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 Calendar-Year Maximum benefit.
Prime (HMO-POS) |
Plan ID: H5591-015-001
ME Counties: Lincoln, Oxford, Piscataquis, Somerset, and Waldo | NH Counties: Belknap, Carroll, Coos, and Grafton
- Calendar-Year Maximum: $500
- A Diagnostic/Preventive: $50 office visit copay
- B Basic Restorative: $50 office visit copay + 50% coinsurance
- C Major Restorative: $50 office visit copay + 50% coinsurance
Plan ID: H5591-015-002 & H5591-006-001
ME Counties: Aroostook, Cumberland, Franklin, Hancock, Knox, Penobscot, Washington, and York
- Calendar-Year Maximum: $750
- A Diagnostic/Preventive: $50 office visit copay
- B Basic Restorative: $50 office visit copay + 50% coinsurance
- C Major Restorative: $50 office visit copay + 50% coinsurance
Plan ID: H5591-006-002
ME Counties: Androscoggin, Kennebec, and Sagadahoc
- Calendar-Year Maximum: $1,500
- A Diagnostic/Preventive: $50 office visit copay
- B Basic Restorative: $50 office visit copay + 50% coinsurance
- C Major Restorative: $50 office visit copay + 50% coinsurance
Plan ID: H5591-005
NH Counties: Cheshire, Hillsborough, Merrimack, Rockingham, Strafford, and Sullivan
- Calendar-Year Maximum: $1,250
- A Diagnostic/Preventive: $50 office visit copay
- B Basic Restorative: $50 office visit copay + 50% coinsurance
- C Major Restorative: $50 office visit copay + 50% coinsurance
Select (LPPO) |
Plan ID: H1365-001
All Counties
- Calendar-Year Maximum: $1,500
- A Diagnostic/Preventive: $50 office visit copay
- B Basic Restorative: $50 office visit copay + 50% coinsurance
- C Major Restorative: $50 office visit copay + 50% coinsurance
Value Plus (HMO-POS) |
Plan ID: H5591-009 & H5591-013
All Counties
- Calendar-Year Maximum: $2,000
- A Diagnostic/Preventive: $50 office visit copay
- B Basic Restorative: $50 office visit copay + 50% coinsurance
- C Major Restorative: $50 office visit copay + 50% coinsurance
Access (LPPO) |
Plan ID: H1365-002
NH Counties: Belknap, Carroll, Coos, and Grafton
- Calendar-Year Maximum: $1,000
- A Diagnostic/Preventive: $50 office visit copay
- B Basic Restorative: $50 office visit copay + 50% coinsurance
- C Major Restorative: $50 office visit copay + 50% coinsurance
Plan ID: H1365-003
NH Counties: Cheshire, Hillsborough, Merrimack, Rockingham, Strafford, and Sullivan
- Calendar-Year Maximum: $2,000
- A Diagnostic/Preventive: $50 office visit copay
- B Basic Restorative: $50 office visit copay + 50% coinsurance
- C Major Restorative: $50 office visit copay + 50% coinsurance
Alliance (HMO) |
Plan ID: H5591-003
All Counties
- Calendar-Year Maximum: $2,500
- A Diagnostic/Preventive: $0 office visit copay
- B Basic Restorative: 20% coinsurance
- C Major Restorative: 50% coinsurance
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*
* Enjoy enhanced preventive care with up to two cleanings per calendar year for all members with dental coverage, except Cumberland and York County Prime plan members, who are eligible for one cleaning. You may choose from Category A (preventive/routine) and/or Category B (periodontal). Office visit copays/coinsurances apply.
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.
** Cleanings are limited to one per calendar year for Cumberland and York County Prime (HMO–POS) plan members and two per calendar year for all other plan members. You may choose from Category A (preventive/ routine) and/or Category B (periodontal). Office visit copays and coinsurances apply.
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, Value Plus, and Alliance members choose the Martin's Point Generations Advantage Network.
- Select and Access 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, Value Plus, and Alliance members choose the "Martin's Point Generations Advantage" Network. Select and Access 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 & Access) 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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Have questions? We're here to help.
From October 1 to Mar. 31, we’re here 7 days a week, & Monday to Friday the rest of the year from 8am–8pm.