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Each year, provincial and territorial dental associations publish updated dental fee guides that insurers use to set reimbursement limits, making them an important consideration for employers when planning and managing dental benefits.
As dental fees continue to rise across Canada, it’s important for employers to understand how these changes can impact their benefit plans, and what options may be available to help manage costs.
While the Ontario dental fee guide increases averaged 2.4% from 2012 to 2021, more recent years saw unusually large price increases (as high as 8.5% in 2023 for Ontario, with other comparably large increases across the rest of Canada). These high fee guide adjustments continue to have a significant impact on the cost of dental benefits, however, the 2025 and 2026 fee guides have seen a return to smaller increases.
| 2022 | 2023 | 2024 | 2025 | 2026 | |
|---|---|---|---|---|---|
| Ontario Fee Guide Adjustment | 4.8% | 8.5% | 4.8% | 2.0% | 3.3% |
Increases vary by province and provider type, as show below:
| Province/Territory | % Cost Increase - Dentist | % Cost Increase - Denturist | 2026 Start Date |
|---|---|---|---|
| Alberta | 4.5% | 3% | January 1 |
| British Columbia | 2.66% | 10% | Dentist: February 1, Denturist: January 1 |
| Manitoba | 4.03% | 2% | January 1 |
| Saskatchewan | 2.14% | 2% | January 1 |
| Ontario | 3.32% | 3% | January 1 |
| Quebec | 3.4% | 4% | January 1 |
| Nova Scotia | 3.54% | Varied | February 1 |
| New Brunswick | 2.7% | 2% | Dentist: February 1, Denturist: January 1 |
| Prince Edward Island | 3.09% | 4% | January 1 |
| Newfoundland & Labrador | 3.8% | 2% | January 1 |
| Yukon | No Update | 5% | January 1 |
| Northwest Territories | 4.16% | 4% | January 1 |
| Nunavut | 4.16% | 3% | January 1 |
Sunlife (2026)
https://www.sunlife.ca/workplace/en/group-benefits/advisor/advisor-latest-news/dental-fee-adjustments-for-2026/
Employers should still consider how their dental benefits are funded, as well as whether current plan design matches both budget and the business goals of the benefits plan.
As the cost of services rises and visit frequency rebounds from the lows seen during the Covid-19 pandemic, employees continue to expect more robust coverage. It is important to select a design that is both meaningful to employees and sustainable for the business.
One increasingly popular option for cost management is Administrative Services Only (ASO), a self-insured approach that can help improve cost control and transparency.
Dental benefits are well suited to ASO because they carry no catastrophic risk. Annual maximums, such as $1,500 per employee, are built directly into the plan design, providing a natural cap on exposure. Rather than paying fixed premiums, employers pay only actual claims, along with administration fees and applicable taxes. With fewer built‑in insurer margins and risk charges, self‑insured dental plans can often be more cost‑effective than traditional experience‑rated arrangements.
For employers who prefer to remain fully insured, HMA’s 3G profit-sharing plan offers another effective alternative. This approach uses standard experience‑rated renewal calculations, but when claims fall below the Target Loss Ratio (TLR), employers receive a portion of the unused premium back.
For example, if your plan has a TLR of 75% and annual dental premiums of $10,000, expected claims would be $7,500. If actual claims come in below that level, a portion of the difference is returned through profit‑sharing and loyalty dividends, helping offset future costs.
By reviewing funding arrangements and exploring alternative strategies, employers can protect both their employees’ dental coverage and their bottom line. Talk to your HMA advisor to explore dental benefit strategies that deliver value without unnecessary cost.
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