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Comprehensive Dental Benefit

Explore your extra dental benefit through Generations Advantage.

The Martin’s Point Generations Advantage Dental Benefit is administered by Northeast Delta Dental (NEDD). With our dental coverage, there’s no waiting period—so you can start using your benefit as soon as you need it and low or no copays and coinsurance amounts make important dental care affordable.

For more information, please see your Evidence of Coverage or reach Northeast Delta Dental by calling 1-800-832-5700 (TTY: 1-800-332-5905).

Coverage by Plan Coverage Categories Using Your Benefits Helpful Resources

Understanding Your Coverage

Benefit amounts by plan

Click on the button with your plan name to find details of your plan's dental benefit amounts. Expenses paid by the plan for covered dental services count toward your 2026 Calendar-Year Maximum benefit.

Prime (HMO-POS)

Plan ID: H5591-001 & H5591-002
ME Counties: Androscoggin, Cumberland, Kennebec, Sagadahoc, York

Calendar-Year Maximum: $1,000
A Diagnostic/Preventive: $50 office visit copay
B Basic Restorative: $50 copay + 50% coinsurance
C Major Restorative: $50 copay + 50% coinsurance
Services: Two cleanings and oral exams per year

Plan ID: H5591-016 & H5591-017
ME Counties: Aroostook, Franklin, Hancock, Knox, Lincoln, Oxford, Penobscot, Piscataquis, Somerset, Waldo, Washington

Calendar-Year Maximum: $750
A Diagnostic/Preventive: $50 office visit copay
B Basic Restorative: $50 copay + 50% coinsurance
C Major Restorative: $50 copay + 50% coinsurance
Services: Two cleanings and oral exams per year

Select (LPPO)

Plan ID: H1365-001
All Maine Counties

Calendar-Year Maximum: $1,000
A Diagnostic/Preventive: $50 office visit copay
B Basic Restorative: Not covered
C Major Restorative: Not covered
Services: Two cleanings and oral exams per year

Plan ID: H51365-005
All Maine Counties

Calendar-Year Maximum: $500
A Diagnostic/Preventive: $50 office visit copay
B Basic Restorative: $50 copay +50% coinsurance
C Major Restorative: $50 copay + 50% coinsurance
Services: Two cleanings and oral exams per year

Essential (HMO-POS)

Medicare-covered dental services: $55 copay when dental is medically necessary as part of a covered medical service*

Plan ID: H5591-018
All Maine Counties

Calendar-Year Maximum: $250
A Diagnostic/Preventive: $50 office visit copay
B Basic Restorative: Not covered
C Major Restorative: Not covered
Services: One cleaning and oral exam per year

Dental Plus (optional supplemental dental coverage)
All Maine Counties

Calendar-Year Maximum: $1,500
A Diagnostic/Preventive: Not covered
B Basic Restorative: 50% coinsurance
C Major Restorative: 50% coinsurance
Services: One routine cleaning and oral exam per year (routine or periodontal)

Interested in additional dental coverage available for Essential plan members.
Learn more about our optional supplemental coverage, Dental Plus.

Alliance (HMO)

Plan ID: H5591-003
All Maine Counties

Calendar-Year Maximum: $2,500
A Diagnostic/Preventive: $0 office visit copay
B Basic Restorative: 20% coinsurance
C Major Restorative: 50% coinsurance
Services: Two cleanings and one oral exam per year

Coverage categories

Below you will find a list of common dental procedures organized by coverage categories.

Diagnostic

Problem-focused exams as needed
X-rays (complete series or panoramic film) once in a five-calendar-year period
Bitewing X-rays once in a calendar year
X-rays of individual teeth as necessary

Preventive

Oral exam and routine cleaning

Restorative

Amalgam (silver) fillings*
Resin restorations on anterior teeth and the buccal surface of bicuspids only

Oral Surgery

Surgical and routine extractions

Endodontics

Root canal therapy

Periodontics

Periodontal maintenance (cleaning)**
Treatment of gum disease
Clinical crown lengthening once per tooth per lifetime

Denture Repair

Repair of a removable denture to its original condition

Emergency Relief of Pain

Brush biopsy once in a calendar year

* Additional costs may apply for resin fillings, please reach out to Northeast Delta Dental for more information.

Prosthodontics

Removable and fixed partial dentures (bridge); complete dentures
Rebase and reline (dentures)
Crowns
Onlays
Implants

Using Your Benefits

Getting started with your dental benefit

Review your plan information.

Find your plan's benefit amount and coverage information on this page or in your Evidence of Coverage documents.

Check to see if your dentist is in-network, if required.

When using the Network Provider Search Tool:

Prime, Essential, and Alliance members choose the Martin's Point Generations Advantage Network.

Select members choose the Delta Dental PPO or Delta Dental Premier Network.

Attend your dental visit.

Show your Generations Advantage Member ID card at your next appointment. Pay any office visit copay. Your in-network dentist will submit your claim for any additional cost shares.

Helpful Information and Resources

Important Note: When using the Delta Dental Network Provider Search Tool: Prime and Alliance members choose the "Martin's Point Generations Advantage" Network. Select and Essential members choose the "Delta Dental PPO" or "Delta Dental Premier" Network.

In-Network Dentist | Search Tool

Not sure if your dentist is in our network?

Network requirements vary by plan. Please see Important Note above for how to select the correct network when using the Delta Dental Provider Search Tool.

Network Provider Search Tool

Out-of-Network | Cost Share Details

Is your dentist outside our provider network?

For a higher cost share, Generations Advantage Select and Essential plan members may also see dentists outside of the Delta Dental network for Medicare-covered services.

View Coverage Information

Manage Your Care | Get the Mobile App

Download the Delta Dental mobile app.

Members can manage their care on any Apple iOS and Android mobile device.

Questions? |Call Today

Reach out to a Delta Dental representative.

Members can call Delta Dental directly at 1-800-832-5700 (TTY: 1-800-332-5905).

Need help? We're here for you.

Whether you’re exploring plan options or already a Generations Advantage member, our team is ready to help.

Prospective Members: Call us at 1-877-547-7072 (TTY: 711)
Current Members: Call Member Services at 1-866-544-7504 (TTY: 711)