The Plan Needs an Answer Before Treatment Starts
Some dental services need CDCP approval in advance. Learn what to ask about the request, the decision, and your options while waiting.
Membership and service approval differ
Being enrolled in CDCP does not mean every proposed service is already approved. Some services, including certain crowns and services beyond frequency limits, require preauthorization. The provider submits information so the plan can decide whether the requested care meets its coverage criteria.[1]
Ask whether any item on your estimate needs that approval, who will submit the request, and how you will hear the result. Write down which appointment depends on it. A booking confirmation and an insurer's decision are different pieces of information.
Read the decision with the estimate
Canada.ca says not every request is approved. You may choose to proceed with care that is not covered and pay privately, but first ask the dentist to explain your clinical options and the personal cost.[1]
If the answer is unclear, ask which service was approved, whether there are conditions or dates attached, and what remains payable. If you develop symptoms while waiting, contact the office with that update. Ask how the clinical plan should respond instead of assuming the administrative timetable sets the safe treatment timetable.