Canadian Dental Association report highlights gaps in national dental program

A report from the Canadian Dental Association (CDA) indicates that while the national dental care program has transformed access for millions, it faces significant challenges regarding coverage clarity and claim denials. The CDA commissioned the assessment to provide recommendations for federal government improvements.

Key issues identified include claims being denied without explanation and widespread public confusion regarding what services are covered. The report notes that political descriptions of the initiative as ‘free dental care’ have contributed to this misunderstanding. Because coverage levels vary by income, those in the highest bracket must pay 60 per cent of their fees. Additionally, the program uses set fee schedules that the CDA claims are often below actual treatment costs, leading to unexpected bills for patients.

Launched in 2022, the program has expanded from seniors to include children, adults with disabilities, and eventually adults with household incomes under $90,000 who lack private insurance. Approximately 6.5 million people have enrolled out of an estimated nine million eligible individuals.