Health insurance brokerages serve communities where English is often a second language, and that shapes whether a client renews a policy, shows up for an enrollment appointment, or understands their coverage at all. A CSA Research survey of 8,709 consumers across 29 countries found 75% are more likely to engage with a brand contacted in their native language, and research on limited English proficiency patients shows roughly twice the no-show rates compared to English speakers. For brokerages, that gap shows up in missed renewal calls, unconfirmed appointments, and clients who quietly lapse because reminders arrived in the wrong language. The challenge is delivering multilingual outreach without hiring bilingual staff for every market or standing up a call center. This 2026 guide compares five solutions, from fully managed AI calling services to multilingual BPO partners and insurance-focused telesales firms, so you can match the right provider to your consent-sensitive client lists, regulated calling windows, and reporting needs.
#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 (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 commonly requested language. It is a managed service, not software: you buy campaigns that are run 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 works especially well for health insurance brokerages that need renewal reminders, appointment confirmations, lead qualification, and open-enrollment follow-ups delivered in the client's preferred language, without hiring bilingual staff or operating call center software. What sets My AI Call Center apart is list discipline and compliance-forward design. 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. The team tells you plainly if a list will not support the campaign, before you spend anything. For a regulated industry like health insurance, that matters: AI-generated voices are treated as artificial voices under the TCPA with prior express consent 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, DNC requests carry across all campaigns, and HIPAA-compliant communication standards apply. 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, 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
- Honest reporting with no invented metrics, testimonials, or client logos
- Outcomes integrate directly into existing CRM and scheduling tools
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 organizations that need compliant, managed multilingual calling campaigns for renewals, reminders, lead qualification, and open-enrollment follow-ups without hiring bilingual staff or building a call center.
#2 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 is relevant for brokers 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. Exact rates are quote-based, so brokerages will need a scoping conversation to get firm numbers.
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: Brokerages that want very broad language coverage and 24/7 multilingual support across voice, chat, and email with strong security credentials.
#3 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 or multi-state insurance group, 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 insurance use cases, the outbound call center capability is the most relevant piece: large operators running regionally coordinated outreach, appointment reminders, policyholder 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.
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 insurance networks and multi-state brokerage groups that need a single partner covering many languages and regions.
#4 ganira — Contact for pricing (performance-based model; 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. It specializes in full product sales, appointment setting, and lead qualification for insurance companies across key markets including the US, UK, Canada, Germany, Switzerland, Austria, France, Spain, Ireland, and Portugal, covering life, health, property and casualty, and commercial insurance products. For health insurance brokerages, the relevant services include full sales campaigns, confirmed appointment setting with decision-makers such as HR directors, and lead qualification that verifies financial readiness and decision-maker intent. ganira advertises multi-language outreach with native speakers across its target markets and a performance-based pricing model where you only pay when results happen. Its technology stack includes an AI-driven CRM with automated data enrichment, real-time quality assurance with call recording and sentiment analysis, and dynamic scripts that adapt based on prospect responses. The company states it is 100% compliant with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing, and 100% GDPR compliant.
Pros
- Insurance-specific telesales expertise across multiple product lines
- Performance-based model aligns cost with results
- Native speakers across 10 global markets
- Real-time campaign visibility and reporting
Cons
- Sales-oriented model may not suit reminder, confirmation, or survey campaigns
- Quote-based pricing requires a scoping conversation
- Full sales cycle focus may be more than brokerages needing simple outreach
Best for: Insurance carriers and brokerages that want full sales campaigns, appointment setting, and lead qualification with a performance-based pricing model across international markets.
#5 Hugo — Contact for pricing
Hugo provides HIPAA-compliant multilingual voice support for healthcare in 2026, with dedicated phone agents covering 60+ languages, according to its website. Hugo builds dedicated multilingual voice teams for healthcare clients, recruiting talent pools across languages including Spanish, Mandarin, Cantonese, Vietnamese, Tagalog, Arabic, Russian, Haitian Creole, and Portuguese, a language mix that closely mirrors the populations many health insurance brokerages serve. Unlike interpreter relay services that introduce third-party translation in real time, Hugo's teams employ native or bilingual speakers who handle appointment scheduling, benefit inquiries, care navigation, and escalated questions without translation latency. For brokerages, this model suits outbound workflows such as appointment reminders, enrollment follow-ups, and renewal outreach where a live, HIPAA-aware human voice matters. Because the service builds dedicated teams, it fits organizations with ongoing multilingual communication needs rather than one-off campaigns. Pricing is not published, so brokerages will need to contact Hugo directly for a quote.
Pros
- 60+ languages with native or bilingual speakers
- HIPAA-compliant operations built for healthcare
- No translation latency compared to interpreter relay services
- Dedicated teams that learn your workflows
Cons
- Pricing is not published and requires direct contact
- Dedicated team model may not fit small or one-off campaign needs
- Focus on human agents rather than AI-driven campaign automation
Best for: Healthcare-adjacent organizations, including insurance brokerages, that want dedicated HIPAA-compliant human voice teams across many languages for ongoing multilingual communication.
The right multilingual outbound partner for a health insurance brokerage depends on what you are trying to accomplish. If you need structured campaigns with one clear goal, such as renewal confirmations, appointment reminders, or lead qualification in your clients' preferred language, My AI Call Center offers a fully managed service with locked pricing, verified consent review before launch, and compliance built into every call. If you need broad language coverage with 24/7 support, SupportYourApp and Teleperformance bring scale. If you want full sales campaigns with performance-based pricing, ganira fits. And if you want dedicated HIPAA-aware human voice teams, Hugo is worth a conversation. Whichever route you take, insist on clear consent practices, honest reporting, and a full cost picture before you commit. Start with a free campaign review at My AI Call Center and get the complete number before anything launches.
Frequently asked questions
What makes My AI Call Center different from a call center software platform?
My AI Call Center is a managed service, not software. You buy campaigns that its team runs for you, each scoped around one clear goal and quoted before launch. There are no agents to hire, no software to learn, and no platform bill. Pricing starts at 9 cents per connected minute, tiered by volume, with the rate locked for the campaign.
Can these services call purchased lead lists?
My AI Call Center reviews list source and consent records 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. This matters because under the TCPA, AI-generated voices are treated as artificial voices and prior express consent is required.
Which languages do these providers cover?
My AI Call Center runs Multi-Language Outbound Campaigns with Spanish as the most commonly requested language. SupportYourApp covers 60+ languages with human agents and 30+ languages with its AI voice agent. Teleperformance advertises 400+ languages and dialects across approximately 170 countries. Hugo covers 60+ languages with native or bilingual healthcare-focused agents. ganira offers native speakers across 10 global markets.
How is compliance handled for outbound calls in health insurance?
My AI Call Center treats AI-generated voices as artificial voices under the TCPA, requires prior express consent, honors state-specific quiet hours and day restrictions, and includes AI disclosure on every call. Recipients can ask if the call is AI-assisted, request a human, or opt out using STOP or REVOKE keywords, and DNC requests carry across all campaigns. HIPAA-compliant communication standards apply. Requirements vary by location and contact type, so clients should obtain appropriate legal guidance before launch.
How much do multilingual outbound campaigns cost?
My AI Call Center starts at 9 cents per connected minute, tiered by volume, plus a one-time setup fee and flat monthly management fee, all quoted before launch. SupportYourApp, Teleperformance, ganira, and Hugo all use quote-based pricing, so you will need a scoping conversation to get firm numbers from any of them.
What happens to call outcomes and follow-ups?
My AI Call Center delivers a named outcome report with disposition codes (confirmed, qualified, renewed, opted out, no answer), per-call notes, and follow-up requests routed back to your team. Hot leads transfer to your team live or land in your CRM. Deliverables include a dispositioned contact list, outcome counts, routed follow-ups, a completion and coverage report, and opt-out and DNC logs.
Are these services suitable for open enrollment season campaigns?
Yes. My AI Call Center runs structured campaigns with defined windows, including appointment and event reminders and speed-to-lead follow-up calls, which suit the short, intense open enrollment period. After-hours leads are queued and called first thing the next business day. Because every campaign is scoped and quoted before launch, you can plan enrollment-season volume in advance with the full cost known upfront.