{"id":1270562,"date":"2025-05-27T13:14:19","date_gmt":"2025-05-27T17:14:19","guid":{"rendered":"https:\/\/stepstojustice.ca\/steps\/\/3-learn-how-much-is-covered\/"},"modified":"2025-05-30T14:24:48","modified_gmt":"2025-05-30T18:24:48","slug":"3-sachez-le-montant-de-la-couverture","status":"publish","type":"steps","link":"https:\/\/stepstojustice.ca\/fr\/steps\/income-assistance\/3-sachez-le-montant-de-la-couverture\/","title":{"rendered":"3. Sachez le montant de la couverture"},"content":{"rendered":"\n

Le R\u00e9gime canadien de soins dentaires<\/a>\u00a0(RCSD) couvre un\u00a0montant maximum<\/a>\u00a0par service inclus dans le r\u00e9gime.<\/p>\n

Si un professionnel facture plus que le maximum couvert par le RCSD et que vous n’avez pas droit aux prestations dentaires du POSPH ou de BSO, vous devez payer la diff\u00e9rence. Par exemple, si votre dentiste facture 150\u00a0$ pour un examen g\u00e9n\u00e9ral de la bouche, le RCSD couvrira 133,59\u00a0$ et vous devrez payer 16,41\u00a0$.<\/p>\n

Assurez-vous de ne pas<\/strong> payer la portion des services dentaires qui est couverte par le RCSD. Votre professionnel des soins dentaires envoie cette partie de la r\u00e9clamation directement \u00e0 la Sun Life.\u202fSi vous payez le montant total, la Sun Life ne vous remboursera pas<\/strong>.<\/p>\n

Quote-part\u00a0<\/h3>\n

En fonction de votre\u00a0revenu, vous pourriez aussi devoir payer une quote-part. Cela signifie que le RCSD rembourse seulement un pourcentage du montant maximum et que vous devez payer le reste.<\/p>\n\n\n\n\n\n\n\n
\n

Revenu familial net:<\/strong>\u00a0<\/p>\n<\/td>\n

\n

Le RCSD couvrira ce pourcentage:<\/strong>\u00a0<\/p>\n<\/td>\n<\/tr>\n<\/thead>\n

\n

Moins de 70\u00a0000\u00a0$<\/p>\n<\/td>\n

\n

100%\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

Entre 70 000 $ et 79\u00a0999 $\u00a0<\/p>\n<\/td>\n

\n

60%\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

Entre 80\u00a0000 $ and 89 999\u00a0$<\/p>\n<\/td>\n

\n

40%\u00a0<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u202fAvant de prendre rendez-vous avec un professionnel, vous devriez demander\u00a0:<\/p>\n

    \n
  • s’il participe au RCSD;<\/li>\n
  • si le service est couvert par le RCSD;<\/li>\n
  • le co\u00fbt du service.<\/li>\n<\/ul>\n

    Si vous \u00eates couvert par les programmes de soins dentaires de l\u2019Ontario\u00a0<\/h3>\n

    M\u00eame si vous avez droit aux prestations dentaires du POSPH ou de BSO, vous pourriez \u00eatre admissible au RCSD. Votre couverture est coordonn\u00e9e entre les deux r\u00e9gimes. Cela signifie que si le RCSD ne couvre pas tout le service, votre autre r\u00e9gime couvrira la diff\u00e9rence, jusqu’\u00e0 un certain montant.<\/p>\n

    Si les deux r\u00e9gimes combin\u00e9s ne couvrent pas le co\u00fbt total, vous n’avez\u00a0pas<\/strong>\u00a0\u00e0 payer le reste.<\/p>\n

    Par exemple, si votre professionnel facture 35\u00a0$ pour 0,5\u00a0unit\u00e9 de polissage\u00a0:<\/p>\n

      \n
    • Le RCSD couvre\u00a0: 8,75\u00a0$<\/li>\n
    • Le POSPH ou BSO couvre\u00a0: 12,67\u00a0$<\/li>\n
    • Total couvert\u00a0: 21,42\u00a0$
      \u00a0<\/li>\n<\/ul>\n

      Votre professionnel\u00a0ne peut pas<\/strong>\u00a0vous demander de payer les 13,58\u00a0$ restants.<\/p>\n","protected":false},"author":6,"featured_media":0,"template":"","class_list":["post-1270562","steps","type-steps","status-publish","hentry"],"yoast_head":"\n3. Sachez le montant de la couverture - Justice pas-\u00e0-pas<\/title>\n<meta name=\"description\" content=\"Le R\u00e9gime canadien de soins dentaires\u00a0(RCSD) couvre un\u00a0montant maximum\u00a0par service inclus dans le r\u00e9gime. Si un professionnel facture plus que le maximum\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/stepstojustice.ca\/fr\/steps\/income-assistance\/3-sachez-le-montant-de-la-couverture\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"3. 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