The Veterans Affairs Canada (VAC) dental care benefit offers coverage for basic dental care and certain complex dental services (with pre-authorization) for qualifying past military members.
The VAC dental program covers up to 100% of the Provincial Dental/Denturist Association fee guide rates.
Those receiving this benefit are offered either A- or B-line coverage. A-line is for veterans who have a disability-entitled condition that requires specific treatment. All other veterans receive B-line coverage, which means they must attempt to access provincial, territorial, and community programs before receiving treatment at the VAC's expense.
Covered services that do not require pre-authorization include:
- Annual basic treatments (Up to $1,700/year)
- Exams
- Polish and fluoride treatments every 9 months
- Scaling (8 units per year)
- Fillings and extractions
- Dentures (Every 7 years)
Services that require pre-authorization before treatment include:
- Basic treatment exceeding $1700 annually
- Crowns
- Bridgework (X-rays required)
- Specialist treatment (referral required)
- Early replacement of dentures
For services requiring pre-authorization, the dental provider is responsible for verifying client eligibility and obtaining pre-authorization.
VAC Eligibility
Individuals will automatically qualify for VAC dental coverage and receive a VAC healthcare card if they qualify for:
- A disability benefit as a past military member
- The Veterans Independence Program
- The War Veterans Allowance
- Financial assistance from VAC for long-term care
Billing & Payment
Services provided by a registered provider can be billed directly to VAC. Registered providers can be found through the Medavie Blue Cross website. For services provided by non-registered providers, individuals must pay upfront and then submit a reimbursement claim.
Key VAC Dental Coverage Details
There is no need to apply for this benefit. All eligible veterans will receive a VAC health card in the mail, along with more information.
Some treatments require preauthorization. This includes basic treatment exceeding $1,700 annually, treatments performed by a specialist, and the early replacement of dentures.
Preauthorization is not required for dental emergencies. Emergency dental services include treatment for trauma, pain, or infection that must be performed without delay.
FAQs
What dental services are excluded from coverage under the VAC dental program?
Services that are not listed as basic or requiring pre-authorization are not covered under the VAC dental program. Examples include gum surgery, dental implants, and certain types of dentures. For more information, you can contact the VAC department or Medavie Blue Cross.
How do I submit a reimbursement claim for dental treatments through the VAC?
To submit a reimbursement claim through the VAC, you must complete the required paperwork and attach the proper documentation. Then, you can submit the claim by mail or online through the Client Portal.
Are there any limitations on the number of times a person can receive dentures through the VAC program?
Aside from dentures (every 7 years), there are no restrictions on the frequency of dental care covered by VAC. However, there is a cap on reimbursement, as VAC will only cover up to $1,700 in basic dental expenses annually without pre-authorization.
References
- Government of Canada, Rates Payable
- Government of Canada, VAC Health Coverage
- Government of Canada, Treatment Benefits
- Government of Canada, Your VAC Card
- Government of Canada, VAC Dental Benefits
- Government of Canada, Programs
- Medavie Blue Cross, FAQs
- Medavie Blue Cross, Submit a Claim
*The content provided in this article, including text, graphics, and referenced material, is intended for informational purposes only and is not a substitute for professional dental advice, diagnosis, or treatment. Always consult with your dentist or another qualified oral health professional for questions regarding your dental condition. Never disregard professional dental advice or delay seeking it based on information from this article. If you believe you have a dental emergency, contact your dentist, or seek immediate assistance from an oral healthcare professional.