Instantly Verify Medicare & Medicaid Eligibility
Stop wasting time on unqualified prospects. coverage voice uses AI-powered Medicare Voice AI to instantly verify Medicare and Medicaid eligibility based on age, income, disability, or coverage status 24/7, with full HIPAA compliance. Your agents get only qualified, ready-to-enroll leads while automation handles the rest.
Manual Screening Wastes Time and Money
Traditional pre-screening processes create inefficiencies that drain productivity and revenue:
Unqualified Leads Drain Productivity
Slow Response Kills Conversions
After-Hours Leads Go Cold
Manual Errors Cost Revenue
How coverage voice Automates 24/7 Pre-Screening
Automates Medicare and Medicaid eligibility verification with AI-powered screening that works around the clock to qualify leads instantly.
Instant Medicare Eligibility Checks
Verifies age (65+), disability, or ESRD status instantly. Identifies Initial, Special, or Annual Enrollment Periods automatically. Detects current coverage to avoid duplicate outreach. Routes only eligible beneficiaries to licensed agents.
Automated Medicaid Income & Asset Verification
Applies state-specific 2025 Medicaid income limits instantly. Screens for resource thresholds ($2,000 individual / $3,000 couple). Identifies MAGI-based eligibility for expansion states. Flags ineligible prospects and provides educational guidance.
Dual Eligibility Screening (Medicare + Medicaid)
Detects prospects eligible for both programs in seconds. Screens for QMB, SLMB, QI, and LIS assistance programs. Prioritizes high-value dual-eligible leads for faster enrollment.
Real-Time Data Verification
Cross-checks information with CMS, state Medicaid databases, and Social Security when authorized. Ensures accuracy and compliance at every step. Reduces fraud, duplication, and manual errors by 98%.
Always-On 24/7 Screening
Responds instantly to every inquiry, day or night. Handles thousands of concurrent pre-screens during AEP peaks. Delivers consistent, compliant results with zero downtime.
Key Features That Drive Medicare & Medicaid Pre-Screening
Features That Automate and Simplify Medicare & Medicaid Eligibility Checks
Medicare-Trained AI
Understands eligibility rules, enrollment periods, and plan terminology to qualify leads instantly and accurately.
State-Specific Medicaid Logic
Applies the latest 2025 state income and asset limits for precision Medicaid screening.
Dual Eligibility Recognition
Automatically identifies prospects eligible for both programs and routes them to D-SNP workflows.
CRM Integration
Logs every pre-screen result in real time to Salesforce, HubSpot, or AgencyBloc, ensuring full data visibility.
HIPAA & CMS Compliance
Fully compliant with HIPAA, SOC 2, and CMS marketing standards. All communications are encrypted and auditable.
24/7 Automated Screening
Instantly verifies eligibility around the clock, ensuring no qualified lead goes cold while maintaining full compliance.
Proven Results: Real Impact from Automated Screening
Lead-to-Appointment Conversion
70%
Cost Reduction
75%
Agent Productivity
2×
Revenue Growth
10%
Who Benefits from 24/7 Pre-Screening
Helping Medicare Teams Focus Only on Qualified, Ready-to-Enroll Leads
Medicare Agencies
Field Marketing Organizations (FMOs)
Call Centers for Medicare Outreach
Insurance Brokers
Managing General Agent (MGA)
Next-Gen Medicare Pre-Screening: Accurate, Instant, and Always On
Medicare Agency Increases Enrollments by 65%
A regional Medicare insurance agency in Texas used coverage voice's AI Medicare pre-screening to instantly verify age and disability eligibility.
Medicaid MCO Cuts Costs 70% with AI Verification
A Medicaid Managed Care Organization in California automated income and asset checks using coverage voice's AI Medicaid eligibility verification.
Frequently Asked Questions
Medicare and Medicaid pre-screening is the process of verifying eligibility before enrollment. coverage voice uses AI to instantly check age, disability, income, and residency in real time—ensuring only qualified leads reach your agents. This automation saves 75% in costs and boosts Medicare enrollment accuracy by 20%.
coverage voice automates Medicare eligibility checks 24/7 using conversational AI. It instantly verifies age (65+), disability, or ESRD status, then routes qualified leads to licensed agents. By eliminating manual screening, agencies cut qualification time from 42 hours to 5 seconds and increase conversions by 70%.
coverage voice compares income and assets against state-specific 2025 Medicaid limits using updated FPL and SSI guidelines. The AI asks a few quick questions about income, marital status, and assets, applying each state's thresholds automatically to determine eligibility within seconds.
Yes. coverage voice supports multilingual pre-screening in English, Spanish, Mandarin, and Vietnamese. This makes Medicare and Medicaid eligibility verification more inclusive and accurate across diverse beneficiary populations.
Agencies typically reduce cost per qualified lead from $100 to $25, improve lead-to-appointment conversions by 70%, and grow revenue by 10% within 6–9 months. Automation also cuts manual screening time by 95%, allowing teams to focus only on ready-to-enroll beneficiaries.
Start Qualifying Smarter
With coverage voice's AI Medicare pre-screening, your team never wastes time on ineligible prospects again.