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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.Opens a new website in a new windowOpens a new website in a new window
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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 documented cases of periodontitis 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 RulesOpens a new website in a new windowOpens a new website in a new window 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 providerConnectTMOpens a new website in a new windowOpens a new website in a new window.

  1. Sign in to Secure Services.
  2. Make sure you’re under the correct provider account. To confirm, look at the Current Provider name and address in the top right-hand corner of the providerConnect screen. If you need to change the account, select Change Provider/Location and make the correct selection.
  3. Select Claims Information from the menu. 
  4. Select the Claim Type you want to search on: Claims or Dental Predetermination. 
  5. Choose Canada Life (Dental Benefits) from the carrier drop down list. 
  6. Enter the patient’s Canada Life plan/policy number. 
  7. Enter the patient’s Canada Life ID/certificate number. 
  8. Choose the search period. 
  9. Select the Display Claims Information button to retrieve your patient’s historical information.  

If you have questions about the claim, the predetermination, information returned in the search results, or if you can't find what you're looking for, 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 electronic Canada Life statement, visit providerConnectTMOpens a new website in a new windowOpens a new website in a new window.

  1. Sign in to Secure Services. 
  2. Make sure you’re under the correct provider account. To confirm, look at the Current Provider name and address in the top right-hand corner of the providerConnect screen. If you need to change the account, click Change Provider/Location and make the correct selection.
  3. Select View Statements and Payments from the menu. 
  4. Choose Canada Life (Dental Benefits) from the carrier drop down list.
  5. In the Canada Life Statement Email Address field, enter the email address where our Canada Life statements are currently sent to you by secure email. This is the email address that you used in the registration process when you signed up for Direct Deposit with TELUS Health.  *Note: if another email address is pre-populated, overtype it.  
  6. Once the email address is entered, select Validate Email. Within a few minutes, a confirmation code will be sent to that email address.  
  7. Enter the confirmation code in the Confirmation Code field and select Submit. 
  8. Click the Display Statements button to retrieve your Canada Life statements. 

If you need to confirm the email address used for your Canada Life statements, sign in to your TELUS Health account.

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 PortalOpens a new website in a new windowOpens a new website in a new window.

To view or edit your banking information, log in to your TELUS Health accountOpens a new website in a new windowOpens a new website in a new window, click the Menu button, then select Banking information.