Elythea Pricing: Features, Cost, and the Best Alternatives in 2025
A detailed comparison of Elythea and CoverageVoice.ai for Medicare Voice AI automation, exploring which platform offers better compliance, automation, and ROI for health plans and managed care organizations in 2025.
Elythea pricing has become a frequent question among Medicare Advantage and Medicaid plans in 2025. The platform focuses on AI-powered member outreach, automating compliance workflows like HEDIS gap closure, HRA completion, and medication adherence. Below, we break down Elythea's features, cost, and the best alternatives delivering HIPAA-compliant Voice AI automation for the managed care industry.
What is Elythea?
Elythea is a Y Combinator-backed (S23) healthcare Voice AI startup founded by Reetam Ganguli. Originally built for maternal health AI, the company has pivoted to managed care Voice AI, targeting Medicare Advantage and Medicaid programs. Elythea's promise is simple: "zero-lift member outreach automation." Health plans only upload a member list, and Elythea's AI voice agents handle the rest — no integrations or IT setup required.
Key Features
- HEDIS gap closure calls (screenings, preventive care)
- Prescription adherence outreach
- Care manager scheduling and follow-up
- Health Risk Assessment (HRA) completion
- Provider directory and eligibility verification
- New member onboarding and satisfaction calls
- Multi-language support with HIPAA-compliant AI agents
- HEDIS, CAHPS, and STARS rating optimization
Elythea Pricing and Cost (2025)
Elythea does not disclose its pricing publicly. Health plans must request a quote based on member volume and campaign type.
Based on reported data, Elythea pricing starts around $1.2M+ ACV (Annual Contract Value) for large Medicare Advantage plans. Smaller managed care organizations may qualify for pilot programs or limited-scope contracts starting below that threshold.
CoverageVoice.ai: HIPAA-Compliant AI Agents for Medicare
CoverageVoice.ai is a modern Voice AI platform for Medicare agencies and FMOs that automates member outreach, enrollment, renewals, and satisfaction calls all at a predictable monthly price. Unlike Elythea, CoverageVoice.ai offers instant setup, no-code integration, and transparent pricing, making it more accessible to smaller healthcare organizations.
Key Features
CoverageVoice.ai Pricing Plans
Transparent, predictable pricing with no hidden fees or long-term contracts
Starter
1,000 AI-handled calls
- HIPAA + CMS compliance
- CRM integrations
- Basic analytics
Pro
5,000 calls
- Analytics
- Workflow builder
- Team tools
Agency
15,000 calls
- White-label option
- Private Slack support
- Priority onboarding
Enterprise
Volume-based
- Volume-based discounts
- HIPAA + SOC2 compliance
- Dedicated support
Elythea Alternatives & Competitors in 2025: Medicare Voice AI Platform Comparison
| Feature / Platform | Elythea | CoverageVoice.ai | CareCycle | RIVVI | GoldRock.ai |
|---|---|---|---|---|---|
| Primary Focus | Managed care compliance (HEDIS/STARS) | Medicare Voice AI for agencies & FMOs | Enrollment & renewals | Adherence & care coordination | AI Medicare retention |
| Deployment Time | 24–48 hours | <48 hours | 1–2 weeks | 4–6 weeks | 3–5 days |
| Pricing Model | Enterprise quote ($1.2M+ ACV) | Fixed monthly (from $99/mo) | Enterprise quote ($10K+/mo) | Enterprise ($100K+/yr) | Custom |
| Compliance Focus | HEDIS, CAHPS, STARS | HIPAA + CMS | Enrollment compliance | PDC adherence | CMS renewals |
| After-Hours Coverage | Yes | 24/7 inbound + outbound | Limited | Limited | 24/7 |
| Integrations | None (zero-lift CSV model) | Salesforce, HubSpot, Zoho | Salesforce, HubSpot | 90+ EMRs | Salesforce |
| AI Voice Agents | Multi-language managed care AI | Human-like natural voice | Basic automation | Clinical voice AI | Conversational AI |
| Target Customers | Health plans & Medicaid programs | Medicare agencies, FMOs, call centers | Large FMOs & TPAs | Medicare Advantage plans | Agencies & carriers |
| Compliance Certifications | HIPAA + HITRUST | HIPAA + SOC 2 + CMS | HIPAA | HIPAA + HITRUST | HIPAA + CMS |
| Setup Complexity | None (zero-integration) | Low (no-code) | Medium | High | Moderate |
| Trial or Demo | Request only | Free demo | Request demo | Request demo | Request demo |
Why Organizations Choose CoverageVoice.ai Over Elythea
Transparent Pricing
No enterprise ACVs or lengthy contracts — fixed monthly plans for predictable budgeting.
HIPAA-Compliant AI Agents
Every call meets CMS and HIPAA requirements with full voice logging and consent tracking.
Faster Setup
Deploy in under 48 hours, no IT or CSV upload dependencies.
End-to-End Medicare Automation
Handles pre-screening, enrollment, renewals, and retention with measurable ROI.
Accessible for All Agencies
Built for FMOs, call centers, and smaller health plans that need 24/7 coverage without enterprise costs.
Which Medicare Voice AI Should You Choose?
Choose Elythea if:
- You operate a large Medicare Advantage or Medicaid plan.
- You need outreach automation for compliance metrics (HEDIS, CAHPS, STARS).
- You prefer a managed vendor model with minimal technical lift.
Choose CoverageVoice.ai if:
- You run a Medicare agency or FMO.
- You need HIPAA-compliant AI agents for Medicare enrollment and follow-up.
- You want transparent pricing and instant go-live capability.
In 2025, CoverageVoice.ai is the best Elythea alternative, combining compliance, scalability, and affordability for growing Medicare agencies and health systems.
Frequently Asked Questions
Elythea automates member outreach for HEDIS gap closure, HRAs, and adherence calls across Medicare Advantage and Medicaid programs.
Pricing starts around $1.2M+ annually, depending on member volume and campaign complexity.
Yes. It's fully HIPAA and CMS compliant with secure call storage, consent verification, and SOA capture.
CoverageVoice.ai — it's more affordable, faster to launch, and built for FMOs and call centers.
No integrations are needed. Elythea operates on a "zero-lift" model, requiring only a member list to begin outreach.
Try CoverageVoice.ai Today
Automate your Medicare enrollment, outreach, and renewals with HIPAA-compliant Voice AI.
Book a free demo to see how your organization can improve compliance and scale outreach this AEP.