Voice AI for Original Medicare Enrollment

Original Medicare, administered by the Centers for Medicare & Medicaid Services (CMS), provides foundational health coverage for seniors and certain disabled individuals. Yet navigating eligibility, enrollment periods, and benefit coordination remains confusing for many beneficiaries. Coverage Voice simplifies this process using voice AI trained on Medicare rules and compliance guidelines to deliver 24/7 enrollment and support.

Original Medicare: Are You Eligible?

Find out if you're eligible for Original Medicare. AI agents confirm eligibility by verifying age, disability, and citizenship through conversational screening. U.S. citizens and lawful permanent residents qualify if they:

Are 65 years or older, or

Have received Social Security Disability Insurance (SSDI) for 24 months, or

Have End-Stage Renal Disease (ESRD) or Amyotrophic Lateral Sclerosis (ALS).

Turn Strategy Into Measurable Impact.

Boost Medicare enrollments, cut costs, and scale outreach with AI-driven automation that delivers real business results.

90%

AI Containment

50%

Operational Cost Savings

2,477

Outbound Calls

87%

Member Satisfaction

Your Guide To Medicare Benefits.

Part A (Hospital Insurance)

Inpatient hospital stays
Skilled nursing facility care
Hospice and limited home health services

Part B (Medical Insurance)

Physician visits and preventive services
Diagnostic testing and durable medical equipment (DME)
Outpatient mental health and certain home health visits

Medicare Exclusions Made Simple

Coverage Voice educates beneficiaries about these gaps and offers warm transfers to licensed agents for supplemental Medigap plans.

Prescription drugs (requires Part D)

Dental, vision, or hearing care

Routine foot care or cosmetic surgery

Long-term custodial care

Compare Medigap Plans A–N

Beneficiaries with Original Medicare often add a Medigap (Medicare Supplement) plan to cover deductibles and coinsurance. Coverage Voice's voice AI agents explain these options conversationally, guiding seniors to the right plan in minutes.

Plan	Covers Part A Coinsurance & Hospital Costs	Covers Part B Coinsurance	Covers Part A Deductible	Covers Part B Deductible	Covers Foreign Travel
Plan A	✅	✅	❌	❌	❌
Plan B	✅	✅	✅	❌	❌
Plan C	✅	✅	✅	✅	✅
Plan D	✅	✅	✅	❌	✅
Plan F	✅	✅	✅	✅	✅
Plan G	✅	✅	✅	❌	✅
Plan K	50%	50%	50%	❌	❌
Plan L	75%	75%	75%	❌	❌
Plan M	✅	✅	50%	❌	✅
Plan N	✅	✅	✅	❌	✅

Who Benefits from Coverage Voice Medicare Voice AI

Medicare Agencies

Field Marketing Organizations (FMOs)

Call Centers for Medicare Outreach

Insurance Brokers

Managing General Agent (MGA)

How Coverage Voice Simplifies Medicare Operations

Eligibility Verification

AI confirms whether beneficiaries meet age or disability criteria and identifies enrollment windows (IEP, GEP, SEP).

Enrollment Period Guidance

Explains timing rules, penalties, and required documentation.

Coverage Education

Simplifies deductibles, coinsurance, and preventive service benefits using natural language conversations.

24/7 Member Support

Answers billing, claim, and provider questions outside business hours.

CMS Compliance & Guardrails

Automatic disclaimers, call recording, and 10-year retention per CMS marketing guidelines.

AEP Scalability

Between October 15 and December 7, agencies can scale from hundreds to thousands of concurrent AI calls without hiring temps.

Frequently Asked Questions

U.S. citizens or lawful residents aged 65+ qualify automatically; younger individuals may qualify through disability, ESRD, or ALS.

Your Initial Enrollment Period (IEP) runs from three months before to three months after your 65th birthday. Missing it may cause late-enrollment penalties.

Part A covers hospital care, hospice, and limited home health. Part B covers doctor visits, outpatient care, and preventive services.

No. Those require Part D for drugs or private Medigap or Medicare Advantage plans for dental and vision.

Coverage Voice guides seniors through eligibility questions, deadlines, and coverage education—offering 24/7 compliant voice assistance.

You can enroll during the General Enrollment Period (Jan 1–Mar 31), but coverage begins July 1 and may include a lifetime premium penalty.

Transform How You Connect With Medicare Leads

Empower your team with a CMS-compliant, always-on voice AI built for Medicare. Coverage Voice ensures seniors receive accurate answers, faster enrollment, and improved satisfaction, all without offshore risks.