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Canadian Dental Health Guide

Guide to Dental Coverage Under the Interim Federal Health Program (IFHP)

By hellodent editorial team

Last updated: March 07, 2025

Posted Mar 7th, 2025 in Dental coverage

The Interim Federal Health Program (IFHP) provides temporary healthcare coverage, including emergency dental care coverage, for specific groups of people in Canada who don’t have access to provincial, territorial, or private healthcare coverage.

Coverage under the IFHP includes:

  • Resettled refugees
  • Protected persons in Canada
  • Refugee claimants
  • Victims of human trafficking
  • Victims of domestic violence
  • Detainees

IFHP emergency dental coverage has a number of limitations, as outlined in the dental benefit grid.

Category Examples of Covered Services Coverage Details / Notes
Diagnostic Services
  • Limited/Specific Oral Exam
  • Necessary X-rays (periapical, bitewing)
  • Covers an exam only if it pertains to an acute/emergency issue (pain, swelling, trauma).
  • X-rays are covered if required to diagnose and treat urgent conditions.
  • Full-mouth or panoramic X-rays not covered unless they are specifically required to address an emergency.
Restorative Services
  • Emergency Fillings (temporary or limited permanent)
  • Fillings covered only when needed to relieve acute pain or infection.
  • Typically limited to small restorations (one or two surfaces).
  • Extensive or cosmetic restorative work is not covered.
Endodontic Services
  • Pulpotomy or Pulpectomy
  • Limited Root Canal (rare)
  • IFHP may cover procedures like pulpotomy or pulpectomy for immediate pain relief.
  • Root canal therapy is usually not covered unless extraction is contraindicated (e.g., a front tooth critical for function).
  • Prior authorization is often needed; coverage is highly restricted.
Periodontal Services
  • Drainage of a Gum Abscess (if needed)
  • Routine periodontal care (scaling, root planing) is not covered.
  • IFHP may cover emergency treatment (e.g., draining abscess) to resolve acute infection.
  • Periodontal surgery is not covered.
Prosthodontic Services
  • Emergency Denture Repair/Adjustment
  • Coverage is limited to repairing or adjusting existing dentures if there is pain or soft tissue injury (e.g., broken denture causing oral trauma).
  • New or replacement dentures are not covered as they are considered non-emergency.
Oral Surgery / Extractions
  • Simple Extractions
  • Surgical Extractions
  • Incision & Drainage
  • Extractions (simple or surgical) will be covered if necessary for immediate pain or infection control.
  • Incision and drainage for oral abscesses are covered.
  • More complex oral surgery (e.g., impacted wisdom teeth under sedation) may require pre-approval, but is typically covered if deemed urgent.
Adjunctive General Services
  • Local Anesthesia
  • Possible Sedation (rare, with pre-approval)
  • Local anesthetic is included with covered procedures.
  • General anesthesia / IV sedation usually requires pre-approval unless necessary to manage a complex emergency (e.g., surgery under special circumstances).
Non-Covered Services
  • Routine Cleanings, Check-Ups, Fluoride
  • Orthodontics (braces)
  • Crowns, Bridges, Veneers
  • Implant Procedures
  • Periodontal Maintenance
  • New Dentures
  • Cosmetic or Elective Treatments
  • IFHP is designed for emergency relief only. Non-urgent, routine, or cosmetic procedures are excluded.
  • Patients must pay out-of-pocket for any service not covered.

IFHP Dental Coverage Eligibility

In most cases, eligibility is based on immigration status, and an application is not necessary. However, individuals may need to complete an application to extend coverage, to replace documents or if their claim was rejected, but they believe themselves to be eligible.

Treatment must be provided by a dental care provider registered with the IFHP claims administrator, Medavie Blue Cross. Individuals with IFHP coverage will not need to pay for covered services upfront.

To receive dental services covered by the IFHP, the recipient will need to show any one of these documents to the dental care provider to prove eligibility:

  • An Acknowledgement of Claim and Notice to Return for Interview Letter
  • A Refugee Protection Claimant Document
  • An Interim Federal Health Certificate

The document must be shown to the dental provider at each visit.

IFHP coverage begins on the day the documents are issued. Coverage lasts until:

  • The refugee claim has been withdrawn
  • The Immigration and Refugee Board (IRB) finds the claim to be abandoned
  • A claim is deemed ineligible
  • The claimant leaves Canada
  • There is a positive IRB decision (90 days after the decision)
  • The Pre-Removal Risk Assessment (PRRA) is successful (90 days after successful completion)

For those who have resettled in Canada as refugees, IFHP provides temporary coverage until provincial health coverage starts, usually within 3 months.

Key IFHP Dental Coverage Details

Not all dental services are covered. The coverage extends only to emergency relief of pain or infection. Before receiving care, individuals should check with the dental provider to confirm which services are covered. Any services not covered will need to be paid for out of pocket.

Claims are not submitted by the individual receiving care. The dental care provider will submit the claim directly to Medavie Blue Cross.

Individuals may receive a letter from Medavie Blue Cross to confirm the services received. This document is not a bill. Its purpose is to help prevent fraud. Signing it will not impact eligibility for IFHP coverage or immigration status.

FAQs

Can I be reimbursed if I paid for services that were covered by IFHP?

No; reimbursement is not offered for services that have already been rendered, even if they were covered under the program.

I am covered under the IFHP. Why did my dental care provider ask me to sign a form after I was treated?

This form is used as proof of services rendered when the dental care provider submits the claim. You will not need to pay for the services listed, and this form will not impact your eligibility in any way.

How can I extend my IFHP coverage?

If you are still eligible and need to extend your coverage, you can do so by downloading and filling out the application form, providing the supporting documents, and submitting them either online or by mail.

References

*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.

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