Dental Benefits

For 2019, the Generations Advantage Prime (HMO-POS), Value (HMO), and Focus DC (HMO SNP) plans include the following benefits only when seeing a Delta Dental PPO/Martin’s Point Generations Advantage network dentist.

This benefit overview is provided for summary purposes only.

Dental Plan Benefits

Delta Dental PPO/Martin’s Point Generations Advantage Dental Network
Plan benefits are available only when you receive your dental care from a Delta Dental PPO/Martin’s Point Generations Advantage network dentist.
  • No Balance Billing: Participating dentists accept Northeast Delta Dental’s fees for services as payment in full.
  • No Claims Paperwork: Participating dentists will prepare and submit claims for you.
  • Direct Payment: Northeast Delta Dental pays participating dentists directly, so you don’t have to pay the covered amount up front and wait for reimbursement.

To find out if your dentist participates in the Delta Dental PPO/Martin’s Point Generations Advantage dental network, please use the Delta Dental Dentist Search tool, or call the Northeast Delta Dental Customer Service Department at 1-800-832-5700 (TTY: 1-800-332-5905) Monday through Friday, 8 am–4:45 pm.

Claim Process for Participating Dentists
Present your Generations Advantage member ID card to your participating dentist at the time of your visit. Your participating dentist will submit your claim to Northeast Delta Dental. Members can register online to view claims and benefit information.

Nonparticipating Dentists
No benefits are available under your policy if you choose to visit a dentist who is not participating in the Delta Dental PPO/Martin’s Point Generations Advantage dental network. Nonparticipating dentists are welcome to join the Delta Dental PPO/Martin’s Point Generations Advantage dental network at any time.

Identification Cards
Your Generations Advantage member ID card includes your dental group number and the Northeast Delta Dental customer service phone number. Your member ID number for dental benefits is the same as your Generations Advantage Prime or Focus DC plan member ID number.

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