The Complete Guide to Dental Benefits in Ontario

By Krista DeKuyper | February 27, 2023 | Health Insurance


Good dental health is essential for a healthy lifestyle, and in Ontario, residents are fortunate to have access to a variety of dental benefits. From regular check-ups and cleanings to more extensive services such as fillings and crowns, the province offers several plans that provide coverage for different types of dental care. Whether you’re looking for basic preventive care or more comprehensive restorative treatments, it pays to be informed about your options when selecting a plan. In this article, we will explain what dental benefits are available in Ontario, which plans cover them best, and how seniors can take advantage of their coverage. We also discuss why oral health is important and why it’s important to make use of these benefits. By understanding your options before visiting the dentist’s office or clinic, you can maximize your coverage while ensuring that you receive quality care at an affordable price.

Overview of Dental Benefits in Ontario

Ontario residents have access to a variety of dental benefits that help ensure they stay healthy and maintain their oral health. These benefits are available through private health insurance and provide coverage for a range of dental services, such as examinations, cleanings, fillings, crowns or bridges, dentures, root canals and more.

OHIP does not cover these dental procedures. So if you wish to have your teeth cleaned, you will have to pay out of pocket or will have to purchase health insurance.

What Types of Dental Services are Covered by Plans in Ontario

Most plans also cover basic plans cover, what is called preventative care. This includes filings, cleanings, scaling, examinations, polishing and select extractions. They also set limits on how often you can go to the dentist. Usually, it’s every 9 or 6 months.

More enhanced plans will also cover restorative procedures. This includes orthodontics, crowns, bridges, dentures, root canals etc. Sometimes there is a waiting period before you will be covered for these types of procedures.

Which Dental Plans are Available for Residents of Ontario

There are many plans available if you’re looking for dental benefits in Ontario. The best thing to do is to do quotes from the different insurance carriers and see which one works best for you.

You can do that using our instant quoting tool! Just put in the level of coverage you want, who you want to cover, and your province, and we’ll show you the best quotes for you.

What dental benefits are covered by OHIP?

Some dental surgeries need to be performed in a hospital because they are complex and/or you have another medical condition that needs monitoring during the procedure.

OHIP covers in-hospital dental surgeries such as:

  • fracture repair
  • tumour removal
  • reconstructive surgeries
  • medically necessary tooth removal (prior approval by OHIP is required)

Dental Benefits for Seniors in Ontario

The new Ontario Seniors Dental Care Program is a government-funded dental care program. It provides free, routine dental services for low-income seniors who are 65 years of age or older.

Coverage includes:

  • check-ups, including scaling, fluoride and polishing
  • repairing broken teeth and cavities
  • x-rays
  • removing teeth or abnormal tissue (oral surgery)
  • anesthesia
  • treating infection and pain (endodontic services)
  • treating gum conditions and diseases (periodontal services)
  • Dentures will be partially covered.

For more information, please visit the Ontario website

Where to get affordable dental insurance quotes in Ontario

You can get dental insurance quotes right here at HealthQuotes! Use our instant quoting tool, fill out general information and the amount of coverage that you’re looking for, and we’ll give you the quotes that work for you!

In conclusion, dental benefits in Ontario are an important part of maintaining good oral health. Residents can take advantage of a variety of plans that cover preventative and restorative procedures such as cleanings, fillings, crowns or bridges, dentures and root canals. Seniors can access the new Ontario Seniors Dental Care Program for free routine dental services if they meet certain income requirements. Investing in proper dental care is essential for keeping teeth healthy throughout life; make sure to use these available options to ensure you’re getting quality care at an affordable price!

HealthQuotes offers instant quotes on various insurance carriers for those looking to purchase private coverage so you can find the best plan that fits your needs.