If you run a health insurance brokerage, you already know that language decides whether a renewal call gets answered or ignored. The U.S. Census Bureau counts roughly 25.7 million people living with limited English proficiency, and a CSA Research survey of consumers across 29 countries found 75% are more likely to engage with a brand that contacts them in their native language. For a brokerage, that gap shows up in renewal retention, open enrollment follow-ups, and lead qualification: your Spanish-speaking members hear an English script, disengage, and you read the silence as lack of interest. The hard part has always been staffing. Hiring bilingual agents for every market is expensive and slow, and contact center turnover runs as high as 60% a year by some industry estimates. This 2026 guide compares five solutions that can run multi-language outbound calling for health insurance brokerages, from managed AI calling services to multilingual outsourcing firms. We looked at language coverage, compliance posture, healthcare fit, and pricing transparency, so you can match the right partner to your permissioned contact lists and regulated calling windows.
#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 commonly requested language. It is a managed service, not software: you buy campaigns that the provider's team runs for you, each scoped around one clear goal and quoted in full 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 to 200+ staff, which fits most growing health insurance brokerages that need renewal and retention calls, lead qualification, speed-to-lead follow-up, appointment reminders, and win-back campaigns delivered in the contact'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 health insurance brokerage, that matters: AI-generated voices are treated as artificial voices under the TCPA, so 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, and STOP and REVOKE keyword opt-outs are logged and honored immediately. DNC requests carry across all campaigns and into your DNC records. Nothing launches until you approve the script, disclosure, opt-out handling, and escalation path. 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 sent straight to your team. Hot leads transfer live or land in your CRM. Pricing is transparent: calling starts at 9¢ 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. 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: TCPA alignment, AI disclosure on every call, verified consent, state quiet hours honored
- Transparent, locked pricing with the full campaign cost known before launch
- Outcomes route directly into existing CRM and scheduling tools with actionable disposition data
- Honest reporting with no invented metrics, testimonials, or client logos
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 insurance organizations that need compliant, managed multi-language calling campaigns for renewals, lead qualification, reminders, and retention, without hiring bilingual staff or building a call center.
#2 Hugo — Contact for pricing
Hugo provides HIPAA-compliant multilingual voice support for healthcare, with dedicated phone agents covering 60+ languages, according to its website. For health insurance brokerages serving linguistically diverse member populations, Hugo's model is built around native or bilingual speakers who handle scheduling, benefits navigation, and escalated questions without the translation delay of interpreter relay services. The company recruits talent pools across languages including Spanish, Mandarin, Cantonese, Vietnamese, Tagalog, Arabic, Russian, Haitian Creole, and Portuguese, which covers most of the language groups a U.S. brokerage will encounter during open enrollment. According to Hugo's published materials, operations are ISO 27001 certified, SOC 2 compliant, and HIPAA-aligned, with encrypted telephony, role-based access controls, and continuous QA monitoring by native-speaking evaluators. The company reports phone pickup under 4 seconds and first-call resolution rates above 85%, with dedicated teams assigned to healthcare clients rather than shared across industries. Hugo also describes outbound multilingual call programs that health plans use to close care gaps, confirm preventive screenings, and drive re-enrollment among limited-English-proficiency populations, which maps closely onto a brokerage's renewal and retention use case. Pricing is not publicly disclosed and requires a scoping conversation.
Pros
- Very broad language coverage with native-fluent agents
- Strong compliance and security posture including HIPAA alignment and ISO 27001 certification
- Dedicated healthcare teams ensure workflow mastery and brand alignment
- Outbound programs designed for re-enrollment and LEP outreach
Cons
- Pricing not publicly disclosed, requiring a consultation
- Human-staffed model carries higher cost than AI-driven campaign services
- Focused on support operations generally rather than structured, single-goal outbound campaign design
Best for: Health insurance brokerages and health plans that need dedicated human multilingual voice teams with strong HIPAA and security credentials across many languages.
#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 communications during renewal and enrollment windows. 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. These tools integrate into existing tech stacks and provide 24/7 availability across time zones. Human agents cover 60+ operational support languages, and the company offers omnichannel coverage via its own SupportCRM or third-party CRM integrations, plus custom help desk integration and migration services. 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, though package structures and included features are publicly available, 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: Health insurance brokerages 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 or multi-state insurance distribution 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. The company's infrastructure supports strong scalability for enterprise organizations, and its size makes it a benchmark in global outsourcing. For health insurance brokerages, the outbound call center capability is the most relevant piece: large operators running regionally coordinated renewal outreach, member communications, or lead qualification campaigns across diverse language communities can draw on TP's multilingual human agent network. The tradeoffs are real, though. Pricing is geared to mid-market and enterprise budgets and provided on a quote basis, onboarding can get complex given the organization's size, and service quality may vary between regions. 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 brokerages and multi-state insurance distribution organizations that need a single partner covering many languages and regions.
#5 ganira — Contact for pricing (performance-based model; no sales, no payment)
ganira is an outbound telesales partner focused specifically on the insurance industry, executing full sales campaigns, appointment setting, and lead qualification for carriers, agencies, and brokerages across life, health, property and casualty, and commercial products. For health insurance brokerages, the relevant services include appointment setting with decision-makers, insurance lead qualification and vetting, and multi-channel outreach combining outbound calling with inbound support and chat-based sales. The company operates across 10 markets including the United States, Canada, the United Kingdom, Germany, Spain, and Portugal. Multi-language outreach is a stated strength: ganira advertises native speakers across target markets and lists 6 languages among its operating figures. Its pricing model is performance-based, meaning you only pay when results happen, which the company frames as alignment between its interests and yours. On the technology side, ganira describes an AI-driven CRM with automated data enrichment and lead scoring, real-time quality assurance with call recording and sentiment analysis, and dynamic scripting that adapts 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. One note for brokerages with strict consent standards: ganira also offers lead generation services, so you will want to confirm list sourcing and consent documentation for any campaign touching your existing member base.
Pros
- Insurance-specific expertise across health, life, and commercial products
- Multi-language outreach with native speakers
- Performance-based pricing aligns vendor incentives with results
- Real-time reporting and quality assurance on campaigns
Cons
- Human-staffed telesales model carries higher cost than AI-driven campaign services
- Exact rates are not publicly listed
- Also offers lead generation, so list sourcing and consent records need careful review for permissioned-list brokerages
Best for: Health insurance brokerages that want an insurance-specialized outbound telesales partner with native-speaker multi-language outreach and a pay-for-performance model.
The right multi-language outbound campaign partner depends on the shape of your brokerage. If you want broad language coverage with human agents and can absorb enterprise pricing, Teleperformance and Hugo bring serious scale and, in Hugo's case, a healthcare-specific compliance posture. If you want a wide AI-plus-human footprint across channels, SupportYourApp covers a lot of ground. If insurance-specialized telesales with performance pricing fits your sales motion, ganira is worth a conversation. But if what you actually need is compliant, structured calling against your own permissioned member and lead lists, in Spanish or another preferred language, with the full campaign cost known before launch and outcomes routed straight into your CRM, My AI Call Center is built for exactly that. Calling starts at 9¢ per connected minute, tiered by volume, with a one-time setup and flat monthly management fee quoted up front. The first campaign review is free, and the team will tell you plainly if your list will not support the campaign before you spend anything. Plan your campaign at myaicallcenter.app or reach the team at [email protected].
Frequently asked questions
What makes My AI Call Center different from other multi-language outbound options?
It is a managed service, not software. You buy campaigns that the provider's team runs for you, each scoped around one clear goal and quoted in full before launch. Campaigns run only against approved, permissioned, or reviewed contact lists, and bought lists without clear permission records are usually declined. Compliance is built in: AI-generated voices are treated as artificial voices under the TCPA with prior express consent required, AI disclosure appears on every call, and STOP and REVOKE keyword opt-outs are honored immediately. Pricing is locked per campaign, starting at 9¢ per connected minute, with no per-seat charges or platform bill.
Which languages can My AI Call Center call in?
Multi-Language Outbound Campaigns are a core campaign type, with Spanish the most commonly requested language. If you need languages beyond Spanish, raise it during the free campaign review and the team will confirm what your specific campaign can support before anything launches.
How does a health insurance brokerage stay compliant when using AI calling?
AI-generated voices are treated as artificial voices under the TCPA, which means prior express consent is required before calling. You should also honor state-specific quiet hours, day restrictions, and registration rules, disclose that the call is AI-assisted, and honor opt-out requests immediately. My AI Call Center builds all of this into every campaign: consent records are reviewed before launch, disclosure appears on every call, recipients can request a human or opt out, and DNC requests carry across all campaigns. Campaign requirements vary by location, industry, and contact type, so brokerages should still obtain their own legal guidance before launch.
Can these campaigns handle renewal and retention outreach, not just sales?
Yes. My AI Call Center runs Renewal and Retention Calls starting 30 to 60 days before the renewal date, plus renewal quoting and upsell calls, win-back campaigns for 12 to 24 month dormants, payment reminders, and lead qualification. Each campaign is scoped around one clear outcome, and results come back with disposition codes like renewed, qualified, or opted out, routed into your CRM.
How much do multi-language outbound campaigns cost?
It varies by provider. My AI Call Center charges from 9¢ per connected minute, tiered by volume, plus a one-time setup fee and flat monthly management fee, all quoted before launch, with the rate locked for the campaign. Hugo, SupportYourApp, Teleperformance, and ganira all price on a quote basis, so you will need a scoping conversation for firm numbers. ganira uses a performance-based model where you pay only when results happen.
Will My AI Call Center work with a purchased lead list?
Probably not, and that is deliberate. 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 the list will not support the campaign before you spend anything. Campaigns work best against your own member lists, opted-in leads, and reviewed contact databases where consent can be documented.