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Important notice

COVID-19: Answers to your questions

Certain services are available by appointment only at our Montréal and Québec reception desks. No one without an appointment will be seen. For a list of the services offered by appointment, or if you have any questions, refer to the webpage Questions and answers about our services during the pandemic.

Dental services

Dentists and denturists participating in the public plan render certain covered services. Children under age 10 and recipients of last-resort financial assistance may receive several services at no cost. To receive these covered services, you have to present your valid Health Insurance Card and, if applicable, your valid claim slip (carnet de réclamation).

Services covered for everyone

At hospitals, health insurance covers certain oral surgery services. Examinations, local or general anesthesia and x-rays related to a surgery are also covered. However, you have to pay for tooth and root extractions, except in the case of children under age 10 or if you are a recipient of last-resort financial assistance.

Examples of covered oral surgery services

  • Removal of a cyst or tumour
  • Drainage of an abscess
  • Reduction of a fracture
  • Repair of a soft tissue laceration e.g. cheek, tongue, palate)
  • Treatment of bone tissue inflammation (osteitis)
  • Treatment of the temporomandibular joint (which connects the jawbone to the skull)
  • Treatment of salivary glands

Examples of services covered for children under age 10

Children under age 10 receive the following services free of charge when the services are rendered by a dentist at a dental clinic or hospital:

  • Annual examination and emergency examination
  • X-rays
  • Local or general anesthesia
  • Grey amalgam fillings on the premolar and molar teeth
  • Fillings using esthetic materials in certain cases
  • Tooth and root extractions
  • Endodontics, including root canal treatment, apexification, pulpotomy, pulpectomy, emergency opening of the pulp chamber and sedative dressings
    N.B.: Pulpotomy and pulpectomy are covered only for the primary teeth. For the permanent teeth, pulpotomy is covered only under general anesthesia
  • Prefabricated crowns
  • The oral surgery services covered for all

Examples of services not covered for children under age 10

  • Cleaning
  • Scaling
  • Fluoride application
  • Pit and fissure sealing
  • Orthodontics (e.g. fitting of braces, palatal expansion, space maintainer)

Services covered for recipients of last-resort financial assistance

The Ministère du Travail, de l’Emploi et de la Solidarité sociale (MTESS) determines the conditions for entitlement to covered services in the case of recipients of last-resort financial assistance and their dependants. Covered services are rendered at dental clinics and hospitals.

To qualify for covered services, you must present your valid Health Insurance Card valid claim slip (carnet de réclamation) to your dentist or denturist. Certain services related to prostheses (dentures) also require prior authorization from the MTESS. If you have any questions regarding covered services, contact the MTESS.

If you have been a recipient of last-resort financial assistance for under 12 consecutive months, you qualify for the following services free of charge, but in the event of an emergency only:

  • Alveolitis (e.g. infection of the cavity remaining after a tooth has been extracted)
  • Hemorrhage control
  • Drainage of an abscess
  • Tooth and root extractions
  • Immobilisation of a tooth loosened by trauma
  • Opening of the pulp chamber (internal part of a tooth)
  • Reduction of an alveolar fracture
  • Re-implantation of a completely exfoliated (uprooted) tooth
  • Repair of a soft tissue laceration (e.g. palate, cheek, tongue)

You will have to pay the cost of any services received before the start date of your eligibility for covered dental services. Certain exceptions apply.

If you have been a recipient for at least 12 consecutive months, you qualify for the following services:

  • Annual examination and emergency examination
  • X-rays
  • Local or general anesthesia
  • Scaling, from age 16
  • Grey amalgam fillings on the premolar and molar teeth
  • Fillings using esthetic materials in certain cases
  • Tooth and root extractions
  • Endodontics, including pulpotomy, pulpectomy, emergency opening of the pulp chamber and sedative dressings
    N.B.: Pulpotomy and pulpectomy are covered only for the primary teeth. For the permanent teeth, pulpotomy is covered only under general anesthesia
  • Prefabricated crowns
  • The oral surgery services covered for all

Dependent children

Your children are eligible for the following free of charge:

  • Application of fluoride, age 12 to 15 inclusive
  • Cleaning of teeth and teaching hygiene procedures, from age 12
  • Scaling, from age 16
  • Root canal treatment and apexification on permanent teeth, before age 13

If you have been a recipient for 24 or more consecutive months, in addition to the dental services for which you qualified when you started receiving benefits, you are eligible for the following services related to acrylic dental prostheses (dentures):

  • Manufacture of a complete or partial acrylic prosthesis and replacement after 8 years
  • Re-coating every 5 years, but after a minimum of 3 months after obtaining the prosthesis
  • Replacement of lost or damaged prostheses (non-repairable), covered at 50%
  • Replacement of prostheses following oral surgery
  • Repair of prostheses
  • Addition of a structure to an existing partial prosthesis

To receive these services, you must obtain prior written authorization from your local employment centre and present it to your dentist or denturist.

The Health Insurance Plan does not cover prostheses on implants and vitallium metal dentures. To find out more, refer to the page Prothèses dentaires on the MTESS website.

Examples of non-covered and billable services

You have to pay for the following services, regardless of your age, situation or the location where you receive them:

  • Apectomy
  • Whitening
  • Veneers
  • Dental implants
  • Orthodontics (e.g. fitting of braces, palate expansion, space maintainer)
  • Periodontics (e.g. root planing, gum grafts, periodontal surgery)
  • Recementing of crowns other than prefabricated
  • Pit and fissure sealants