Dental Plus for Essential (HMO-POS) Plan
Optional coverage for restorative care needs.
Martin's Point Generations Advantage Dental Plus is optional supplemental coverage for basic and major restorative services for a monthly premium of $69. It is administered by Northeast Delta Dental (NEDD). Once you've enrolled and your Dental Plus plan becomes effective, there's no waiting period and no deductible—so you can start using your benefit as soon as you need it and no office visit copays and low coinsurance amounts make important dental care affordable.
Available exclusively to Generations Advantage Essential (HMO-POS) members.
Understanding Your Coverage
Dental Plus benefit amounts
Expenses paid by the plan for covered dental services count toward your Calendar-Year Maximum benefit.
Dental Plus
- Calendar-Year Maximum: $1,500
- Category A | Diagnostic/Preventive: This category of coverage is already included with your Generations Advantage Essential (HMO-POS) plan. It is not included in the below Dental Plus benefits.
- Category B | Basic Restorative: 50% coinsurance
- Category C | Major Restorative: 50% coinsurance
Diagnostic
- NOTE: Category A Diagnostic/Preventive services are covered in the dental benefit included in your Generations Advantage Essential (HMO-POS) plan. This coverage IS NOT part of the Dental Plus optional supplemental coverage.
Preventive
- One oral exam and routine cleaning per calendar year.*
*Office visit copay applies.
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.
**You may substitute a routine cleaning (Category A). Total number of cleanings per calendar year under Essential plan built-in dental coverage with added Dental Plus coverage cannot exceed two.
Prosthodontics
- Removable and fixed partial dentures (bridge); complete dentures
- Rebase and reline (dentures)
- Crowns
- Onlays
- Implants
Using Your Benefits
Getting started with your Dental Plus 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. |
When using the Network Provider Search Tool (administered by Northeast Delta Dental):
- Choose the Martin's Point Generations Advantage Network.
Attend your dental visit. |
Show your Generations Advantage Member ID card at your next appointment. Your in-network dentist will submit your claim for any cost shares.
Dental Plus
Ready to add more dental coverage? Start your enrollment today and begin using your Dental Plus benefits.
Enroll nowHelpful Information and Resources
In-Network Dentist | Search Tool
Not sure if your dentist is in our network?
Important Note: When using the Delta Dental Network Provider Search Tool, choose the "Martin's Point Generations Advantage" Network from the list.
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)