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Public Service Dental Care Plan numbers are assigned based on the plan member's month of birth:
Plan member’s month of birth	Plan number
January, February, March	72111
April, May, June	72112
July, August, September	72113
October, November, December	72114

Public Service Dental Care Plan Coverage
Overview
Deductible	$25 per person, up to $50 per family per calendar year. If the first dental expense in a calendar year is incurred in the last quarter of the year (October to December), and the applicable deductible has been paid, that deductible will be carried over to the following year.
Reimbursement percentage (Once the previous year's dental fee guide amount and yearly deductible have been applied)	90% basic dental services 65% major services 50% orthodontics (90% diagnostic services)
Treatment plan	A treatment plan, more commonly known as a predetermination, should be submitted to Canada Life before beginning treatment when the estimated cost is expected to be $300 or more. The predetermination can be submitted electronically using your practice management software or on a paper claim form. Approved services will be reimbursed upon completion of treatment (exception: orthodontic treatment).
Maximum reinbursement	Basic and major dental expenses: $3,000 per calendar year per covered person ($1,500 during first year if coverage takes effect on or after July 1) Orthodontics: Lifetime maximum of $3,000 per covered person
Dental fee guide	Previous year's dental fee guide for the province or territory where the services are rendered

Frequency guidelines and plan limitations for select services
90% basic dental services
Complete exam	Once every 3 years (36 months).
Recall oral exam	Once every 9 months, or once every 6 months in the case of eligible children only.
Polishing	Once every 9 months, or once every 6 months in the case of eligible children only. For those who will be or are undergoing chemotherapy to treat cancer, the cleaning frequency limitation will be suspended temporarily while treatment is planned or underway. Please inform us if the patient is eligible to ensure a claim is not denied.
Fluoride treatment	Once every 9 months, or once every 6 months in the case of eligible children only. For those who will be or are undergoing chemotherapy to treat cancer, the cleaning frequency limitation will be suspended temporarily while treatment is planned or underway. Please inform us if the patient is eligible to ensure a claim is not denied.
Oral hygiene instruction	Once per lifetime, or once per calendar year for eligible children.
Scaling in combination with root planing	6 units per calendar year. For those who will be or are undergoing chemotherapy to treat cancer, the cleaning frequency limitation will be suspended temporarily while treatment is planned or underway. Please inform us if the patient is eligible to ensure a claim is not denied. In the instance of documented cases and with the pre-approval of a treatment plan by the Plan Administrator, up to 6 additional units may be allowed in a given calendar year. Application for reimbursement for scaling and/or root planing may be made for up to 2 time units if such application is made within 3 months of the performance of the service.
Panoramic radiographs	Once every 3 years (36 months).
Bitewing radiographs	Once every 9 months, or once every 6 months in the case of eligible children only.
Fillings	Eligible member, eligible spouse or common-law partner: Replacement fillings once every 24 months. Eligible dependant child: Replacement fillings once every 12 months.

65% major services
Major restorative	Replacement eligible after 60 months unless the appliance cannot be made serviceable. The replacement frequency limit of 60 months for a replacement crown may be waived in cases where it is deemed necessary by the treating dental service provider and Canada Life concurs.
Major prosthodontic (e.g., dentures, bridges)	Replacement eligible after 60 months unless the appliance cannot be made serviceable.

65% major services

Major restorative

Replacement eligible after 60 months unless the appliance cannot be made serviceable.

The replacement frequency limit of 60 months for a replacement crown may be waived in cases where it is deemed necessary by the treating dental service provider and Canada Life concurs.

Major prosthodontic (e.g., dentures, bridges)

Replacement eligible after 60 months unless the appliance cannot be made serviceable.

50% orthodontics (90% diagnostic services)
Orthodontics	Lifetime maximum of $3,000 per covered person.

Other
Alternative benefit clause	An alternative benefit for a less expensive course of treatment may be reimbursed. Submitting a predetermination when costs exceed $300 provides an opportunity to discuss the best course of treatment with the plan member. Please note that accepting an alternate benefit may limit the eligibility for reimbursement for future treatments.

Other

Alternative benefit clause

An alternative benefit for a less expensive course of treatment may be reimbursed. Submitting a predetermination when costs exceed $300 provides an opportunity to discuss the best course of treatment with the plan member.

Please note that accepting an alternate benefit may limit the eligibility for reimbursement for future treatments.

This is intended to be a summary only. If a discrepancy occurs, the Rules of the Public Service Dental Care Plan (PSDCP) will govern. Please refer to the PSDCP Rules for a complete listing of services including limitations and exclusions.

Public Service Dental Care Plan Coverage
Overview
Deductible	$25 per person, up to $50 per family per calendar year. If the first dental expense in a calendar year is incurred in the last quarter of the year (October to December), and the applicable deductible has been paid, that deductible will be carried over to the following year.
Reimbursement percentage (Once the previous year's dental fee guide amount and yearly deductible have been applied)	90% basic dental services 50% major services 50% orthodontics
Treatment plan	A treatment plan, more commonly known as a predetermination, should be submitted to Canada Life before beginning treatment when the estimated cost is expected to be $300 or more. The predetermination can be submitted electronically using your practice management software or on a paper claim form. Approved services will be reimbursed upon completion of treatment (exception: orthodontic treatment).
Maximum reinbursement	Basic and major dental expenses: $2,500 per calendar year per covered person ($1,250 during first year if coverage takes effect on or after July 1) Orthodontics: Lifetime maximum of $2,500 per covered person
Dental fee guide	Previous year's dental fee guide for the province or territory where the services are rendered

Frequency guidelines and plan limitations for select services
90% basic dental services
Complete exam	Once every 3 years (36 months).
Recall oral exam	Once every 9 months, or once every 6 months in the case of eligible children only.
Polishing	Once every 9 months, or once every 6 months in the case of eligible children only.
Fluoride treatment	Once every 9 months, or once every 6 months in the case of eligible children only.
Oral hygiene instruction	Once per lifetime, or once per calendar year for eligible children.
Scaling in combination with root planing	6 units per calendar year. In the instance of documented cases and with the pre-approval of a treatment plan by the Plan Administrator, up to 6 additional units may be allowed in a given calendar year. Application for reimbursement for scaling and/or root planing may be made for up to 2 time units if such application is made within 3 months of the performance of the service.
Panoramic radiographs	Once every 3 years (36 months).
Bitewing radiographs	Once every 9 months, or once every 6 months in the case of eligible children only.
Fillings	Eligible member, eligible spouse or common-law partner: Replacement fillings once every 24 months. Eligible dependant child: Replacement fillings once every 12 months.

50% major services
Major restorative (e.g., crowns, implants)	Replacement eligible after 60 months unless the appliance cannot be made serviceable.
Major prosthodontic (e.g., dentures, bridges)	Replacement eligible after 60 months unless the appliance cannot be made serviceable.

50% orthodontics
Orthodontics	Lifetime maximum of $2,500 per covered person.

Other
Alternative benefit clause	An alternative benefit for a less expensive course of treatment may be reimbursed. Submitting a predetermination when costs exceed $300 provides an opportunity to discuss the best course of treatment with the plan member. Please note that accepting an alternate benefit may limit the eligibility for reimbursement for future treatments.

Other

Alternative benefit clause

Please note that accepting an alternate benefit may limit the eligibility for reimbursement for future treatments.

Use your practice management software to submit claims, predeterminations and supporting documentation (file attachments) electronically to Canada Life.

Canada Life supports the following CDAnet transactions:

Claim (01)
Coordination of Benefits (COB) Claim (07)
Claim Acknowledgement (11)
Claim EOB (21)
Claim Reversal (02)
Predetermination (03)
Predetermination Acknowledgement (13)
Predetermination EOB (23)
Request for Outstanding Transaction (04)
Outstanding Transaction Response (14)
Attachment (09)
Attachment Response (19)

To use these transactions, make sure Canada Life (carrier ID 000011) is set up in your practice management software as CDAnet Version 4, TELUS Group B.

If you’re unable to submit electronically, please submit a paper claim using this form:
PSDCP dental claim form

To view the status of a claim or predetermination visit providerConnect^TM. Sign in to Secure Services and select Claims Information from the menu.

If you have questions about the claim or predetermination, call the PSDCP Provider Contact Centre at 1-855-415-4414, Monday to Friday 8 am to 5 pm, your local time, within Canada.

To see your Canada Life statement, visit providerConnect^TM. Sign in to Secure Services and select View Statements and Payments from the menu.

If you have questions about your statement, call the PSDCP Provider Contact Centre at 1-855-415-4414, Monday to Friday 8 am to 5 pm, your local time, within Canada.

TELUS Health collects your banking information for Canada Life through the TELUS Health Registration Portal.

To view or edit your banking information, log in to your TELUS Health account, click the Menu button, then select Banking information. 

Public Service Dental Care Plan numbers are assigned based on the plan member's month of birth:

Public Service Dental Care Plan Coverage

Frequency guidelines and plan limitations for select services

Public Service Dental Care Plan Coverage

Frequency guidelines and plan limitations for select services

Plan information

How to