Dental Benefits - 2019

For Prime, Value, and Focus DC Plans

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 in Maine, New  Hampshire, or Vermont.

This benefit overview is provided for summary purposes only.

• 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
Benefits are available under your policy only when you receive your dental care from a Delta Dental PPO/Martin's Point Generations Advantage network dentist in Maine, New Hampshire, or Vermont. 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, Value, or Focus DC plan member ID number.