While many dental services under the Canadian Dental Care Plan (CDCP) are automatically covered, some treatments require pre-authorization before they’re approved for coverage. This ensures the service is medically necessary and within program limits.
✅ Common Pre-Authorized Treatments
- Root canals on molars or multi-rooted teeth
- Dentures (full or partial)
- Crown restorations (based on severity and material)
- Oral surgery (complex extractions, surgical implants)
- Major periodontal procedures (deep cleaning, gum surgery)
📝 How It Works
- Your dentist submits a pre-treatment estimate to CDCP (via Sun Life).
- The request includes clinical notes, X-rays, and proposed costs.
- You and your provider receive a response within 5–10 business days.
💡 Why It Matters
- Getting pre-approval:
- Confirms coverage before treatment starts
- Helps avoid unexpected out-of-pocket costs
- Ensures care is within CDCP guidelines
Need a Treatment That Might Require Pre-Authorization?
We’ll handle the paperwork and walk you through what’s covered — so you can feel confident before starting any procedure.