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).
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
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 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.
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.
Out-of-Network | Cost Share Details
Is your dentist outside our provider network?
For a higher cost share, Generations Advantage LPPO plan members (Select & Essential) may also see dentists who accept Medicare outside of the Delta Dental network.
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).
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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 1-800-961-4572 (TTY: 711)
Current Members: Call Member Services at 1-866-544-7504 (TTY: 711)