Health insurance brokerages live or die on renewal conversations, enrollment reminders, and follow-ups, and a growing share of those conversations happen in Spanish. More than 25 million people in the United States live with limited English proficiency, and a CSA Research survey found that 75% of consumers are more likely to engage with a brand when contacted in their native language. For brokerages, that translates directly into completed confirmations, better-attended appointments, and fewer silent lapses at renewal time. The problem is operational: hiring bilingual staff for every campaign is expensive, and most brokerages do not want to build a call center just to confirm appointments or qualify leads. Multi-language outbound campaign services solve this by running structured calling campaigns in the language your contacts actually prefer, with outcomes routed back into the CRM and scheduling tools you already use. In this 2026 guide, we compare five solutions, from managed AI calling services to multilingual outsourcing firms, evaluated on language coverage, compliance posture, healthcare and insurance 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 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 fits health insurance brokerages that need lead qualification calls, speed-to-lead follow-up, appointment and enrollment reminders, renewal and retention calls timed 30 to 60 days before the renewal date, and surveys delivered in the contact's preferred language, without hiring bilingual staff or running call center software.
Pros
- Fully managed service: no agents to hire, no software to learn, no platform bill
- Strong compliance framework including verified consent, AI disclosure, and state quiet hours
- Transparent, locked pricing with the full campaign cost known before launch
- Outcomes integrate directly into existing CRM and scheduling tools with actionable disposition data
- Honest reporting with no invented numbers
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 multi-language calling campaigns for renewals, reminders, lead qualification, and follow-ups, without hiring bilingual staff or building a call center.
#2 ganira — Contact for pricing (performance-based model; you only pay when results happen)
ganira is an outbound telesales partner specializing in insurance, with 15+ years of experience serving insurance carriers, agencies, and brokerages across life, health, home, and commercial lines, according to its website. For health insurance brokerages, its relevant services include full product sales campaigns, appointment setting with decision-makers such as HR directors and CFOs for group benefits, and lead qualification that verifies financial readiness and decision-maker intent. The company operates across 10 global markets including the US, UK, Canada, Germany, Spain, and France, and advertises multi-language outreach with native speakers across target markets, listing 6 languages and 200+ sales experts on its site. ganira uses an AI-driven CRM with automated data enrichment, lead scoring, and real-time quality assurance including call recording, sentiment analysis, and automated compliance checks. It states it is 100% compliant with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing, and GDPR compliant. Its performance-based pricing model means you only pay when results happen, which aligns cost with outcomes.
Pros
- Deep insurance industry specialization, including health insurance products
- Performance-based pricing aligns cost with outcomes
- Native-speaker agents across multiple markets
- Real-time campaign visibility and reporting
Cons
- Language coverage (6 listed languages) is narrower than some global BPO providers
- Sales-focused model may be more than brokerages need for simple reminder or confirmation campaigns
- Pricing is not published, so comparison requires a sales conversation
Best for: Insurance carriers, agencies, and brokerages that want a sales-focused outbound partner with performance-based pricing across US and European markets.
#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 members or prospects 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 use cases, the outbound call center capability is the most relevant piece: brokerages running regionally coordinated outreach, appointment reminders, member communications, or enrollment 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, and onboarding can get complex given the footprint.
Pros
- Unmatched language breadth at 400+ languages and dialects
- Global reach across roughly 170 countries
- Strong scalability for enterprise-scale campaigns
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 brokerages that need a single partner covering many languages and regions.
#4 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 organizations 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. 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: Insurance organizations that want very broad language coverage and 24/7 multilingual support across voice, chat, and email with strong security credentials.
#5 Hugo — Contact for pricing
Hugo provides fully managed, dedicated bilingual and multilingual teams for healthcare organizations, working with health systems, digital health brands, payers, and wellness companies, according to its website. For health insurance brokerages operating in regulated healthcare contexts, that healthcare focus is the draw: Hugo builds programs around HIPAA-aligned operations, signed BAAs where applicable, and QA programs that monitor language-access disclosures alongside script adherence. Its multilingual voice support spans 30+ languages with dedicated, university-educated agents rather than shared pools, which keeps agents familiar with your protocols and escalation paths. Hugo publishes operational KPIs such as a sub-4-second phone pickup and offers 24/7/365 coverage with a Surge Protect capability for on-demand capacity during open enrollment and seasonal volume spikes, a timing reality every health insurance brokerage knows well. The company also advertises rapid onboarding measured in weeks, a 30-day risk-free trial, and month-to-month contracts, which lowers the risk of piloting a multilingual outbound program. Pricing is not published, so budgeting requires a direct conversation.
Pros
- Dedicated teams rather than shared agent pools, improving protocol familiarity
- Strong healthcare and HIPAA posture with published SLAs
- Surge capacity built for open enrollment volume spikes
- Low-risk contracting with a 30-day trial and month-to-month terms
Cons
- Pricing is not published, complicating upfront comparison
- Human-team model costs more than AI-first alternatives at high volumes
- Healthcare operations focus may exceed the needs of brokerages wanting simple reminder campaigns
Best for: Health insurance brokerages and healthcare organizations that want dedicated multilingual human teams with HIPAA-aligned operations, especially around open enrollment surges.
Multi-language outbound campaigns are no longer optional for health insurance brokerages serving linguistically diverse communities. With 25.7 million people in the US living with limited English proficiency and 75% of consumers more likely to engage in their native language, an English-only renewal or reminder campaign quietly leaves enrollments on the table. The right partner depends on your scale and your lists. If you need structured, compliant campaigns against approved, permissioned contact lists, with outcomes routed into the CRM you already run, My AI Call Center offers managed multi-language campaigns starting at 9¢ per connected minute, with the full cost quoted before launch and the first campaign review free. If you need full sales-cycle telesales with performance-based pricing, ganira fits. For enterprise-scale language breadth, look at Teleperformance or SupportYourApp. And for dedicated human teams built around HIPAA-aligned healthcare operations, Hugo is worth a conversation. Whatever you choose, ask the same questions: where did the list come from, is consent documented, and what will the campaign actually cost before it launches?
Frequently asked questions
What makes My AI Call Center different from other multi-language outbound providers?
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. Its list discipline is a genuine differentiator. 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. Pricing is locked for the campaign, reporting contains no invented numbers, and compliance features include AI disclosure on every call, keyword opt-outs honored immediately, and DNC requests carried across all campaigns.
How much do multi-language outbound campaigns cost for a health insurance brokerage?
It varies widely by model. My AI Call Center starts at 9¢ per connected minute, tiered by volume, with most campaigns adding a one-time setup fee and a flat monthly management fee, both quoted before launch. ganira uses performance-based pricing where you pay only when results happen, with rates provided on request. Teleperformance, SupportYourApp, and Hugo all use quote-based pricing geared to their service models, so you will need a scoping conversation to get firm numbers from any of them.
Which languages do these providers support?
Coverage varies significantly. My AI Call Center centers on Spanish as its most commonly requested language. ganira lists 6 languages with native speakers across 10 global markets. SupportYourApp covers 60+ languages with human agents and 30+ languages for its AI voice agent. Teleperformance supports 400+ languages and dialects across roughly 170 countries. Hugo provides dedicated teams in 30+ languages. Match language depth to your actual member base rather than paying for coverage you will not use.
Are AI-generated calls compliant for insurance outreach?
Compliance depends on consent and disclosure. My AI Call Center treats AI-generated voices as artificial voices under the TCPA, requiring prior express consent, and it honors state-specific quiet hours and day restrictions. Every call includes AI disclosure, and 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. Campaign requirements vary by location, industry, contact type, and consent status, so clients should obtain appropriate legal guidance before launch. Any provider you consider should be able to explain its consent verification and disclosure practices in plain terms.
Can these services run renewal and retention calls timed to my book of business?
My AI Call Center runs dedicated Renewal and Retention Calls, typically timed 30 to 60 days before the renewal date, alongside appointment reminders, lead qualification, and speed-to-lead follow-up. Hugo supports outbound care gap outreach and member re-enrollment campaigns. ganira handles policy reviews and lead qualification as part of its sales campaigns. For the most structured renewal timing with disposition reporting back into your CRM, a managed campaign service like My AI Call Center is the most direct fit.
Do I need to hire bilingual staff or buy call center software to use these services?
No, not with a managed service. My AI Call Center requires no agents to hire, no software to learn, and no platform bill; outcomes route back into the CRM and scheduling tools you already run. Hugo provides dedicated multilingual teams on your behalf. Teleperformance and SupportYourApp staff the agents themselves. Self-serve dialer platforms would put the staffing and scripting burden on you, which is exactly what these managed options are designed to remove.
How do I know if my contact list will support a multi-language outbound campaign?
Ask about consent records before you commit. My AI Call Center reviews list source, consent records, and calling windows before any campaign launches, and it tells you plainly if the list will not support the campaign, before you spend anything. Under TCPA rules, telemarketing calls to cell phones generally require prior express written consent, and health insurance work adds consent documentation requirements of its own. If a provider cannot explain where your list came from and whether consent is documented, that is a reason to walk away.