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The Aetna Dental/Medical IntegrationSM Program Offered At No Additional Charge To Employers With Both Aetna Dental And Medical Coverage


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Pilot conducted with Aetna members supports program’s effectiveness as 63 percent who received outreach sought dental care

HARTFORD, Conn.,— Aetna (NYSE: ΑET) announced today that effective immediately, it will automatically offer at no additional charge its Aetna Dental/Medical Integration (DMI) program for employers who have both Aetna dental and medical coverage. The DMI program benefits pregnant women and at-risk members with diabetes and cardiovascular diseases.

Employer groups with 51-3000 employees are also eligible for the new Integrated Pricing Program, which provides premium/fee discounts for combining medical and dental coverages. Multi-line discounts may also apply to larger-sized groups.

“Our goal in automatically including the Aetna Dental/Medical Integration program in eligible dental plans is to educate members on the importance of regular care and help avoid potential costs and risks that could negatively impact a person’s overall well-being,” said Alan Hirschberg, Head of Aetna Dental Products and Services.

The Aetna Dental/Medical Integration program is comprised of enhanced benefits, including an extra cleaning, full coverage for certain periodontal services and a variety of outreach methods to at-risk members who are not currently seeking dental care. As a result of various outreach methods during a two-year pilot with 500,000 Aetna members, 63 percent of those at-risk members who had not been to the dentist in 12 months sought dental care.

Having both medical and dental claims data helps Aetna to create a complete picture of a member’s claim history and identify at-risk members who have the greatest need for preventive care. Aetna then conducts outreach to at-risk members in order to help prevent periodontal disease or identify it early enough to provide treatment and prevent a worsening condition.

Aetna Dental launched its DMI program last fall following a published research analysis it conducted with Columbia University College of Dental Medicine which found that high-risk individuals that sought earlier dental care lowered the risk or severity of their condition and subsequently, lowered their overall medical costs.



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