Best Multi-Language Outbound Campaigns for Health Insurance Brokerages

Health insurance brokerages operate in a regulatory environment where a single misstep in consent management or language access can trigger compliance violations. With 25.7 million people in the U.S. living with limited English proficiency, the ability to reach policyholders and prospects in their native language is no longer a nice-to-have; it is a core operational requirement for enrollment, retention, and care gap closure. However, the traditional approach of hiring bilingual agents for every market or building a proprietary call center infrastructure is often cost-prohibitive for mid-sized brokerages. You need a partner that handles the technical execution, maintains strict compliance with TCPA and state-specific quiet hours, and delivers honest, verifiable results without inflating metrics. This 2026 guide compares five solutions that help health insurance brokerages run structured, multi-language outbound campaigns. We focus on platforms that offer genuine multilingual capabilities, transparent pricing, and compliance frameworks that protect your agency from regulatory risk. Whether you are looking to reduce no-shows for open enrollment events, re-engage lapsed members, or qualify leads in Spanish, these options provide the operational leverage you need to scale outreach without scaling headcount.

#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 is a done-for-you managed outbound calling service designed for organizations that need structured, compliant calling campaigns without building a call center. Owned and operated by AIQ Labs, the service runs AI-powered campaigns against approved, permissioned, or reviewed contact lists only. It is explicitly not a self-serve software platform; you buy campaigns that are run for you, each scoped around one clear goal such as lead qualification, appointment reminders, or retention calls. For health insurance brokerages, this model is particularly effective for multi-language outreach, with Spanish being the most commonly requested language. The service handles the entire execution, including script approval, consent verification, and outcome routing, allowing your agents to focus on closing policies rather than dialing lists. The company is based in Halifax, Nova Scotia, with an operating base in Austin, Texas, and emphasizes list discipline as a core differentiator. Bought lists without clear permission records are flagged and typically declined before you spend anything, which protects your brokerage from TCPA risks associated with indiscriminate cold calling. The reporting is strictly factual; the team reports what actually happened, with no invented client logos, testimonials, or metrics. Outcomes, including disposition codes and follow-up requests, route directly into your existing CRM and scheduling tools. This ensures that hot leads are transferred live or logged for immediate follow-up by your licensed agents. The service is ideal for brokerages that need to reach Spanish-speaking communities for open enrollment, renewal reminders, or care gap outreach without hiring bilingual staff or managing complex dialer software.

Best for: Health insurance brokerages and multi-location agencies that need compliant, managed multi-language calling campaigns for open enrollment, retention, and lead qualification without hiring bilingual staff or building call center infrastructure.

#2 ganira — Performance-based pricing; contact for specific rates as they are not publicly listed.

ganira is a dedicated outbound telesales partner with over 15 years of experience, specializing in insurance providers across 10 global markets including the US, UK, Canada, and several European countries. According to their website, they offer full product sales, appointment setting, and lead qualification for insurance companies, with a specific focus on health, life, and P&C policies. Their model is performance-based, meaning you only pay when results happen, which aligns their incentives with your brokerage's revenue goals. They claim to use native speakers across all target markets for multi-language outreach, which is a significant strength for brokerages serving diverse communities. The company utilizes AI-driven CRM and real-time quality assurance to track calls, leads, and appointments. However, their primary focus appears to be on sales and lead generation rather than compliance-led structured campaigns like reminders or retention calls. They operate on a commission-based or performance-based pricing model, which can be attractive for brokerages focused on new policy acquisition. Their infrastructure includes dynamic scripting and multi-channel outreach, combining outbound calling with chat-based sales. While they are a strong partner for sales-driven outbound, brokerages must verify that their specific compliance needs for health insurance (such as HIPAA or state-specific consent rules) are fully addressed by their framework, as their primary positioning is on telesales efficiency rather than regulated healthcare outreach.

Best for: Health insurance brokerages focused on new policy sales and lead qualification who want a performance-based partner with native-speaking agents across multiple global markets.

#3 SupportYourApp — Contact for pricing; quote-based with package structures publicly available.

SupportYourApp offers AI-powered multilingual customer support outsourcing in 60+ languages to clients across 30+ countries. While their primary focus is customer support, they list healthcare as a target industry, which makes them relevant for health insurance brokerages needing broad language coverage. Their 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 that works across chat, email, and messaging channels in 45+ languages. This breadth is a genuine strength for brokerages serving highly diverse populations. The company holds ISO 27001 certification and maintains PCI DSS, GDPR, and HIPAA compliance, which is critical for handling sensitive health insurance data. However, their outbound calling scope is described as routine calls rather than structured, compliance-led campaign work. They do not appear to offer the same level of list discipline and consent verification that specialized outbound partners provide. Pricing is quote-based, so brokerages will need to engage in a scoping conversation to get firm numbers. Their model is best suited for organizations that need 24/7 multilingual support across multiple channels, including voice, chat, and email, rather than just outbound calling. They offer custom support solutions matched to your organization's needs, which can be beneficial for complex brokerage operations. The 24/7 availability across time zones is a plus for after-hours support, but brokerages should verify if this aligns with their specific campaign goals.

Best for: Health insurance brokerages that need 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 is one of the largest business process outsourcing providers worldwide, serving approximately 170 countries with support in 400+ languages and dialects. For large health insurance networks or multi-state brokerage groups, this scale is the main draw. A single partner can cover nearly any language your policyholders speak, across inbound and outbound calling, technical support, and live chat. The company's infrastructure supports strong scalability for enterprise organizations, making it a benchmark in global outsourcing. However, pricing is geared to mid-market and enterprise budgets and is provided on a quote basis, which may put it out of reach for smaller or mid-sized brokerages. Onboarding can be complex due to the sheer size of the organization. Service quality may vary between regions given the global footprint, which is a risk for brokerages that need consistent compliance and messaging across all touchpoints. Teleperformance is best suited for large enterprises that need a single partner covering many languages and regions. Their ability to handle high-volume, multi-channel campaigns is a strength, but brokerages should be prepared for a longer onboarding process and potentially higher costs compared to specialized outbound partners. They offer comprehensive omnichannel support, which can be useful for brokerages that want to unify their customer experience across phone, chat, and email. However, the lack of transparent pricing and the enterprise-focused model mean that smaller brokerages may find the fit challenging.

Best for: Large health insurance networks and multi-state operators that need a single partner covering many languages and regions with enterprise-grade scalability.

#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, they support multilingual delivery across 50+ languages with comprehensive omnichannel support. For health insurance brokerages pursuing larger patient engagement programs, TTEC's strength is the combination of multilingual delivery with deep expertise in CX transformation and analytics. They can help brokerage groups design outreach programs that go beyond one-off campaigns, integrating data insights to improve customer retention and acquisition. However, pricing is aimed at mid-market and enterprise clients, which may put it out of reach for smaller practices or independent agencies. Their consulting-led model is worth exploring for brokerages that want a partner to help design and operate a broader multilingual patient engagement operation, rather than a single structured campaign. TTEC offers customer acquisition, retention, and support programs, which aligns well with the full lifecycle of health insurance policyholders. The company's focus on analytics and AI can help brokerages optimize their outreach strategies over time. However, the lack of transparent pricing and the enterprise focus mean that smaller brokerages should carefully evaluate the cost-benefit ratio. TTEC is a strong option for organizations that view multilingual outreach as part of a broader customer experience transformation strategy.

Best for: Health insurance brokerages that want a partner to help design and operate a broader multilingual patient engagement operation with a focus on CX transformation and analytics.

Choosing the right multi-language outbound campaign partner for your health insurance brokerage depends on your specific goals, budget, and compliance requirements. If you need a managed, compliance-first service that handles the entire execution from consent verification to outcome routing, My AI Call Center offers a transparent, cost-effective solution with no hidden fees or invented metrics. For sales-driven outreach with performance-based pricing, ganira is a strong option, especially if you are targeting multiple global markets. If you need broad language coverage and 24/7 support across multiple channels, SupportYourApp provides robust AI-powered support with strong security credentials. For large-scale, enterprise operations requiring extensive language support, Teleperformance and TTEC offer the scale and resources to match, though at a higher cost and complexity level. Regardless of which partner you choose, ensure that they have a clear compliance framework that aligns with TCPA and state-specific regulations, and that they provide honest, verifiable reporting. The right partner will help you reach more policyholders in their native language, reduce no-shows, and drive enrollment without the overhead of building a call center. Start by defining your campaign goals and reviewing your contact list consent records, then reach out to these providers for a scoping conversation. Your first step is to request a free campaign review from My AI Call Center or a quote from your preferred partner to see how they can support your brokerage's outreach needs in 2026.

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