According to the provided content, dental implants are generally excluded from standard Canadian Dental Care Plan (CDCP) coverage. However, there are specific exceptions where they may be covered for patients who have experienced trauma or have certain congenital defects.
Key details regarding major restorative services and implants include:
- Standard Exclusion: For most participants, dental implants are not part of the basic or major services covered by the plan.
- Special Cases: Implants may be reimbursable if they are required due to trauma or developmental defects. In these instances, the procedures typically require a prior approval process.
- Annual Limits: When major services are covered, they are subject to an annual limit of $2,000.
- Co-payments: Coverage for major services typically ranges from 50% to 80% and is subject to co-payments based on your adjusted household income level.
If you believe you qualify for an exception due to trauma or a defect, it is recommended to consult with your dental provider to navigate the preauthorization and approval requirements.
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