What you need to know about the new Canadian Dental Care Plan (2025)

What you need to know about the new Canadian Dental Care Plan (2025)

Editor's note: This blog post was updated in December 2025 for accuracy and comprehensiveness.

In 2023, the federal government committed funding to launch and expand the Canadian Dental Care Plan (CDCP). Now, as we close out 2025, the program is fully rolled out and providing dental coverage to uninsured Canadians with a family income under $90,000, with no copays for households earning below $70,000. The CDCP has become a major milestone in improving access to dental care, and its full expansion in 2025 means more Canadians than ever are eligible heading into 2026.

Read on to learn more about:

  • What’s new for the CDCP in 2025 and beyond
  • The new reporting requirements for the CDCP and changes to T4 and T4A tax slips, beginning for the 2023 tax year
  • CDCP eligibility
  • CDCP applications and when you can apply
  • CDCP coverage start dates and services covered

2025 updates to the Canadian Dental Care Plan

As the Canadian Dental Care Plan moves into its second full year of nationwide availability, several important updates from 2025 are now fully in effect. These changes continue to shape how Canadians access dental care in 2026. Here’s a clear overview of what’s new and what individuals should keep in mind this year.

Expansion of eligibility

With the phased rollout completed in 2025, all uninsured adults aged 18–64 who meet the income criteria are now eligible to apply for the CDCP in 2026.

This expansion—introduced in three stages throughout May 2025—marked a major milestone for the program. For the first time, CDCP access extends to the majority of working-age adults, complementing the coverage already available to seniors, children, and Canadians with the Disability Tax Credit.

As a result, 2026 is the first full year where every eligible age group has open access to the plan.

Annual renewal requirements

2026 is also the first year in which annual renewal requirements are fully established for all members.

Anyone enrolled in the CDCP must renew their coverage each year, with eligibility confirmed based on their most recent tax return. Last year’s deadline (June 1, 2025) served as the transition point, and members can expect a similar renewal timeline moving forward.

A few reminders for 2026:

  • Members should watch for their renewal notice from Health Canada early in the year.
  • Failing to renew will result in a coverage lapse, and services received during any gap are not eligible for reimbursement.
  • Ensuring your 2025 tax return is filed on time will help prevent delays in renewal decisions.

Updated dental services and coverage

Health Canada’s updates to the 2025 Dental Benefits Guide are now the foundation for services covered in 2026. These updates refined definitions, clarified pre-authorization requirements, and improved transparency around treatment eligibility.

Highlights now in effect:

  • Refined service categories and clearer descriptions to help patients understand coverage
  • Updated preauthorization rules for certain complex procedures
  • Early steps toward expanding limited orthodontic services, with additional details expected as the program evolves

Canadian Dental Care Plan reporting requirements

The legislation requires the reporting of employer-provided dental coverage via T4 and T4A tax slips. This reporting requirement ensures that the new dental care plan is limited to Canadians with an unmet need for dental care who don’t have access to private insurance.

The legislation requires employers to report on a tax slip whether an employee, former employee, or a spouse of a deceased employee was eligible on December 31 of the reporting tax year to access dental insurance or dental coverage of any kind, due to current or former employment.

T4 and T4A tax slip updates for employer-offered dental benefits

This reporting requirement will be mandatory beginning with the 2023 tax year reporting cycle and will be required annually. As a result, the following new boxes will be added to the T4 and T4A slips for the 2023 tax year, along with specific codes.

New T4 Box 45: Employer-Offered Dental Benefits

T4 tax slip updates for employer-provided dental coverage

New T4A Box 015: Payer-Offered Dental Benefits

T4A tax slip updates for payer-provided dental coverage

For the T4A, box 015 is mandatory if an amount is reported in box 016 (pension or superannuation). Otherwise, box 015 is optional.

Code 1
No access to any dental care insurance, or coverage of dental services of any kind.
Code 2
Access to any dental care insurance, or coverage of dental services of any kind for only the payee.
Code 3
Access to any dental care insurance, or coverage of dental services of any kind for payee, spouse and dependants.
Code 4
Access to any dental care insurance, or coverage of dental services of any kind for only the payee and their spouse.
Code 5
Access to any dental care insurance, or coverage of dental services of any kind for only the payee and dependants.

Please note: The codes above aren’t dependent on whether the employee has chosen the coverage or not. The code should reflect the coverage available to the employee based on their group plan.

To support our clients during year-end and ensure compliance, Avanti is currently working on updates to include the new dental coverage reporting requirements. These changes will be available in the product in December as part of our annual year-end tax release. Stay tuned for more information!

Canadian Dental Care Plan eligibility

To qualify for the Canadian Dental Care Plan (CDCP), you must meet all the eligibility criteria. If you have a spouse or common-law partner, you both need to meet the eligibility criteria to be able to qualify for the CDCP. Eligibility for children under 18 will be determined by the parents’ or guardians’ eligibility.

To qualify for the CDCP, you must:

  • not have access to dental insurance:
    Not having access to dental insurance is defined as:
    • no dental insurance through your employer or a family member’s employer benefits, including health and wellness accounts;
    • no dental insurance through your pension (previous employer) or a family member’s pension benefits; or
    • no dental insurance purchased by yourself or by a family member or through a group plan from an insurance or benefits company.
  • have an adjusted family net income of less than $90,000
  • be a Canadian resident for tax purposes
  • have filed your tax return in the previous year

    You need to meet all the eligibility criteria to qualify for the CDCP.

    If you're a parent or guardian of a child under the age of 12 and do not have access to dental insurance, you may already be eligible for the Canada Dental Benefit. This benefit is available until June 30, 2024.

    Canadian Dental Care Plan applications

    Applications for the Canadian Dental Care Plan (CDCP) will open in phases. Use the calculator provided by CRA to find out when you can apply.

    Application schedule by age group
    Group
    Applications open
    Seniors aged 87 and above
    Starting December 2023
    Seniors aged 77 to 86
    Starting January 2024
    Seniors aged 72 to 76
    Starting February 2024
    Seniors aged 70 to 71
    Starting March 2024
    Seniors aged 65 to 69
    Starting May 2024
    Adults with a valid Disability Tax Credit certificate
    Starting June 2024
    Children under the age of 18
    Starting June 2024
    All remaining eligible Canadian residents
    Starting 2025

    Canadian Dental Care Plan coverage start dates and services covered

    Canadian residents who are enrolled in the CDCP will be able to start seeing an oral health provider as early as May 2024, starting with seniors. The start date to access oral health care will vary based on when each group can apply, when the application is received and when enrolment is completed.

    Booking an oral health appointment

    Your coverage will begin on the date provided in the welcome package you receive from Sun Life. Appointments with an oral health provider should be scheduled as of that date, and no sooner, for the eligible oral health care services to be covered under the plan. The CDCP will not reimburse you for oral health care services received before the start date.

    When booking an appointment with an oral health provider, make sure to ask if they have enrolled in the CDCP to limit unexpected out-of-pocket payments.

    Annual reassessment

    You will need to meet the eligibility requirements each year to qualify for the CDCP. More information on the annual reassessment process will be added at a later date.

    Services covered

    The Canadian Dental Care Plan (CDCP) will help cover the cost of various oral health care services that keep your teeth and gums healthy and treat problems that can happen.

    Examples of services that could be covered under the CDCP, as recommended by an oral health provider, includes the following:

    • preventive services, including scaling (cleaning), polishing, sealants, and fluoride
    • diagnostic services, including examinations and x-rays
    • restorative services, including fillings
    • endodontic services, including root canal treatments
    • prosthodontic services, including complete and partial removable dentures
    • periodontal services, including deep scaling
    • oral surgery services, including extractions

    Note: Some services will only become available in fall 2024. This page will be updated as more details are available.

    The CDCP will only pay for oral health care services covered within the plan at the established CDCP fees.

    How much will be covered?

    People covered under the CDCP will not have to pay the full cost out of their own pocket. Oral health providers enrolled in the CDCP will be required to submit the claims directly to Sun Life for payment rather than having patients seek reimbursement from Sun Life for services covered under the plan.

    The CDCP will reimburse a percentage of any eligible expenses, but some people covered under the plan may have a co-payment. A co-payment is the percentage of CDCP fees that is not covered by the CDCP, and that people covered under the CDCP will have to pay directly to the oral health provider. Your co-payment is based on your adjusted family net income.

    Oral health providers are encouraged to follow the CDCP fees, which are not the same as the provincial and territorial fee guides, so their patients do not face additional charges at point of care.

    Patients should always confirm what costs will not be covered by the plan and that they will be expected to pay with their oral health provider before receiving care.

    Co-payments based on adjusted family net income
    Adjusted family net income
    How much will the CDCP cover
    How much you will cover
    Lower than $70,000
    100% of eligible oral health care service costs will be covered at the CDCP established fees.
    0%
    Between $70,000 and $79,999
    60% of eligible oral health care service costs will be covered at the CDCP established fees.
    40%
    Between $80,000 and $89,999
    40% of eligible oral health care service costs will be covered at the CDCP established fees.
    60%

    For more information on the Canadian Dental Care Plan, please visit the CRA website.

    Additional reading

    1. What you need to know about T2200 Forms
    2. The Ultimate Guide to Canadian Payroll Year-End
    3. The Canadian Employee’s Guide to Payroll Year-End

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    Sign up for the free year-end toolkit

    Sign up for the free year-end toolkit

    Year-end is hectic, but don't worry – we’re here to help! Sign up for our free year-end toolkit and we'll keep you organized and in the loop about important dates. You'll also get helpful year-end checklists, employee resources, time-saving tips, and more.

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