CLEFT LIP AND PALATE PROGRAM

Description:

As the primary insurer, Manitoba Health covers 100% of the cost of almost all dental treatment (certain prosthodontic procedures may have limited funding). The Manitoba Cleft Lip and Palate/Dysplasia Dental Benefit Program has made a commitment to be the payer of first resort because dental care for children with oral clefts can quickly exhaust family benefits under private insurance plans, which can lead to less funding available to other family members and/or children with cleft palate not obtaining required treatment.

Region of Administration:

Provincial

Government / Department:

Manitoba Health.

Eligibility:

This program is available to Manitoba residents who are under the age of 18. Due to the financial investment that is made on the care for patients with oral clefts, it is a requirement under the program that patients undergo annual dental check-up examinations and maintain an acceptable level of oral hygiene in order to obtain enrolment.

Coverage:

Manitoba Health covers 100% of the cost of almost all dental treatment (certain prosthodontic procedures may have limited funding).

Providers:

Dentists

Therapeutic Responsibility:

Dentists

Compensation:

Fee-for-service

How it Works:

As a payer of first resort the plan covers 100% of the cost of all dental treatment. This includes annual dental examinations, preventative, restorative, endodontic, periodontic, orthodontic and prosthodontic treatment.