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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 Calendar-Year Maximum benefit.

2027 Prime (HMO) Plan

All Prime Plans
Androscoggin, Aroostook, Cumberland, Franklin, Kennebec, Knox, Lincoln, Oxford, Penobscot, Sagadahoc, Waldo, York

Calendar-Year Maximum: $500
Category A: $50 office visit copay
Category B: $50 copay + 50% coinsurance
Category C: $50 copay + 50% coinsurance

All plans covers two cleanings and oral exams per year (routine or periodontal).

2026 Prime (HMO-POS) Plan

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

Calendar-Year Maximum: $1,000
Category A: $50 office visit copay
Category B: $50 copay + 50% coinsurance
Category C: $50 copay + 50% coinsurance

Plan ID: H5591-016 & H5591-017
Aroostook, Franklin, Hancock, Knox

Calendar-Year Maximum: $750
Category A: $50 office visit copay
Category B: $50 copay + 50% coinsurance
Category C: $50 copay + 50% coinsurance

All plans cover two cleanings and oral exams per year (routine or periodontal).

2027 Select (PPO) Plan

Plan ID: H1365-006
Aroostook, Franklin, Knox, Lincoln, Oxford, Penobscot, Waldo

Calendar-Year Maximum: $400
Category A: $50 office visit copay
Category B: $50 copay + 50% coinsurance
Category C: $50 copay + 50% coinsurance

Plan ID: H1365-007
Androscoggin, Cumberland, Kennebec, Sagadahoc, York

Calendar-Year Maximum: $500
Category A: $50 office visit copay
Category B: $50 copay + 50% coinsurance
Category C: $50 copay + 50% coinsurance

All plans cover two cleanings and oral exams per year (routine or periodontal).

2026 Select (LPPO) Plan

Plan ID: H1365-001
All Maine counties

Calendar-Year Maximum: $1,000
Category A: $50 office visit copay
Category B: Not covered
Category C: Not covered

Plan ID: H1365-005
All Maine counties

Calendar-Year Maximum: $500
Category A: $50 office visit copay
Category B: $50 copay + 50% coinsurance
Category C: $50 copay + 50% coinsurance

All plans cover two cleanings and oral exams per year (routine or periodontal).

2027 Essential (HMO) Plan

Dental is not a covered benefit.

Prefer to have coverage? Essential plan members can add-on dental coverage through our Dental Plus option at an additional monthly cost.

Dental Plus Add-On | $75 per month
All Maine counties

Calendar-Year Maximum: $1,500
Category A: $50 copay
Category B: $50 copay + 50% coinsurance
Category C: $50 copay + 50% coinsurance

Plan covers two cleanings and oral exams per year (routine or periodontal).

Explore Dental Plus

2026 Essential (HMO-POS) Plan

Plan ID: H5591-018
All Maine counties

Calendar-Year Maximum: $250
Category A: $50 office visit copay
Category B: Not covered
Category C: Not covered

Plan covers one cleaning and oral exam per year.

Dental Plus Add-On | $69 per month
All Maine counties

Calendar-Year Maximum: $1,500
Category A: Not covered
Category B: 50% coinsurance
Category C: 50% coinsurance

Plan covers one cleaning and oral exam per year (routine or periodontal).

2027 Alliance (HMO) Plan

Plan ID: H5591-003
All Maine counties

Calendar-Year Maximum: $2,500
Category A: $0 office visit copay
Category B: 20%–50% coinsurance
Category C: 50% coinsurance

Plan covers two cleanings and oral exams per year (routine or periodontal).

2026 Alliance (HMO) Plan

Plan ID: H5591-003
All Maine counties

Calendar-Year Maximum: $2,500
Category A: $0 office visit copay
Category B: 20%–50% coinsurance
Category C: 50% coinsurance

Plan covers two cleanings and oral exams per year (routine or periodontal).

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.

** You may substitute a routine cleaning (Category A). Total number of cleanings per calendar year cannot exceed two.

Prosthodontics

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

Using Your Benefits

Getting started with your dental benefit

Begin using your dental benefits today.

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

Essential members enrolled in the optional Dental Plus plan 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.

Using your Dental benefit

Watch this video to learn more about this benefit and how to use it.

Helpful Information and Resources

In-Network Dentist | Search Tool

Not sure if your dentist is in our network?

Network requirements vary by plan. Use the search tool to find in-network dental providers in your local area:

Dental Provider Search Tool

Out-of-Network | Cost Share Details

Is your dentist outside our provider network?

Select plan members may see out-of-network dentists for Medicare-covered services for a higher cost share.

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 1-844-300-0160 (TTY: 711)
Current Members: Call Member Services at 1-866-544-7504 (TTY: 711)