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Dental/Medical Integration
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Get help for your at-risk employees at no additional cost

Research shows that up to 90 percent of whole-body illnesses can show their first signs in the mouth1. And gum disease may impact a healthy pregnancy2. That's why Aetna offers a program that provides outreach and enhanced dental benefits to members who need it most. Our Dental/Medical Integration (DMI) program leads the industry by offering eligible members proactive and customized education through mailers and phone calls.

Plus they will get enhanced dental benefits* - fully covered with no deductible, including:
  • One extra visit for a routine cleaning
  • A dental debridement to remove any thick or hard deposits on teeth
  • Dental office use of antibacterial agents to treat periodontal disease**
  • Periodontal maintenance
And the great news? Our program is yours at no additional cost, if you offer an Aetna Dental Benefits or Dental Insurance plan with an Aetna medical plan. Here's what the program offers:

Our successful member outreach … they’ll know we care:
We reach out to our medically at-risk members. They’ll get educational materials letting them know of the link between gum disease and their health condition. We urge them to call our Dental Care Coordinators to:
  • Enroll in the enhanced dental benefits
  • Choose a dentist
  • Get help making a dental appointment
Outreach by phone
If a member doesn’t visit a dentist after receiving our information, our Dental Care Coordinators reach out by phone. Still no response? We reach out again by mail.

Enhanced dental benefits* — fully covered with no deductible, including:
  • One extra visit for a routine cleaning
  • A dental debridement to remove any thick or hard deposits on teeth
  • Dental office use of antibacterial agents to treat periodontal disease**
  • Periodontal maintenance
We are DMI thought leaders

Our own research with Columbia University College of Dental Medicine shows that proactive periodontal care may help lower medical costs for members with certain chronic conditions. Aetna is the only dental benefits and insurance company with a published study on the impact dental health has on medical claims3. We monitor member claims continuously. We reach out to members eligible for our DMI program, disease management programs and more.

Thanks in part to our DMI program, 63 percent of our at-risk members are now getting dental care.***
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1 WebMD.com. "Oral Health: the Mouth-Body Connection" Available online at http://www.webmd.com/oral-health/features/oral-health-the-mouth-body-connection. June 2007. Accessed April 8, 2008.

2 Vergnes J-N, Sixou M. Preterm low birth weight and maternal periodontal status: a meta-analysis. American Journal of Obstetrics and Gynecology. 2007;196:135.e1-135.e7.

3 Columbia University School of Dental Medicine and Aetna Health Inc. Published by Biomedicalcentral.com. Aetna and Columbia announce results from study showing relationship between periodontal treatment and a reduction in the overall cost of care for three chronic conditions. August 16, 2006. Available online at http://www.biomedicalcentral.com/1472-6963/6/103.

* Exclusions and limitations may apply. Refer to your plan documents in your enrollment package for details. Treatment offered is based on member's dental evaluation.

** The localized delivery of antimicrobial agents is not included for pregnant women due to physician concerns with antibiotics during pregnancy.

*** Based on 2007 Aetna dental claims data.

Dental Medical Integration is a program, not a dental plan. Not all dental services are covered by your dental plan. See your plan documents for a complete description of benefits, exclusions, limitations and conditions of coverage.