The Canadian Dental Care Plan (CDCP) is set to start providing coverage next month — but it's not clear that enough dentists will enrol to provide care to the 1.6 million seniors that have signed up already.
Health Canada would not provide CBC News with a figure forhow many oral health care providers have registered for the CDCP since applications opened on March 11. The department will only say"thousands" have signed on.
According to their national associations, there are approximately 26,500 dentists, 1,700 independent hygienistsand 2,400 denturistspractising in Canada —30,500 in total.
"I'm hearing that the sign-up is slow," said Dr. Heather Carr,president of the Canadian Dental Association."I do not think it's as high as we would hope in order for this plan to be successful."
The $13 billion Canadian Dental Care Plan, announced in December, will provide low- and middle-income Canadian residents with dental insurance if they don't have private coverage.
The national programwill eventually apply to one quarter of Canadians, but Ottawa is rolling out eligibility gradually, starting with seniors first. (An interim dental plan has been covering kids under the age of 12 since December 2022.)
Seniors learning their dentists aren't taking part
Some seniors approved for coverage are finding out their dentists aren't participating.
"I was annoyed. I was really cross," said Karen Trimingham, 82, who lives in Yarmouth, N.S., where she's seen the same dentist for 16 years. "I didn't think they'd refuse me because I'm a regular customer."
Triminghamsaid she doesn't want to drive hours from her rural community to find a dentist in another city who is signed up for the program.
"I've just got to continue paying. I'll just go and have the minimal amount done with the dentist I've got," she said. "Instead of having this tooth replaced that I lost a couple of months ago, I'll just go with the gap."
WATCH | Not all dentalprocedures will be covered: 9 days ago Duration 1:59Not enough dentists joining national dental care plan
Victoria senior Joanne Thibault, 68, saidher dentist won't take part either.
"It really irks me that the federal government came out and announced a dental plan, but they didn't do their homework to get the thing in place so that my dentist could be part of it," she said.
"I'm not abandoning my dentist. I just want the federal government to do their job and to get this sorted out with them so that she can do her job."
Associationpresidents aren'tsigning up their own clinics
Canada's dentists, hygienistsand denturists have broadlysupported the ideaof a national public dental care plan, which they say will help provide essential oral health care to peoplemost in need whootherwise would have to pay out of pocket.
But the presidents of some provincial dentist associations — who arepractising dentists themselves — have toldCBC News they aren't planning to offer the program in their own dental offices.
- Health Canada clarifies eligibility for seniors under national dental care plan
- Seniors unclear on whether they can drop their private dental insurance for national plan
They say Ottawa still has not provided enough details for a program due to launchin a matter of weeks.
They also say they're troubled by the fact that Ottawa is requiring them to sign contracts in order to jointhe program, something that no other public or private plans require.
"The patient should have the autonomy and the right to choose their own dentist," said Dr. Jenny Doerksen, president of the Alberta Dental Association.
"But unlike other dental plans, this federal program is asking the dentist to sign a contract that's seven pages long with a lot of unknown factors and unnecessary terms and conditions."
Dental health care providers say they're also concerned about imposing a lot of new paperwork on already overburdened administrative staff.
"My staff have told me in no uncertain terms they don't want to do the program because they just cannot handle the extra burden that comes with it," said Dr. Rob Wolanski, president of the B.C. Dental Association.
The CDCP is modelled on the Non-Insured Health Benefits, a federal program that provides dental care to First Nations and Inuit in Canada.
"It's a program that has faced criticism for years from both patients and patient communities, as well as providers," said Dr. Daron Baxter, president of the Manitoba Dental Association.
"One of the main reasons is due to the intensive administrative burden that often leads to delays in delivery of care."
Dentists also still don't know how the CDCP will coordinate with other plans offered by provinces and territories.
Last-minute consultation
Provincial dental associations say Ottawa only began consulting with them in November, just a month before the program was announced.
"The dentists were brought in at the 11th hour," said Dr. Brock Nicolucci, president of the Ontario Dental Association.
"Why did we start so late and are we rushing in a program that maybe we should be putting the brakes on?"
WATCH | Dentists raise concerns about federal dental care rollout: 11 days ago Duration 8:45
Dentists raise concerns about federal dental care rollout
The federal government, they say, also initially pitched the plan as"free" dental care — and it isn't.
The program only covers some types of dental workand pays dental health care providersat a lower rate than the fees recommended by provincial and territorialguidelines issued by dental associations. Dentists say they still don'tknow exactly how much the federal governmentwill pay them for providing care. Those amounts change every year; the 2024 CDCP guide still hasn't beenpublished.
There is also a significant co-pay for those withhousehold net incomes between $70,000 and $90,000.
That means most patients should still expect a bill after visiting the dentist's chair.
Health Minister Mark Holland suggested Ottawa may sweeten the deal to entice more dental care providers to join.
"We're working actively on creating an alternative portal that will allow dentists to participate just directly. When a patient comes in front of them, to just put in the information, and be able to put in that claim," Holland told reporters during a stop in Winnipeg this week.
- Health minister must sell oral health providers on dental care plan before coverage begins
Holland compared the CDCP to theintroduction ofuniversal healthcare in Canada, which he says also came with challenges.
"There's a lot of fear, it's a new program, I get that," Holland said.
"But conversation by conversation, it's been moving very positively, and I believe that we're going to have exceptionally strong uptake."
Do you have questions about howCanada's new dental care plan may affect you? Send an email to ask@cbc.ca.
