Medicare Voice AI for AEP & OEP Campaign Automation
Scale Through Medicare's Busiest Seasons Without Hiring. Handle 500% volume spikes during AEP and OEP with HIPAA-compliant Medicare Voice AI that answers instantly, captures SOAs, and transfers qualified leads to licensed agents 24/7, cutting seasonal staffing costs by 90%.
The AEP Crisis Crushing Margins
Every October 15 to December 7, Medicare call centers and brokers face a 400% increase in inbound calls. Hiring temporary agents is slow, expensive, and error-prone. By the time they're trained, half the AEP window is gone.
Average AEP Call Abandonment
31%
Average Revenue Loss per Missed Lead
$295
Average Temp Agent Error Rate
17%
The Smart Solution: Always-On Medicare Voice AI
24/7 AEP Coverage Without Staffing Limits
- • Scales instantly from 10 to 10,000 concurrent calls.
- • Answers every inquiry within seconds, no missed calls, no voicemails.
- • Captures SOA, verifies eligibility, and warm-transfers qualified members to licensed agents.
OEP Retention Made Automatic
- • Re-engages members during January-March Open Enrollment.
- • Explains benefit changes and confirms renewals proactively.
- • Routes at-risk members to retention teams, reducing disenrollments by up to 20%.
Compliance Built In
- • Collects verbal SOAs and verifies consent per CMS 2025 one-to-one requirements.
- • Stores recordings securely for 10 years.
- • Auto-updates scripts with CMS rule changes.
- • Timestamps every interaction, keeping you fully audit-ready.
Data Intelligence First
- • Filters out bad leads with AI-driven qualification.
- • Analyzes inbound volume trends to optimize staffing.
- • Forecasts AEP surges with 95% accuracy.
- • Let's AI handle overflow while human agents focus on high-value cases.
Predictive AEP Forecasting
- • Uses historical data and marketing triggers to predict call surges.
- • Expands call capacity instantly without manual intervention.
- • Guarantees zero hold time, even during viral campaigns.
End-to-End Automation for AEP–OEP Process
coverage voice replaces manual calls, lead tracking, and reminder scripts with AI automation that sounds human, stays compliant, and scales instantly.
Upload Leads
Any CSV or CRM list from Facebook ads, landing pages, or web forms. AI validates data and flags duplicates.
Pre-Screen and Verify
Medicare Voice AI verifies age, ZIP code, eligibility window, and current coverage in seconds.
SOA & Consent Collection
Automated verbal SOA recordings with 48-hour rule tracking.
Warm Transfer or Callback Scheduling
Instant hand-off to licensed agents or next-day appointment if after hours.
CRM Sync & Reporting
Full integration with Salesforce, HubSpot, Zoho, and AgencyBloc for conversion tracking.
Measured Results from 2024 AEP Campaigns
Performance Metrics Overview
Calls handled in 90 days
6,800
Conversion Rate
50%
Cost Reduction
90%
Beneficiary Satisfaction
87%
Trusted by Medicare Leaders
Samantha Brooks
Operations Director, MedSure Contact Center
"Using coverage voice during AEP 2024 was a game-changer. We handled triple the volume without adding a single seat."
Eric Nunez
Compliance Manager, PrimeHealth MA Plan
"Zero SOA violations for the first time in five years. Our compliance officer still smiles about it."
Patricia James
AEP Campaign Manager, SunChoice Brokerage
"Our after-hours conversion rates jumped from 2% to 11%. AI kept selling while we slept."
Seamless CRM Integrations
coverage voice integrates easily into your existing systems for real-time synchronization and compliance.
Salesforce
HubSpot
Zendesk
Twilio
Salesforce
HubSpot
Zendesk
Twilio
Salesforce
HubSpot
Zendesk
Twilio
Salesforce
HubSpot
Zendesk
Twilio
Frequently Asked Questions
Most deployments are operational within 3-5 business days. No developer required—our team handles integration, script customization, and testing before AEP begins.
Yes. coverage voice collects verbal SOAs per CMS 2025 requirements, records consent, timestamps every interaction, and stores recordings securely for 10 years—ensuring full compliance.
Absolutely. coverage voice scales instantly from 10 to 10,000 concurrent calls without manual intervention, guaranteeing zero hold time even during viral campaigns or marketing spikes.
coverage voice automatically re-engages members during January-March Open Enrollment, explains benefit changes, confirms renewals proactively, and routes at-risk members to retention teams—reducing disenrollments by up to 20%.
Yes. All communications are encrypted, logged, and managed under HIPAA BAA with SOC 2-certified infrastructure. Recordings are stored securely for 10 years with full audit trails.
Your Next AEP Starts Now
Don't let staffing limits or missed calls cost you revenue this season. Deploy coverage voice before October 15 to automate enrollment, ensure compliance, and convert every Medicare lead in real time.