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How Much Will CDCP Cover
The CDCP will reimburse a percentage of the cost based on established fees and adjusted family net income. Co-payments may apply, depending on income brackets:
Co-payments based on adjusted family net income
| Adjusted family net income |
How much will the CDCP cover |
How much you will cover |
| Lower than $70,000 |
100% of eligible oral health care service costs will be covered at the CDCP established fees. |
0% of the CDCP established fees. You may face additional charges as described below. |
| Between $70,000 and $79,999 |
60% of eligible oral health care service costs will be covered at the CDCP established fees. |
40% of the CDCP established fees. You may face additional fees as described below. |
| Between $80,000 and $89,999 |
40% of eligible oral health care service costs will be covered at the CDCP established fees. |
60% of the CDCP established fees. You may face additional fees as described below. |
Additional charges
The CDCP fees may not be the same as what providers charge. You may have to pay fees in addition to the potential co-payment if:
- the cost of your oral health care services are more than what the CDCP will reimburse based on the established CDCP fees
- you agree to receive care that the plan doesn’t cover
Before receiving oral health care, you should always ask your oral health provider about any costs that won’t be covered by the plan. Make sure you know what you’ll have to pay directly to your oral health provider ahead of receiving treatment.