Newfoundland and Labrador

Dental Services

Complex application

Tax filing not required

Prerequisite(s) required

To get this benefit you need to first apply for the following benefit(s) if you're eligible:

Dental Services offers several dental health programs for children and adults. Below are descriptions of each of the dental health programs available:

Children’s Dental Health Program

This program gives universal access to eligible dental services for children aged 12 years and under. The eligible services are:

  • Examinations at six-month intervals
  • Cleanings at 12-month intervals
  • Fluoride applications for children aged six to twelve years at 12-month intervals (except where the School Rinse Program is in place)
  • Routine fillings and extractions
  • Sealants

Parents should discuss with their dentist if costs for a recommended treatment will be covered under the Children’s Dental Health Plan.

Income Support Program

This program provides ‘basic services’ only, as listed in the Dental Health Plan Payment Schedule. This support is for youths 13 – 17 years old, whose family is getting Income Support. Services are limited to a two-year cycle.

Services this program can pay for include:

  • Examinations at two-year intervals (every two years)
  • Routine fillings and extractions

Services this program will not pay for include:

  • Extraction of impacted teeth
  • Cleanings and fluorides
  • Sealants

Low Income (Access) Program

This program provides ‘basic services’ only, as listed in the Dental Health Plan Payment Schedule. It is for youth aged 13–17 years who are eligible and enrolled in the Access Plan of the Newfoundland and Labrador Prescription Drug Program (NLPDP). Eligible youth will be noted in a letter of eligibility sent to the family from NLPDP offices in Stephenville.

Services this program can pay for include:

  • Low Income (Access) Program coverage for eligible youths is the same as the Income Support Program
  • Examinations at two-year intervals
  • Routine fillings and extractions

Services this program will not pay for include:

  1. Extraction of impacted teeth is not eligible under this program
  2. Cleanings and fluorides are not eligible under this program
  3. Sealants are not eligible under this program

Adult Dental Program

This program provides ‘basic services’ as listed in the Dental Health Plan Payment Schedule. There is also a denture component. Dentures are limited to ‘standard dentures’ only. Basic services limited to a three-year cycle. Dentures are limited to an eight-year cycle.

The Adult Dental Program will pay up to the cost of standard dentures. Additional costs from the delivery of specialized dentures will be the responsibility of the patient. It is recommended that patients talk with the dental provider prior to commencement of treatment to be informed of any additional charges. If a standard denture is delivered, there will be no cost to the patient as per the no balance billing policy of the Dental Health Plan.

Surgical Dental Program

This program provides insured services under the Medical Care Insurance Act. An insured service is defined as one that is:

  • Listed in Section 3 (b) of the Medical Care Insured Services Regulations
  • Medically necessary. The clinical need of the provision and claim of an insured service may be evaluated by the Dental Monitoring Committee of MCP.

Policies on pre-existing conditions necessary to define ‘medical necessity’ must exist for the specific services to qualify as MCP insured services.

To receive dental services under these dental health programs, see below:

Children’s Dental Health Program

The person getting these dental services must be aged 12 years and under.

Income Support Program

The person getting these dental services must be aged 13 - 17 years old, and their family must be getting Income Support. Services are limited to a two-year cycle.

All recipients of Income Support are enrolled in the Foundation Plan of the Newfoundland and Labrador Prescription Drug Program and:

  • You must have a valid MCP number.
  • You must have a Department of Immigration, Skills and Labour identification number.
  • You must have a Department of Immigration, Skills and Labour file number (Income Support Card).

This information must be noted on all dental claim forms.

Low Income (Access) Program

This program is for youth aged 13–17 years, inclusive, who are eligible and enrolled in the Access Plan of the Newfoundland and Labrador Prescription Drug Program (NLPDP).

Eligible youth will be noted in a letter of eligibility sent to the family from NLPDP offices in Stephenville.

Adult Dental Program

This program:

  • Is limited to clients enrolled under the Foundation Plan of the Newfoundland and Labrador Prescription Drug Program (NLPDP).
  • Does not include preventive services (no cleanings and/or fluorides).
  • Has eligible services which include an examination and two x-rays every three years, routine fillings on a three-year cycle, extractions, and there is a denture component allowing the delivery of standard dentures once every eight years.
  • Requires proof of eligibility required for billing purposes. Beneficiaries will need:
    MCP number,
    Department of Immigration, Skills and Labour PIN number and
    File number

For adults enrolled in The Foundation Plan but not transferred from Department of Immigration, Skills and Labour (eg: ambulance cards from Regional Health Authorities), confirmation of enrollment should be obtained from NLPDP offices and the MCP number will be the only identification needed upon submission of claim.

Confirmation of eligibility by dental offices can be done via a toll-free number: 1-888-859-3535.

Surgical Dental Program

The services covered under this program are insured services under the Medical Care Insurance Act.

An insured service is defined as one that is:

  • Listed in Section 3 (b) of the Medical Care Insured Services Regulations
  • Medically necessary. The clinical need of the provision and claim of an insured service may be evaluated by the Dental Monitoring Committee of MCP.

Health card

  • valid health card with no photo, name and address
  • valid health card with photo, name and address
  • MCP (Medical Care Plan) number - Valid ambulance/dental services card
  • Department of Immigration, Skills and Labour identification number
  • Department of Immigration, Skills and Labour file number (Income Support Card).
  • Medical Care Plan number
  • Your Department of Immigration, Skills and Labour identification number
  • Your Department of Immigration, Skills and Labour file number (Income Support Card)

Below is how to apply for the dental health plan services:

Children’s Dental Health Program

Families must first apply for coverage through the Newfoundland and Labrador Prescription Drug Program.

Income Support Program

When you make a dental claim, you must put the following information on your claim:

  • Your valid Medical Care Plan (MCP) number
  • Your Department of Immigration, Skills and Labour identification number
  • Your Department of Immigration, Skills and Labour file number (Income Support Card)

The provider of your dental service will verify the date and the validity of all numbers and must be prepared to give proof for the date of your dental services received.

Low Income (Access) Program

For information or to request an application for the Access Plan you may call: 1-888-859-3535.

Adult Dental Program

There are some providers who do not bill the Adult Dental Program directly for services delivered. In these cases, you will be required to pay at the time of service and then be reimbursed by the Program.

You will have to submit an itemized paid in full receipt on your own behalf and the submission will be assessed in accordance with eligible services and the annual cap. In addition, any services received above your annual cap must be paid directly to the provider.

Send your receipts for payment to:

Attn: Adult Dental Program
MCP
P. O. Box 5000
Grand Falls-Windsor, NL A2A 2Y4

Surgical Dental Program.

Medical Care Plan forms.

Last updated: November 11, 2021