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Improvements and changes are coming to Public Service Dental Care Plan members’ benefits effective January 1, 2025. Please review these changes to find out how they may impact your patients. Learn more here.
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Pensioners' Dental Services Plan numbers are assigned based on the plan member's month of birth or status as a member: 
Plan member’s month of birth or status as a member
Plan number
January, February, March

92111
April, May, June

92112
July, August, September

92113
October, November, December

92114

Eligible surviving dependants 

92115
Pensioners' Dental Services 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:

  • $1,500 per calendar year per covered person ($750 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

Covered.

Recall oral exam

Once every 9 months.

Polishing

Once every 9 months.

Fluoride treatment

Once every 9 months.

Oral hygiene instruction

Once per calendar year. 

Scaling in combination with root planing

6 units per calendar year. 

In the case 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. 

Panoramic radiographs 

Once every 3 years (36 months). 

Bitewing radiographs

Once every 9 months.

Fillings

Replacement fillings once every 24 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. 

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

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:
PDSP dental claim form

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

If you have questions about the claim or predetermination, call the PDSP 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 providerConnectTM. Sign in to Secure Services and select View Statements and Payments from the menu.

If you have questions about your statement, call the PDSP 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.