Health insurance brokerages live and die by phone conversations: confirming renewals during AEP, reminding members about preventive screenings, following up on ACA quote requests before Open Enrollment closes, and re-engaging lapsed Medicare Advantage members. When a meaningful share of your book prefers Spanish (or another language), English-only outreach quietly sends those enrollments to competitors. The U.S. Census Bureau counts 25.7 million people living with limited English proficiency, and research consistently shows these members experience roughly twice the no-show rates of English-proficient patients. 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, while 40% won't engage at all with content in another language. For brokerages, the challenge is doing this without hiring bilingual staff for every territory or building an in-house call center. This 2026 guide compares five solutions built for consent-sensitive contact lists, regulated calling windows, and honest reporting.
#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 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, Medicare and ACA follow-ups, and member check-in calls delivered in the member's preferred language, without hiring bilingual staff or operating 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 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 (STOP and REVOKE) are logged and honored immediately, and DNC requests carry across all campaigns into your client DNC records. Outcomes route back into the CRM and scheduling tools you already use, 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¢ 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, no minimums you did not choose. And the reporting holds to a simple rule: no invented client logos, testimonials, metrics, or ratings. The first campaign review is free, so you know the full number before approving launch.
Pros
- Fully managed service: no agents to hire, no software to learn, no platform bill
- Strong compliance framework including 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 ratings
- 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 healthcare groups that need compliant, managed multi-language calling campaigns: renewal reminders, appointment confirmations, Medicare and ACA follow-ups, surveys, and retention calls, without hiring bilingual staff or building a call center.
#2 ganira — Performance-based pricing: you only pay when results happen. Contact for specific rates.
ganira is a dedicated outbound telesales partner focused on insurance carriers, agencies, and brokerages across life, health, property and casualty, and commercial lines. According to their website, ganira runs full product sales campaigns, appointment setting, and lead qualification for insurance providers, handling the sales cycle from initial pitch to application submission so licensed agents can stay focused on underwriting and policy management. They operate across 10 markets including the US, UK, Canada, Germany, Switzerland, Austria, France, Spain, Ireland, and Portugal, with native speakers in each, which makes them a strong fit for brokerages serving multilingual populations across North America and Europe. What stands out for health insurance specifically is the domain depth. Their agents are trained on policy riders, underwriting guidelines, and the difference between group benefits and individual plans, and they run dynamic, industry-specific scripts rather than generic call center scripts. They also offer multi-channel outreach across outbound calling, inbound support, and chat-based sales, backed by an AI-driven CRM with automated data enrichment, lead scoring, and predictive analytics. Real-time quality assurance covers call recording, sentiment analysis, and automated compliance checks. They state 100% compliance with local and national Do Not Call regulations and GDPR. Pricing is performance-based: you only pay when results happen. That alignment is unusual in this category and worth a conversation if your brokerage prefers outcome-based commercial terms over per-minute billing. Just note the model is sales-cycle oriented rather than structured reminder or survey work, so it fits brokerages selling policies more than those running retention check-ins.
Pros
- Deep insurance domain training on underwriting, riders, and group vs. individual plans
- Native speakers across 10 markets with 6 languages supported
- Performance-based pricing aligns cost with closed outcomes
- Real-time QA with call recording and sentiment analysis
- Established track record (15+ years, 200+ sales experts per their site)
Cons
- Focused on sales and appointment setting rather than structured reminder or survey campaigns
- Performance-based pricing means costs can vary with campaign results
- Best suited to brokerages with a defined sales motion rather than retention-only outreach
Best for: Health insurance brokerages and carriers that want multilingual outbound sales teams to qualify leads, set confirmed appointments, and close policies across US and European 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 their 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 brokerages handling member communications, enrollment questions, and sensitive health 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. Human agents cover 60+ operational support languages, with omnichannel coverage via its own SupportCRM or third-party CRM integrations. AI agents are available 24/7 across time zones. Security credentials are a genuine strength: SupportYourApp holds ISO 27001 certification and maintains PCI DSS, GDPR, and HIPAA compliance, according to their website. That matters for brokerages subject to HIPAA and CMS consent documentation rules. Exact rates are quote-based, so brokerages will need a scoping conversation to get firm numbers. Worth noting: the 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, so if you need structured renewal or AEP reminder campaigns with disposition reporting, ask specifically how that fits their model.
Pros
- Very broad language coverage across voice and messaging channels
- Strong security and compliance credentials including HIPAA and ISO 27001
- 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 organizations that want very broad language coverage and 24/7 multilingual support across voice, chat, and email with strong security credentials including HIPAA.
#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 health insurance carrier, multi-state brokerage, or national Medicare Advantage marketer, 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 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 reminders, member communications, or follow-up campaigns across diverse language communities can draw on TP's multilingual human agent network. If your brokerage serves, say, Vietnamese-, Tagalog-, or Haitian Creole-speaking members alongside Spanish speakers, the language breadth here is hard to match elsewhere on this list. 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 also get complex given the footprint, and service quality may vary between regions. If you're a single-office brokerage with a few thousand members, this is probably more partner than you need. If you're operating across states and languages at scale, it's worth a scoping call.
Pros
- Unmatched language breadth at 400+ languages and dialects
- Global reach spanning 170+ countries
- Strong scalability for enterprise organizations
- Single partner for inbound and outbound across many channels
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 health insurance carriers, multi-state brokerages, and national Medicare Advantage operators 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 health insurance 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, customer acquisition, retention, and support programs. The company's deep expertise in CX transformation and analytics can help brokerage groups design outreach programs that go beyond one-off campaigns. If you're thinking about building a year-round multilingual member engagement operation rather than just an AEP push, TTEC's consulting-led model is worth exploring. They bring analytics, AI, and automation alongside human delivery, which can help with things like retention modeling and churn prediction across your book. Pricing is aimed at mid-market and enterprise clients and provided on a quote basis, which may put it out of reach for smaller practices. Like Teleperformance, this is a scaled partner: strong for brokerages with multi-state footprints and real volume, heavier than needed for a single-office shop. If you want a partner to help design and operate a broader multilingual member engagement function rather than a single structured campaign, TTEC is a reasonable conversation to have.
Pros
- Multilingual delivery across 50+ languages
- Comprehensive omnichannel support including outbound calling
- Consulting-led approach to CX transformation and analytics
- Global delivery network with remote agent flexibility
Cons
- Pricing aimed at mid-market and enterprise clients
- Better fit for ongoing engagement operations than single structured campaigns
- Longer onboarding cycle than a done-for-you campaign service
Best for: Mid-market to enterprise health insurance brokerages and multi-state groups that want a partner to design and operate a broader multilingual member engagement operation.
Choosing the right multilingual outbound partner comes down to what you need the call to accomplish. If you want structured campaigns with one clear goal, run against approved and permissioned lists with consent checked before dialing, My AI Call Center is the fit. You'll know the full cost before launch, outcomes route back into your CRM, and the reporting holds to no invented numbers. If you need full-cycle multilingual sales teams closing policies across markets, ganira's performance-based model is worth a look. For broad language coverage with strong security credentials, SupportYourApp, Teleperformance, and TTEC each bring real strengths at different scales. Whatever you pick, insist on documented consent capture and clear DNC handling. CMS requires agents to document consent before using member information to quote Marketplace coverage, and the FCC's TCPA rules require prior express written consent for autodialed or prerecorded telemarketing calls. Ready to scope a campaign? Book a free first campaign review at myaicallcenter.app and we'll tell you plainly if your list will support the goal, before you spend anything.
Frequently asked questions
What makes My AI Call Center different from other multilingual outbound providers?
Three things separate it. First, it is a managed service rather than software: you buy campaigns that the team runs for you, each scoped around one clear goal and quoted before launch. Second, list discipline is a hard rule. Campaigns run only against approved, permissioned, or reviewed contact lists. List source and consent records are checked before any campaign launches, and bought lists without clear permission records are typically declined. Third, reporting holds to no invented numbers: no fabricated client logos, testimonials, metrics, or ratings. For health insurance brokerages handling sensitive member data and CMS consent documentation, that combination of compliance-forward process and honest reporting matters more than raw feature count.
Why does language matter so much for health insurance outreach?
The U.S. Census Bureau counts 25.7 million people living with limited English proficiency, and research consistently shows these members experience roughly twice the no-show rates of English-proficient patients. A CSA Research survey of 8,709 consumers across 29 countries found that 75% are more likely to engage with a brand contacted in their native language, while 40% won't engage at all with content in another language. For brokerages, that plays out concretely: renewal reminders in English get ignored, members miss preventive screenings, and enrollment windows close. HIMSS reports telephone reminders reduced missed appointments by as much as 22%, so the channel works when the language matches.
What compliance rules apply to AI-assisted outbound calls to health plan members?
AI-generated voices are treated as artificial voices under the TCPA, which means prior express consent is required before dialing. State-specific quiet hours, day restrictions, and registration rules apply on top of that. For HealthCare.gov work, CMS requires agents to document a consumer's consent before using their information to quote Marketplace coverage or enroll them. My AI Call Center handles this with AI disclosure on every call, keyword opt-outs (STOP and REVOKE) logged and honored immediately, DNC requests carried into your client records across all campaigns, and HIPAA-compliant communication standards on clinic pages. That said, campaign requirements vary by location, industry, contact type, consent status, and technology, so get appropriate legal guidance before launch.
How much do multilingual outbound campaigns cost?
It varies by model. My AI Call Center 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. There are no per-seat charges and no platform bill. ganira uses performance-based pricing where you pay on results. SupportYourApp, Teleperformance, and TTEC all quote on request, with the latter two geared to mid-market and enterprise budgets. Ask any provider to quote the whole campaign before launch rather than a per-seat rate you can't compare.
Do I need to hire bilingual staff to run multilingual campaigns?
No, and that is the main reason brokerages look at these providers in the first place. My AI Call Center runs Multi-Language Outbound Campaigns (Spanish most commonly) as a managed service, so you do not hire bilingual staff or run call center software. ganira provides native speakers across 10 markets as part of their telesales teams. SupportYourApp covers 60+ languages through human agents and AI tools. Teleperformance and TTEC bring large multilingual agent networks. The trade-off is control: with a managed service you approve scripts and escalation paths up front rather than supervising agents day to day.
What should I check before approving any outbound campaign that touches member lists?
Ask four questions. Where did the list come from, and are consent records documented? Under FCC TCPA rules, autodialed or prerecorded telemarketing calls need prior express written consent, and CMS requires documented consent for Marketplace quoting. What calling windows and quiet hours apply in each state you are dialing? How are opt-outs and DNC requests handled, and do they carry across campaigns? What does the report actually contain: disposition codes, per-call notes, routed follow-ups, and opt-out logs, or just a summary? My AI Call Center reviews all of this before launch and tells you plainly if the list will not support the campaign.
When should a health insurance brokerage run multilingual renewal calls?
Renewal and retention calls work best 30 to 60 days before the renewal date, which lines up well with AEP timing for Medicare Advantage and ACA plans. Open Enrollment for 2027 coverage runs November 1, 2026 to January 15, 2027 on HealthCare.gov, with December 15 as the last day for coverage starting January 1. If you are running multilingual renewal quoting and upsell campaigns, plan backwards from those dates. Database reactivation blitzes for lapsed members typically run two to four weeks with structured multi-touch across calls, texts, and emails.