The Aetna Dental/Medical IntegrationSM Program Offered At No Additional Charge To Employers With Both Aetna Dental And Medical Coverage
Pilot conducted with Aetna members supports programís effectiveness as 63 percent who received outreach sought dental care
HARTFORD, Conn.,ó 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.
ďOur 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 personís overall well-being,Ē 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 memberís 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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