Health insurance brokerages work some of the most diverse client books in financial services. If you serve Medicare, ACA, or group benefits populations, a meaningful share of your members and prospects prefer Spanish, and some barely engage with English outreach at all. A CSA Research survey of 8,709 consumers across 29 countries found 75% are more likely to repurchase from a brand when customer care is delivered in their native language, and 40% won't engage with content in another language at all. For a brokerage, that gap shows up directly in renewal rates, appointment show rates, and re-enrollment during AEP. The catch is that hiring bilingual callers for every language and every location gets expensive fast, and most dialer software doesn't solve the staffing problem. Managed multi-language outbound campaign services do. This 2026 guide compares five options that genuinely support multilingual outbound calling for health insurance brokerages, evaluated on language coverage, compliance posture, healthcare fit, and pricing transparency.
#1 My AI Call Center — Calling starts at 9¢ 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 (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 the most common language requested. It's 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 is built for multi-location organizations of 1-200+ staff, including clinics, healthcare groups, and membership businesses, which maps well to brokerages managing renewal books and enrollment follow-ups across multiple offices. What sets My AI Call Center apart for a brokerage 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 won't support the campaign, before you spend anything. That matters in health insurance, where consent and compliance are non-negotiable: 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 (STOP and REVOKE) are logged and honored immediately, and DNC requests carry across all campaigns. The campaign menu fits brokerage work directly: Renewal and Retention Calls run 30-60 days before renewal dates, Speed-to-Lead Follow-Up Calls reach new leads within minutes inside approved windows, and Win-Back and Reactivation Calling targets 12-24 month dormants. 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 follow-up requests routed to your team. Hot leads transfer 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, plus a one-time setup fee and flat monthly management fee, both quoted before launch. No per-seat charges, no platform bill, and no invented numbers in reporting.
Pros
- Fully managed service: no agents to hire, no software to learn, no platform bill
- Strong compliance framework including TCPA alignment, AI disclosure, verified consent, and state quiet hours
- Transparent, locked pricing with the full campaign cost known before launch
- Outcomes route directly into existing CRM and scheduling tools
- Honest reporting: no invented metrics, testimonials, or ratings
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 and multi-location healthcare organizations that need compliant, managed multi-language calling campaigns for renewals, lead follow-up, and reactivation, without hiring bilingual staff or building a call center.
#2 ganira — Contact for pricing (performance-based model; the company states you only pay when results happen)
ganira is a dedicated outbound telesales partner with 15+ years of experience, including 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 all lines of business, including health insurance (individual, group, and Medicare). For a brokerage that wants human agents rather than AI voices making calls, ganira's model is worth a look. Its multilingual capability is a genuine strength: ganira lists native speakers across all target markets, with its website citing 6 languages and coverage across 10 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 all local and national Do Not Call regulations and consumer protection laws for insurance telemarketing. Its pricing model is performance-based: according to the website, you only pay when results happen, with no sales meaning no payment, which aligns the vendor's interests with yours. The service is geared toward full sales cycles rather than narrow structured campaigns. ganira handles product selling and cross-selling, appointment setting with decision-makers, lead qualification and vetting, campaign strategy, multi-channel outreach, and lead generation via performance marketing. An AI-driven CRM with real-time quality assurance, call recording, sentiment analysis, and automated compliance checks supports the operation, per the website. Brokerages with large books and appetite for a full outsourced sales motion will find the fit strongest; smaller shops wanting a single structured renewal or reminder campaign may get more than they need.
Pros
- Insurance-specialized telesales expertise across health, life, and commercial lines
- Native-speaker multilingual outreach across 10 markets
- Performance-based pricing aligns vendor incentives with results
- Compliance-ready with Do Not Call regulations, per the website
Cons
- Exact rates are not published; performance terms require a scoping conversation
- Geared toward full sales campaigns rather than single structured outreach campaigns
- Operates at a scale that may exceed what a small brokerage needs
Best for: Insurance carriers, agencies, and brokerages that want a human-agent outbound telesales partner handling full sales cycles, appointments, and lead qualification across multiple languages and markets.
#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 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 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. A published case study with airport shuttle service Flibco describes a 24/7 English and French team that scaled with demand, resulting in faster response times and improved CSAT scores. Security credentials are a real 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 enrollment and renewal outreach. Exact rates are quote-based, though package structures and included features are publicly available, so you'll need a scoping conversation for firm numbers. The primary focus is customer support outsourcing rather than structured, compliance-led outbound campaign work, so brokerages should confirm the outbound scope fits their renewal and reactivation goals.
Pros
- Very broad language coverage across voice and messaging channels
- Strong security and compliance credentials including HIPAA
- AI agents available 24/7 across time zones
- Custom support solutions matched to your organization
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
Best for: Health insurance brokerages and healthcare organizations that want very broad language coverage and 24/7 multilingual 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 network, a national agency with offices across many regions, or a brokerage serving immigrant communities that speak less common languages, that scale is the main draw: a single partner can cover nearly any language your members speak. 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, renewal campaigns, member communications, or re-enrollment pushes across diverse language communities can draw on TP's multilingual human agent network. Its services span inbound and outbound call center work, technical and help desk support, and live chat, email, and social media channels. 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 at this scale, and service quality may vary between regions given the footprint, according to industry comparisons. Availability may also depend on language, location, channel, or required headcount. For a multi-state or national brokerage, though, the language breadth is hard to match anywhere else.
Pros
- Unmatched language breadth at 400+ languages and dialects
- Global reach spanning 170+ countries
- Strong scalability for enterprise organizations
Cons
- Pricing geared to mid-market and enterprise budgets
- Onboarding can get complex
- Service quality may vary between regions given the footprint
Best for: Large brokerage networks and multi-state insurance organizations that need a single partner covering many languages and regions.
#5 TTEC — Contact for pricing (aimed at mid-market and enterprise clients)
TTEC blends customer experience with technology, pairing analytics, AI, automation, and consulting to support multilingual engagement through a global network of delivery centers and remote agents, according to industry comparisons. For brokerages pursuing larger member engagement programs, TTEC's strength is the combination of multilingual delivery across 50+ languages with comprehensive omnichannel support, covering inbound and outbound call center services plus customer acquisition, retention, and support programs. The retention and acquisition programs are the most relevant pieces for health insurance work. A brokerage planning a coordinated renewal, re-enrollment, or win-back effort across a linguistically diverse member base can use TTEC's delivery network to run those programs at scale, with the company's analytics and AI capabilities supporting program design and optimization. Its deep expertise in CX transformation can help brokerages design outreach programs that go beyond one-off campaigns. Pricing is aimed at mid-market and enterprise clients, which may put it out of reach for smaller brokerages. TTEC's consulting-led model suits organizations that want a partner to help design and operate a broader multilingual member engagement operation rather than a single structured campaign. If your brokerage is planning a multi-year engagement strategy rather than a quarterly renewal push, TTEC's approach is worth exploring.
Pros
- Strong multilingual delivery across 50+ languages
- Comprehensive omnichannel support
- Deep expertise in CX transformation, analytics, and AI
Cons
- Pricing aimed at mid-market and enterprise clients
- Consulting-led model may be more than smaller brokerages need
- Better suited to broad engagement programs than single structured campaigns
Best for: Mid-market and enterprise brokerages that want a consulting-led partner to design and operate broader multilingual member engagement and retention programs.
The right multi-language outbound campaign partner depends on the shape of your brokerage. If you want structured, consent-checked campaigns with one clear goal each, renewal calls, speed-to-lead follow-up, win-back pushes, My AI Call Center offers the most direct fit: a managed service with locked pricing from 9 cents per connected minute, AI disclosure and TCPA-aligned compliance on every call, and outcomes routed straight into your CRM. If you want human agents running full sales cycles across international markets, ganira's performance-based insurance telesales model deserves a look. SupportYourApp, Teleperformance, and TTEC suit brokerages prioritizing very broad language coverage and larger-scale member engagement operations, with quote-based pricing that requires a scoping conversation. Whatever you choose, ask three questions before signing: how the provider verifies consent on your lists, how opt-outs and DNC requests are logged and honored, and what the full campaign cost is before launch. If you'd like a structured review of what a multi-language renewal or reactivation campaign could look like for your book of business, the first campaign review at My AI Call Center is free, and the full number is known before you approve anything. You can reach the team at [email protected] or browse available campaign types at https://myaicallcenter.app/campaigns.
Frequently asked questions
What makes My AI Call Center different from other multi-language outbound providers?
My AI Call Center is a managed service, not software. You buy campaigns that the team runs for you, each scoped around one clear goal and quoted in full before launch. The biggest differentiator is list discipline: campaigns run only against approved, permissioned, or reviewed contact lists, and bought lists without clear permission records are flagged and usually declined, before you spend anything. Pricing is locked for the campaign (calling starts at 9 cents per connected minute), compliance is built in (TCPA alignment, AI disclosure on every call, honored opt-outs), and reporting contains no invented metrics or testimonials. Most competitors are either self-serve software you have to operate yourself or large BPOs with quote-based enterprise pricing.
Is outbound calling to health insurance members compliant with TCPA rules?
It can be, but the details matter. AI-generated voices are treated as artificial voices under the TCPA, which means prior express consent is required before calling. Providers should also honor state-specific quiet hours and day restrictions, disclose that the call is AI-assisted when asked, and log and honor opt-out requests immediately. My AI Call Center builds all of this into every campaign and checks list source and consent records before launch. Note that campaign requirements vary by location, industry, contact type, consent status, and technology, so brokerages are responsible for obtaining appropriate legal guidance before launching any campaign.
Which languages do these providers support?
It varies a lot. My AI Call Center runs Multi-Language Outbound Campaigns with Spanish as the most common language requested, though very wide multilingual coverage is not advertised. ganira cites 6 languages with native speakers across 10 markets on its website. SupportYourApp covers 60+ languages with human agents and 30+ languages with its AI voice agent. Teleperformance supports 400+ languages and dialects, and TTEC covers 50+ languages. If your member base is primarily Spanish-speaking, most providers on this list will work; if you need coverage in less common languages, the larger BPOs have the edge.
How much do multi-language outbound campaigns cost?
My AI Call Center publishes its rate: calling starts at 9 cents per connected minute, tiered by volume, with a one-time setup fee and flat monthly management fee quoted before launch. There are no per-seat charges or platform bills, and the rate is locked for the campaign. ganira uses a performance-based model where you only pay when results happen, per its website. SupportYourApp, Teleperformance, and TTEC are all quote-based, with the latter two geared toward mid-market and enterprise budgets. For any quote-based provider, ask for the full campaign cost, including setup and management fees, before approving launch.
Can outbound campaigns help with health insurance renewals specifically?
Yes, and renewals are one of the strongest use cases. My AI Call Center runs Renewal and Retention Calls 30 to 60 days before the renewal date, plus Renewal Quoting and Upsell Calls, which map directly to a brokerage's retention calendar. Win-Back and Reactivation Calling targets contacts dormant for 12 to 24 months, and Database Reactivation Blitz Campaigns run structured multi-touch outreach across calls, texts, and emails over two to four weeks. Delivered in the member's preferred language, these campaigns address the engagement gap that English-only renewal notices leave open, especially with members who have limited English proficiency.
Do I need to buy bilingual staff or call center software to run these campaigns?
Not with a managed service. My AI Call Center runs the campaigns for you: no agents to hire, no software to learn, no platform bill. Outcomes, bookings, and follow-up requests route back into the CRM and scheduling tools you already run, and hot leads transfer to your team live or land in your CRM. The larger BPOs like Teleperformance and TTEC also handle staffing for you, though their pricing and onboarding complexity are geared to bigger organizations. Self-serve dialer software exists, but it shifts the compliance, scripting, and staffing burden onto your team.
What should I ask a provider before launching a campaign?
Ask how they verify consent on your contact lists and whether they'll decline lists without clear permission records. Ask how opt-outs and DNC requests are logged, honored, and carried across campaigns. Ask what the full campaign cost is before launch, including any setup or management fees, and whether the rate can move mid-campaign. Finally, ask what the deliverables look like: you should expect a dispositioned contact list, outcome counts, routed follow-ups, a completion report, and opt-out and DNC logs. A provider that answers these plainly is one you can trust with your member relationships.