How does pre-authorization work under the CDCP?

The Canadian Dental Care Plan (CDCP) helps eligible Canadians access essential dental services, but some treatments require approval before they can be completed. This process is called pre-authorization. If you’re visiting a CDCP dentist in East Vancouver, understanding how pre-authorization works can help you feel more prepared before starting treatment.

What Is CDCP Pre-Authorization?

Pre-authorization is a review process where certain dental treatments must be approved by Sun Life, the CDCP administrator, before coverage is provided. It allows the plan to determine if a recommended service meets the program’s coverage guidelines.

Your dentist will submit the required information, including details about your oral health and the recommended treatment. Once a decision is made, you’ll know if the service is covered and what costs, if any, you may need to pay.

Which Dental Services May Require Pre-Authorization?

Some procedures that go beyond routine preventive care may require pre-authorization before treatment begins. These may include:

  • Certain crowns and restorative treatments
  • Some periodontal procedures
  • Complex dental surgeries
  • Dentures and related services
  • Other treatments that have specific CDCP requirements

Your dentist can help explain if your recommended treatment requires approval and guide you through the next steps.

Contact Your Vancouver CDCP Dentist

Our team is here to make the process easier by helping you understand your benefits, answer your questions, and communicate with the CDCP when needed.

Contact us today for more information.