ODSP (Ontario Disability Support Program) and Healthy Smiles

ODSP (Ontario Disability Support Program) coverage/eligibility criteria:

• ODSP recipients and their spouse 18 years of age or older are eligible for dental benefits.

The following cases are not eligible for ODSP:

• Dependent adults are not eligible for ODSP dental benefits. They may receive dental services as a discretionary benefit through Ontario Works. In most cases, coverage is for emergency dental care or dentures.
• Children 17 or younger are not eligible for ODSP dental benefits. They are eligible for dental benefits through the Healthy Smiles Ontario Program of the Ministry of Health and Long-Term Care.
• The spouse of an ODSP recipient who is under 18 will also receive dental benefits from the Healthy Smiles Ontario Program.

Procedures covered by ODSP:

• Complete examination and diagnosis (maximum two in any 12 month period)
• Recall examination (maximum one in any 9 month period)
• Periapical radiographs (maximum 8 in any 12 month period)
• Bitewing radiographs (maximum 2 in any 9 month period)

Healthy Smiles Ontario coverage/eligibility criteria:

Healthy Smiles Ontario is a free dental program for eligible children and youth 17 and under. Good oral health is important to the overall health of children and youth. It’s very important to start seeing a dentist when your child is 12 months old and to keep going regularly. Healthy Smiles Ontario covers regular check-ups, preventive care and treatment.

Children and youth 17 and under may be eligible if:

• They are residents of Ontario; and
• They are members of a household that meets the income eligibility requirements.

NOTE: Children and youth 17 and under are automatically eligible and automatically enrolled in Healthy Smiles Ontario when they or their family receive: Ontario Works, Temporary Care Assistance, the Ontario Disability Support Program or Assistance for Children with Severe Disabilities.

Children and youth with other dental insurance coverage are no longer automatically excluded.

Once enrolled children and youth 17 and under will receive dental coverage for:

• Up to one benefit year (August 1^st to July 31^st), or
• 12 months from the date of enrolment for those enrolled for emergency and essential care, or
• Up to their 18^th birthday.

Most Children and youth 17 and under enrolled in Healthy Smiles Ontario will be automatically re-assessed each benefit year and annual notices about their enrollment status will be sent by mail.