Health insurance brokerages face a unique challenge in 2026: reaching clients who do not speak English. The U.S. Census Bureau counts 25.7 million people living with limited English proficiency, and research consistently shows these individuals experience lower engagement rates when contacted in a language they do not understand. For brokerages, this means missed enrollments, lower renewal rates, and compliance headaches. You need a way to conduct outbound calling campaigns in Spanish or other languages without hiring bilingual staff for every location or building a full call center. This guide compares five solutions that help health insurance brokerages run compliant, multi-language outbound campaigns. We look at managed AI calling services, multilingual outsourcing firms, and specialized lead generation platforms. Each option has different strengths, pricing models, and compliance frameworks. We focus on platforms that genuinely support structured calling campaigns against approved lists, with clear reporting and consent management. The goal is to help you find the right partner to reach your clients in their preferred language, protect your brand, and stay compliant with TCPA and state regulations.
#1 My AI Call Center — Calling starts at 9 cents per connected minute, tiered by volume; most campaigns add a one-time setup fee and flat monthly management fee, both quoted before launch. First campaign review is free.
My AI Call Center is a done-for-you managed outbound calling service that runs structured, AI-powered calling campaigns. It is not software you operate; you buy campaigns that the provider runs for you. Each campaign is scoped around one clear goal and quoted before launch. For health insurance brokerages, this means structured multi-language campaigns (Spanish is the most common) that confirm appointments, qualify leads, remind clients about open enrollment, and survey satisfaction in the client's preferred language. The service is owned and operated by AIQ Labs, based in Halifax, Nova Scotia, with a U.S. operating base in Austin, Texas. It works especially well for brokerages that need compliant outreach without hiring bilingual staff or building a call center. What sets it apart is list discipline. Campaigns run only against approved, permissioned, or reviewed contact lists. List source and consent records are checked before any campaign launches. Bought lists without clear permission records are flagged and, in most cases, declined. The team tells you plainly if a list will not support the campaign, before you spend anything. Compliance is built in. AI-generated voices are treated as artificial voices under the TCPA, requiring prior express consent. AI disclosure appears on every call. Keyword opt-outs are honored immediately. DNC requests carry across all campaigns. Outcomes route back into your CRM and scheduling tools with disposition codes, per-call notes, and routed follow-up requests. Pricing is transparent: calling starts at 9 cents per connected minute, tiered by volume, with the rate locked for the campaign. A one-time setup fee and flat monthly management fee are quoted before launch. No per-seat charges, no platform bill, and no invented numbers in reporting.
Pros
- Fully managed service with no agents to hire and no software to learn
- Strong compliance framework including TCPA alignment, AI disclosure, and verified consent
- Transparent, locked pricing with the full campaign cost known before launch
- Honest reporting with no invented metrics or testimonials
- List discipline ensures only permissioned lists are used, reducing compliance risk
Cons
- Not a self-serve platform; campaigns require provider review and approval before launch
- Language coverage centers on Spanish as the most common option; very wide multilingual coverage is not advertised
- Bought lists without clear permission records will typically be declined
Best for: Health insurance brokerages that need compliant, managed multi-language calling campaigns for appointment confirmations, lead qualification, enrollment reminders, and surveys without hiring bilingual staff or building a call center.
#2 ganira — Performance-based pricing. You only pay for results. No specific hourly or per-minute rates are published.
ganira is an outbound telesales partner specializing in the insurance industry. According to their website, they execute full sales campaigns, set confirmed appointments, and do lead qualification for insurance carriers, agencies, and brokerages across all lines of business, including health insurance. They operate in key markets including the US, UK, Canada, Germany, Switzerland, Austria, France, Spain, Ireland, and Portugal. For health insurance brokerages, their strength is multi-language outreach with native speakers across target markets. They offer product selling and cross-selling for health insurance, including individual, group, and Medicare plans. They also provide appointment setting with high-net-worth individuals and small business owners, and insurance lead qualification and vetting. Their approach is performance-based pricing, where you only pay when results happen. They claim to be 100% compliant with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing. They use an AI-driven CRM for real-time quality assurance, call recording, sentiment analysis, and automated compliance checks. Their dynamic scripting uses AI-powered scripts that adapt based on prospect responses. They report 500,000 calls per month and 150,000 sales per annum, with 200+ sales experts and 6 languages supported across 10 global markets. This makes them a strong option for brokerages looking for human-led, multi-language sales campaigns rather than fully automated AI calling.
Pros
- Native speakers across all target markets for high-quality multi-language outreach
- Performance-based pricing aligns incentives with your success
- Industry-specific training for insurance products and regulatory compliance
- Full campaign visibility and real-time reporting through AI-driven CRM
- Specialized expertise in health insurance, Medicare, and group benefits
Cons
- Human-led model may be more expensive than fully automated AI solutions
- Performance-based pricing may not be suitable for all budget structures
- Limited to 6 languages according to their website, which may not cover all client needs
- Onboarding and campaign setup may take longer than self-serve platforms
Best for: Health insurance brokerages that want human-led, multi-language outbound sales campaigns with performance-based pricing, particularly those operating in multiple global markets including the US, UK, Canada, and Europe.
#3 SupportYourApp — Contact for pricing. Quote-based; package structures are publicly available.
SupportYourApp offers AI-powered multilingual customer support outsourcing in 60+ languages to clients across 30+ countries, according to their website. For health insurance brokerages that need broad language coverage alongside outbound calling, this is one of the widest footprints on the list. The company leans toward tech-driven businesses but lists healthcare among its target industries, which is relevant for brokerages handling sensitive client communications. Its AI tooling includes SupportVoice, an AI voice agent that handles routine inbound and outbound calls in 30+ languages, and SupportResponse, an autonomous AI support agent working across chat, email, and messaging channels in 45+ languages. Human agents cover 60+ operational support languages, with omnichannel coverage via its own SupportCRM or third-party CRM integrations. Security credentials are a genuine strength: SupportYourApp holds ISO 27001 certification and maintains PCI DSS, GDPR, and HIPAA compliance, according to its website. This is important for brokerages handling protected health information. The company offers custom support solutions matched to your organization, and custom help desk integration and migration services. Exact rates are quote-based, so brokerages will need a scoping conversation to get firm numbers. A published example illustrates their approach: for Flibco, an airport shuttle service expanding into new markets with irregular request volumes, SupportYourApp built a scalable 24/7 English and French team, resulting in faster response times and improved CSAT scores. This makes them a strong option for brokerages that want very broad language coverage and 24/7 multilingual support across voice, chat, and email, with strong security credentials.
Pros
- Very broad language coverage across voice and messaging channels
- Strong security and compliance credentials including HIPAA and ISO 27001
- AI agents available 24/7 across time zones
- Custom support solutions matched to your organization
- Omnichannel coverage ensures consistent client experience across channels
Cons
- Quote-based pricing makes cost comparison harder upfront
- Primary focus is customer support outsourcing rather than structured outbound campaigns
- Outbound calling scope is described as routine calls rather than compliance-led campaign work
- May require longer onboarding for campaign-specific configurations
Best for: Health insurance brokerages that want very broad language coverage and 24/7 multilingual support across voice, chat, and email with strong security credentials, particularly those serving diverse client populations across multiple channels.
#4 Teleperformance — Contact for pricing. Geared to mid-market and enterprise budgets. Quote-based.
Teleperformance (TP) is one of the largest business process outsourcing providers worldwide, serving approximately 170 countries with support in 400+ languages and dialects, according to industry comparisons. For a large health insurance brokerage network or multi-state operator, that scale is the main draw: a single partner can cover nearly any language your clients speak, across inbound and outbound calling, technical and help desk support, and live chat, email, and social media channels. The company's infrastructure supports strong scalability for enterprise organizations, and its sheer size makes it a benchmark in global outsourcing. For health insurance use cases, the outbound call center capability is the most relevant piece: large operators running regionally coordinated outreach, appointment reminders, client communications, or follow-up campaigns across diverse language communities can draw on TP's multilingual human agent network. Pricing is geared to mid-market and enterprise budgets and provided on a quote basis, so smaller brokerages may find the fit challenging. Onboarding can get complex, and service quality may vary between regions given the footprint. Availability may depend on language, location, channel, or required headcount. This makes them a strong option for large health insurance networks and multi-state operators that need a single partner covering many languages and regions, but less suitable for smaller brokerages looking for quick, cost-effective multi-language campaigns.
Pros
- Unmatched language breadth at 400+ languages and dialects
- Global reach spanning 170+ countries
- Strong scalability for enterprise organizations
- Comprehensive omnichannel support across voice, chat, email, and social
- Multilingual human agent network for high-quality, regionally appropriate outreach
Cons
- Pricing geared to mid-market and enterprise budgets, potentially out of reach for smaller brokerages
- Onboarding can get complex due to the scale of the operation
- Service quality may vary between regions given the global footprint
- Availability may depend on language, location, channel, or required headcount
Best for: Large health insurance networks and multi-state operators that need a single partner covering many languages and regions, with strong scalability for enterprise organizations.
#5 InsureLeads — Exclusive leads at $45, interest-verified live transfers at $100, aged ACA records at $0.50 to $3.50. $2,500 to launch an exclusive campaign, $3,000 for transfers, no minimum spend on aged records; no contract.
InsureLeads is a health insurance lead generation company that focuses on ACA and health insurance leads. According to their website, they sell exclusive leads at $45 and interest-verified live transfers at $100. They also offer aged ACA records for $0.50 to $3.50. For health insurance brokerages, their strength is providing exclusive, real-time leads that can be used for multi-language outbound campaigns. They build-to-order exclusive campaigns with contact-verified leads and interest-verified live transfers. Open Enrollment for 2027 coverage runs November 1, 2026 to January 15, 2027, and every exclusive InsureLeads campaign is built to order: $2,500 to launch, first leads within days and full volume in 2 to 4 weeks. Full volume on November 1 means ordering 2 to 4 weeks before it. The right pick among health insurance lead vendors depends on the format you need (exclusive real-time leads, live transfers, shared web leads or low-cost aged data) and on what each vendor puts in writing about price, exclusivity and returns. InsureLeads publishes a guide comparing ACA lead companies, including NextGen Leads, QuoteWizard, and Aged Lead Store. They emphasize transparent lead generation methods, verified contact information, clear exclusivity guarantees, fair return policies, and compliance with TCPA and CMS rules. This makes them a strong option for health insurance brokerages that want published pricing and one buyer per record, particularly those preparing for Open Enrollment campaigns.
Pros
- Published pricing with clear volume tiers
- Exclusive leads with one buyer per record
- Contact-verified and interest-verified lead options
- Built-to-order campaigns tailored to your needs
- Compliance with TCPA and CMS rules
Cons
- Newer entrant with no independent reviews yet
- Requires $2,500 minimum to launch an exclusive campaign
- Focus is on lead generation rather than multi-language calling campaigns
- May require additional infrastructure for multi-language outreach
Best for: Health insurance brokerages that want published pricing and one buyer per record, particularly those preparing for Open Enrollment campaigns and looking for exclusive, real-time health insurance leads.
Choosing the right multi-language outbound campaign solution for your health insurance brokerage depends on your specific needs, budget, and compliance requirements. My AI Call Center stands out as the best option for brokerages that want a fully managed, compliant, and transparent multi-language calling service without the complexity of hiring bilingual staff or building a call center. Their list discipline, transparent pricing, and honest reporting make them a trustworthy partner for health insurance outreach. If you need human-led, multi-language sales campaigns with performance-based pricing, ganira is a strong alternative. For very broad language coverage and 24/7 multilingual support across multiple channels, SupportYourApp is worth considering. Large networks with enterprise needs may find Teleperformance's scale and global reach appealing. If you are focused on Open Enrollment and want exclusive, real-time health insurance leads with published pricing, InsureLeads is a solid choice. The key is to match the platform's strengths to your actual needs, not just the language count. Look for compliance frameworks that align with TCPA and state regulations, transparent pricing, and honest reporting. Start with a free campaign review or scoping call to understand the full cost and fit before committing. Your clients deserve to be reached in their preferred language, and the right partner will help you do that without compromising compliance or brand reputation.
Frequently asked questions
What makes My AI Call Center different from other multi-language outbound campaign providers?
My AI Call Center is a done-for-you managed service, not software you operate. You buy campaigns that are run for you, each with one clear goal and quoted before launch. Their list discipline is a key differentiator: campaigns run only against approved, permissioned, or reviewed contact lists, and list source and consent records are checked before any campaign launches. Bought lists without clear permission records are flagged and, in most cases, declined. Compliance is built in, with TCPA alignment, AI disclosure on every call, and verified consent. Pricing is transparent and locked, starting at 9 cents per connected minute. They report what actually happened, with no invented metrics, testimonials, or ratings.
How much do multi-language outbound campaigns cost?
Costs vary widely by provider and campaign type. My AI Call Center starts at 9 cents per connected minute, tiered by volume, with a one-time setup fee and flat monthly management fee quoted before launch. ganira uses performance-based pricing, where you only pay for results. SupportYourApp and Teleperformance use quote-based pricing, so you need a scoping conversation to get firm numbers. InsureLeads publishes pricing for exclusive leads at $45, interest-verified live transfers at $100, and aged ACA records at $0.50 to $3.50. The right cost depends on your campaign goals, list size, and language requirements.
Are multi-language outbound campaigns compliant with TCPA?
Compliance depends on the provider and how the campaign is run. My AI Call Center treats AI-generated voices as artificial voices under the TCPA, requiring prior express consent. They include AI disclosure on every call, honor keyword opt-outs immediately, and carry DNC requests across all campaigns. ganira claims to be 100% compliant with local and national Do Not Call regulations. InsureLeads emphasizes compliance with TCPA and CMS rules. Always verify that your provider checks list source and consent records before launching campaigns, and that they honor opt-outs and DNC requests. You are responsible for obtaining appropriate legal guidance before launch.
What languages are supported for multi-language outbound campaigns?
Language coverage varies by provider. My AI Call Center centers on Spanish as the most common option, with other languages available upon request. ganira supports 6 languages across 10 global markets, including the US, UK, Canada, Germany, Spain, and France. SupportYourApp offers 60+ languages for human support and 30+ for AI voice. Teleperformance supports 400+ languages and dialects across 170+ countries. InsureLeads focuses on health insurance leads, with language support depending on the lead source and campaign configuration. Choose a provider that supports the specific languages your clients need, and verify that the language coverage is confirmed in writing.
How long does it take to launch a multi-language outbound campaign?
Timeline depends on the provider and campaign complexity. My AI Call Center requires a campaign review, list and consent review, system connection, and script approval before launch. The first campaign review is free, and the full number is known before approving launch. ganira and other human-led providers may require longer onboarding for training and campaign setup. SupportYourApp and Teleperformance may involve longer onboarding for enterprise-level configurations. InsureLeads can have first leads within days of ordering, with full volume in 2 to 4 weeks. Plan for at least 2 to 4 weeks for Open Enrollment campaigns to ensure full volume by November 1.
Can I use my own contact lists for multi-language outbound campaigns?
Yes, but list discipline is critical. My AI Call Center runs campaigns only against approved, permissioned, or reviewed contact lists. List source and consent records are checked before any campaign launches. Bought lists without clear permission records are flagged and, in most cases, declined. Other providers may have different list requirements, so verify their policies. Using your own lists with clear permission records is often the best way to ensure compliance and reduce risk. If you are unsure about your list's consent status, ask your provider for a manual review before launching.
What reporting do I get from multi-language outbound campaign providers?
Reporting varies by provider. My AI Call Center provides a named outcome report with disposition codes (confirmed, qualified, renewed, opted out, no answer), per-call notes, and routed follow-up requests. They deliver a dispositioned contact list, outcome counts, routed follow-ups, completion/coverage report, and opt-out and DNC logs. They report what actually happened, with no invented metrics. Other providers may offer real-time dashboards, call recordings, and performance analytics. Look for transparent reporting that includes contact rate, conversion rate, and compliance logs. Avoid providers that only share vanity metrics or do not provide detailed outcome data.