their eligibility and coverage start date. If a member no longer has their card, they can print a copy from the mysunlife.ca member website or use their member ID along with a piece of valid identification at their next appointment with an oral health provider.

I recently reapplied for the CDCP, will my member ID change?

No. Each CDCP member has a unique and permanent member ID. Their member ID remains the same, even if they experience a gap in active coverage.

What happens if a member loses their CDCP member card?

Members do not need their physical member card to access their CDCP coverag, only their member ID and a piece of photo identification. If a member loses their card, they can print a paper version of the card from their my Sun Life account online or provide their member ID and a piece of identification to their oral health provider.

Booking appointments for CDCP members

When can members book an appointment?

A member’s coverage must be active at the time of their dental appointment.

Members need to make sure their appointment is booked on or after their coverage start date. The coverage start date is included in their welcome package, but does not appear on the member card. It also appears in the determination letter you received from the Government of Canada. 

Where can members find their coverage start date?

Members can find their coverage start date, as well as their co-payment percentage, in the welcome package received with their member ID. They can also find this information in the determination letter from the Government of Canada. 

How can members find oral health providers that offer CDCP services?

CDCP members can:

  1. Contact any oral health provider and ask if they can accept CDCP clients, agree to bill and can receive payment directly from Sun Life for CDCP services. Oral health providers include dentists, dental hygienists, denturists, dental specialists, dental school clinics, etc.;
  2. Use the CDCP Provider Search Tool and search for a participating provider by name, specialty or location (not all providers participating in the CDCP are listed in the search tool), or
  3. Call Sun Life’s CDCP Contact Centre at 1-888-888-8110 for help finding a provider near you.

The CDCP Provider Search Tool works by selecting the centre point of your location (address, city and/or postal code) and populating providers within a 50 km radius.

What should members bring to their dental appointments?

Members should bring their CDCP member ID and a piece of photo identification. This will help participating providers confirm CDCP member eligibility with Sun Life. Members should also ensure that their coverage is active before their visit with an oral health provider.

Coverage, claims and payments

Why might the amount covered by the CDCP differ from the amount shown in a preauthorization or estimate?

The amount covered by the CDCP may be less than the total amount charged by the oral health provider. Members are responsible for paying their co-payment, if applicable, and any other amounts not covered by the CDCP. This may apply even when the CDCP covers 100% of its established fees.

Members may have to pay additional charges directly to the oral health provider if:

  • the provider charges more than the amount covered by the CDCP; or
  • the member agrees to receive services that are not covered by the CDCP.

An approved preauthorization does not guarantee payment. A claim is assessed based on the member’s eligibility and the CDCP coverage, fees and policies in effect on the date the service is provided. These may change between the date the preauthorization is approved and the date the service is provided.

Before receiving services, members should ask their oral health provider whether they will have to pay any costs not covered by the CDCP. 

Do CDCP members receive a new member ID for each benefit period?

No. A member ID is assigned to the individual and is not tied to a specific CDCP benefit period. When a member’s renewal or new application is completed and their coverage is confirmed, they will continue to use their existing member ID. 

How are dental services billed?

CDCP providers who agree to treat CDCP members must agree to bill and can receive payment directly from Sun Life for services covered under the plan.  

Members should never pay the full amount for the services in advance. Sun Life will not reimburse members directly for services under the CDCP.  Sun Life will only reimburse CDCP providers.

Note: The CDCP may not cover the full cost of the treatment. Members are only responsible for paying any potential outstanding amount to providers in addition to their co-payment, as applicable.  It’s important for members to discuss coverage details and any additional costs not covered by the plan with their chosen oral health provider before receiving dental services.

How does CDCP co-payment work?

CDCP members may have a co-payment based on your adjusted family net income. A co-payment is the percentage of the CDCP fees that isn’t covered by the CDCP, and that members will have to pay directly to the oral health provider. The co-payment is based on  adjusted family net income.

The CDCP fees may not be the same as what providers charge. Members may have to pay fees in addition to the potential co-payment if:

  • the cost of oral health care services are more than what the CDCP will reimburse for these services, or
  • members agree to receive care that the plan does not cover.

The CDCP will only pay providers for oral health care services covered within the plan and in accordance with the CDCP established fees. It’s important for members to discuss coverage details and possible co-payments required with their chosen oral health provider ahead of receiving services.

Can members' benefits be coordinated with another plan?

The CDCP will coordinate benefits with other federal, provincial and territorial social dental programs, where applicable.  To help understand how the CDCP will coordinate with provincial and territorial social dental programs, individual coordination of benefits factsheets have been developed, based on guidance provided by each provincial or territorial government.

There is no coordination with any privately funded or employer funded dental benefits program, as this would be considered to have access to dental insurance and applicants would not be eligible to the CDCP.

Can CDCP members cross provincial borders to receive care under the plan? Does the CDCP cover oral health services received outside of Canada?

The CDCP is a national plan, and services can be received anywhere in Canada as long as the selected provider accepts to treat CDCP members and agrees to bill and receive payment directly from Sun Life. There is no reimbursement made to CDCP members. The oral health provider will be paid according to the CDCP dental benefit grids for the province where the services were provided. CDCP members will need to pay the provider any outstanding amounts that are not covered by the plan, if applicable (based on where services were provided and not where they reside).

The CDCP does not cover oral health services received outside of Canada, regardless of whether it is an emergency or a checkup.

my Sun Life online account

What's my Sun Life?

my Sun Life is a secure digital portal for members to access their plan details. It’s password protected, convenient and paperless. 

For CDCP members, my Sun Life provides access to self-serve features, like coverage details, claims history and a printable CDCP member card.

Do members require a my Sun Life online account to receive CDCP services?

Members don’t require a my Sun Life online account to receive CDCP services. Members looking for their coverage details can also call the Sun Life CDCP Contact Centre at 1-888-888-8110.

What if a member already has a my Sun Life online account?

Members can’t register for a my Sun Life online account with an email that’s already associated with a previous account. Members must use a different email for CDCP.

How do members register for my Sun Life online, if their email, plan number or member ID can’t be verified?

If a member is certain they entered the email, plan number or member ID correctly, then they should call the Sun Life CDCP Contact Centre at 1-888-888-8110 for assistance.

How can CDCP members under the age of 18 register and access a my Sun Life online account?

CDCP members under the age of 18 must have their parent and/or legal guardian register on their behalf, with the exception of emancipated 16 and 17 year old members (who can register independently).

The parent and/or legal guardian must be the same person that enrolled the minor into the CDCP program, and they must use the same email that they provided during the CDCP application process. If an email wasn’t provided during the application proccess, any personal email can be used to register for a my Sun Life online account.

The my Sun Life online account will be registered under the parent or legal guardian’s member ID. Only one primary account is allowed per family.

There is a limit to the number of minors per primary account. If you reach this limit, call the Sun Life CDCP Contact Centre for assistance at 1-888-888-8110.