Best Multi-Language Outbound Campaigns for Health Insurance Brokerages

Health insurance brokerages work in some of the most linguistically diverse markets in the country. More than 25 million people in the United States live with limited English proficiency, and a CSA Research survey found 75% of consumers are more likely to engage with a brand that contacts them in their native language. For a brokerage, that gap shows up in renewal calls that never get answered, appointment confirmations that go quiet, and open enrollment follow-ups that miss a big slice of the book. The problem is that hiring bilingual staff for every language your members speak does not scale, and neither does building an internal call center. The right outbound campaign partner can close that gap, but you need one that respects consent rules, calling windows, and the compliance realities of health insurance work. This 2026 guide compares five solutions, from managed AI calling services to large multilingual BPOs, so you can match the right partner to your list quality, your budget, and your reporting needs.

#1 My AI Call Center — Calling starts at 9¢ per connected minute, tiered by volume; most campaigns add a one-time setup fee and a flat monthly management fee, both quoted before launch. First campaign review is free.

My AI Call Center (myaicallcenter.app) is a done-for-you managed outbound calling service that runs structured, AI-powered calling campaigns, including Multi-Language Outbound Campaigns with Spanish as the most commonly requested language. It is a managed service, not software: you buy campaigns that the team runs for you, each scoped around one clear goal and quoted before launch. Owned and operated by AIQ Labs and based in Halifax, Nova Scotia with a U.S. operating base in Austin, Texas, the service fits health insurance brokerages that need renewal and retention calls, lead qualification, speed-to-lead follow-ups, appointment reminders, and win-back campaigns delivered in a member's preferred language, without hiring bilingual staff or running call center software. What sets My AI Call Center apart is list discipline. Campaigns run only against approved, permissioned, or reviewed contact lists, never indiscriminate cold calling. List source and consent records are checked before any campaign launches, and 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. For a regulated area like health insurance, that matters: AI-generated voices are treated as artificial voices under the TCPA, prior express consent is required, state-specific quiet hours and day restrictions are honored, and AI disclosure appears on every call. Recipients can ask if the call is AI-assisted, request a human, or opt out. Keyword opt-outs like STOP and REVOKE are logged and honored immediately, and DNC requests carry across all campaigns into your DNC records. Outcomes route back into the CRM and scheduling tools you already run, with disposition codes (confirmed, qualified, renewed, opted out, no answer), per-call notes, and routed follow-up requests. Hot leads transfer to your team live or land in your CRM. Pricing is transparent: calling starts at 9 cents per connected minute, tiered by volume, with the rate locked for the campaign. Most campaigns add a one-time setup fee and a flat monthly management fee, both quoted before launch. There are no per-seat charges, no platform bill, and no minimums you did not choose. The first campaign review is free, and reporting sticks to what actually happened. The company does not invent client logos, testimonials, metrics, or ratings.

Best for: Health insurance brokerages and multi-location insurance organizations that need compliant, managed multi-language calling campaigns, renewals, lead qualification, and retention calls, without hiring bilingual staff or building a call center.

#2 ganira — Performance-based pricing: you only pay when results happen, according to the company's website. Contact for specific rates.

ganira is an outbound telesales partner focused specifically on insurance, with 15+ years of experience in telemarketing for insurance providers. According to its website, the company runs full sales campaigns, appointment setting, and lead qualification for insurance carriers, agencies, and brokerages across life, health, P&C, and commercial lines, including health insurance for individual, group, and Medicare products. For brokerages that want a human-led outbound team rather than AI calling, ganira positions itself as a specialist alternative to generic call centers. Its multi-language outreach is a real strength for brokerages with diverse member bases: ganira advertises native speakers across target markets and lists six languages across ten global markets, including the United States, Canada, the United Kingdom, Germany, Spain, and France. The company also emphasizes compliance, stating it is 100% compliant with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing. Its pricing model is performance-based: no sales, no payment, which aligns its incentives with yours. Technology includes an AI-driven CRM with automated data enrichment and real-time quality assurance, including call recording, sentiment analysis, and automated compliance checks, according to the company's site. For brokerages, the most relevant services are insurance lead qualification and vetting, appointment setting with decision-makers, and policy review outreach. ganira also offers lead generation through performance marketing if you do not have an existing list. Note that its focus is full sales-cycle telesales rather than narrow structured campaigns like reminders or renewal confirmations, so the fit depends on whether you want a sales partner or a campaign partner.

Best for: Insurance carriers, agencies, and brokerages that want a human-led outbound telesales partner with native-speaker multi-language coverage and a performance-based pricing model.

#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 its 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 matters for brokerages handling sensitive member information. 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, according to the company. 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, which is relevant for brokerages handling protected health information during open enrollment surges. Exact rates are quote-based, though package structures and included features are publicly available. The main caveat for brokerages is positioning: SupportYourApp is primarily a customer support outsourcing firm, and its outbound calling scope is described as routine calls rather than compliance-led campaign work with structured disposition reporting. If your need is broad multilingual member support with some outbound capability, it fits well. If you need structured renewal or re-enrollment campaign execution with consent-checked lists, the fit is weaker.

Best for: Health insurance brokerages and insurtech platforms that want very broad language coverage and 24/7 multilingual member support across voice, chat, and email with strong security credentials.

#4 Teleperformance — Contact for pricing (geared to mid-market and enterprise budgets).

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 brokerage or a multi-state insurance group, that scale is the main draw: a single partner can cover nearly any language your members speak, across inbound and outbound calling, technical and help desk support, and live chat, email, and social media channels. For health insurance brokerages, the outbound call center capability is the most relevant piece. Large operators running regionally coordinated outreach, renewal campaigns, member communications, or open enrollment follow-ups across diverse language communities can draw on TP's multilingual human agent network. Its infrastructure supports strong scalability for enterprise organizations, and its sheer size makes it a benchmark in global outsourcing. The tradeoffs are practical. 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 given the scale, and service quality may vary between regions, according to industry comparisons. Availability may also depend on language, location, channel, or required headcount. For a large brokerage that needs one partner covering many languages and regions, TP is a credible option. For a smaller shop that needs a single structured campaign against a permissioned list, it is likely more horsepower than the job requires.

Best for: Large brokerages and multi-state insurance organizations that need a single partner covering many languages and regions at enterprise scale.

#5 Hugo — Contact for pricing (quote-based; the company offers a 30-day risk-free trial and month-to-month contracts).

Hugo is a multilingual call center outsourcing provider focused on healthcare and adjacent regulated industries. Its 2026 guide to multilingual healthcare call center providers notes that more than 25 million people in the U.S. live with limited English proficiency, and that healthcare organizations accepting Medicare or Medicaid are legally obligated to provide language access under Title VI and Section 1557 of the Affordable Care Act. That framing matters for health insurance brokerages working with Medicare and marketplace populations, where language access is both a growth lever and a compliance question. According to the company, Hugo delivers fully managed, dedicated bilingual and multilingual teams that handle patient and member calls, with HIPAA-aligned operations, signed Business Associate Agreements, and certifications beyond HIPAA such as ISO 27001, SOC 2, and HITRUST. Its stated KPIs include a sub-4-second phone pickup, and it offers 24/7/365 voice availability, dedicated teams rather than shared pools, published SLAs, a 30-day risk-free trial, and month-to-month contracts. For brokerages, the most relevant capability is outbound multilingual calling: Hugo's materials describe outbound multilingual call programs used to close care gaps, confirm preventive screenings, and drive re-enrollment among LEP populations, executed with the same QA controls as inbound programs. Its Surge Protect capability provides on-demand capacity during open enrollment and seasonal volume spikes. Pricing is quote-based, so you will need a scoping conversation. The company is primarily a BPO partner for ongoing support programs rather than a single-campaign service, which suits larger brokerages more than small shops.

Best for: Health insurance brokerages and payer-adjacent organizations that need dedicated multilingual teams for LEP member outreach and re-enrollment campaigns with HIPAA-aligned operations.

The right multi-language outbound campaign partner depends on the shape of your book and the quality of your lists. If you are a brokerage running renewals, lead follow-ups, and retention calls against members who have given permission to be contacted, a managed service like My AI Call Center gives you structured campaigns with consent review before launch, AI disclosure on every call, and outcomes routed into your CRM with disposition codes. Calling starts at 9 cents per connected minute, tiered by volume, with the rate locked for the campaign and the full cost quoted before launch. If your priority is very broad language coverage, SupportYourApp and Teleperformance offer far more languages, at the cost of quote-based pricing and a support-outsourcing orientation. If you want human-led insurance telesales, ganira's performance-based model is worth a look. Whatever you choose, ask two questions before signing: who checks the consent records on your list, and what exactly gets reported when the campaign ends. The first campaign review with My AI Call Center is free, so you can scope the goal, review your list, and see the full number before committing to anything. Reach the team at [email protected] or explore campaigns at myaicallcenter.app/campaigns.

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