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Your Complete Guide to CDCP Dental Coverage in Hamilton


Navigating the Canadian Dental Care Plan (CDCP) in Hamilton? 860 Dental is here to help you make the most of your federal dental benefits. Whether you’re trying to understand eligibility, coverage, or how to use your plan at our clinic, this guide has you covered.


Patient signing dental insurance form

What Is the Canadian Dental Care Plan (CDCP)?


The CDCP is a federal initiative to reduce financial barriers to dental care for eligible Canadians. Administered by Sun Life, it reimburses a portion of the costs for approved dental services, ranging from routine cleaning to more advanced treatments like crowns and dentures.


860 Dental proudly accepts CDCP coverage in Hamilton. This means we’ll handle billing directly, so you don’t have to stress over paperwork.


Who Is Eligible in Hamilton?


Eligibility is generally based on your income and insurance status, with certain groups prioritized:


  • Canadian residents for tax purposes


  • No access to other dental insurance


  • Adjusted family income under $90,000


  • Priority groups include: 


    • Families earning ≤ $70,000 receive 100% coverage

    • $70,000–$79,999 earns 60% coverage (40% co-pay)

    • $80,000–$89,999 earns 40% coverage (60% co-pay) 

    • Adults with a valid Disability Tax Credit Certificate

    • Children under 18 and seniors 65+ were included in earlier program phases


To confirm your eligibility, you should check the CDCP portal once applications open to your demographic, and include documents like your SIN, proof of income, and residency.


What Does the CDCP Cover?


The CDCP supports a wide variety of services recommended by a dental professional:


  • Routine exams, cleaning (scaling)

  • X-rays, fluoride treatments, sealants


Basic Restorative


Endodontic

  • Root canals, treatments for infected teeth, pulpectomies, and retreatments (pre-authorized)


Periodontal

  • Deep cleaning under the gums, treatment for acute periodontal infections and abscesses (some require pre-approval)


Major Restorative and Prosthodontics

  • Crowns, bridges, posts and cores (pre-authorized)

  • Partial and complete dentures, relines, rebasing (pre-authorized services may include overdentures)


Oral Surgery

  • Tooth extractions, oral lesion removal, surgical jaw procedures


How to Use CDCP Coverage at 860 Dental


1. Confirm Eligibility

Check your eligibility and receive confirmation (via Sun Life) before booking your appointment. Coverage begins on the approved start date.


Let our receptionist know you’re using CDCP coverage. We are official CDCP providers in Hamilton; no need to pay upfront or handle forms.


3. Pretreatment Assessment

Our dental team will review your approved services. If a pre-authorized service is recommended (e.g., crowns, root canals), we'll initiate prior approval through Sun Life to ensure it’s covered.


4. Treatment and Direct Billing

We will perform services according to the CDCP fee guide. The clinic bills Sun Life directly. Based on your income-defined coverage tier, you’ll be responsible for any co-pay.


5. Aftercare

Post-treatment exams, follow-ups, or maintenance cleanings are included when recommended by your provider.


Why Choose 860 Dental for Your CDCP Benefits


Convenient Hamilton Location

Located near Hamilton’s shopping districts, with easy access to public transit and free parking. 


Direct Billing – We Handle the Paperwork

All CDCP billing is done directly, which means no extra steps for you. 


Comfortable, Modern Environment

From digital X-rays to cozy treatment rooms, our clinic is designed to make your visit stress-free and efficient.


Skilled Dentists You Can Trust

Our team is skilled in both preventive and advanced dental care. We’re experienced navigating CDCP’s requirements, from exams to crowns.


Flexible Appointment Times

We offer morning, evening, and weekend slots to fit your schedule.


Tips to Maximize Your CDCP Benefits


  • Plan for multiple visits if your care includes multiple treatments.


  • Ask about co-pay before your appointment to avoid surprises.


  • Stay consistent with preventive care. Regular check-ups reduce larger issues.


  • For major treatments requiring pre-authorization, schedule early to account for waiting periods.


Additional Considerations


  • Some services exceed CDCP fee guides; you’ll pay the difference


  • Co-pay percentage depends on your annual family income


  • Annual reassessment ensures ongoing eligibility through tax records


Making the Most of Your CDCP Coverage


CDCP coverage in Hamilton helps reduce the cost of dental care, making regular check-ups and needed treatments more affordable. At 860 Dental, our role is to streamline the experience: from confirming your eligibility and billing Sun Life directly to delivering skilled, compassionate care.


If you’re in Hamilton and eligible for the Canadian Dental Care Plan, trust 860 Dental to help you get the most from your benefits. We handle the details, so you can focus on getting the dental care you deserve.


Book your CDCP appointment with 860 Dental in Hamilton today and enjoy quality, affordable care managed with ease and expertise.



 
 
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