Dual-Eligible & LIS Outreach with Medicare Voice AI
Reach Every Member, in Every Language. AI voice agents built for Medicare-Medicaid dual-eligible and Low-Income Subsidy (LIS) populations. Speak multiple languages. Increase Extra Help enrollment by 40%, improve HEDIS scores, and engage members that traditional outreach never reaches.
The Hidden Cost of Missed Dual-Eligible Outreach
Over 12 million Americans qualify for both Medicare and Medicaid, yet most never receive consistent outreach. Only 40% of eligible seniors who must apply for Extra Help actually enroll, leaving $5,900 per year in unused savings per person.
Uncontacted Dual-Eligible Members
60%
Average Missed Savings per LIS Beneficiary
$5,900
HEDIS Gap Rate
47%
Conversational Voice AI That Everyone Understands
Medicare Voice AI That Speaks to Everyone
- • Delivers culturally competent, multilingual AI outreach.
- • Makes engagement feel personal, never robotic.
- • Supports languages including Spanish, Mandarin, and Vietnamese.
Empathetic Dual-Eligible Conversations
- • Focuses on clarity and trust, not jargon.
- • Uses plain language: "All your benefits on one card, $0 for most services."
- • Scripts respect local culture, tone, and dialects.
- • AI understands nuance and avoids confusing clinical phrasing for seniors.
Simplify LIS (Extra Help) Enrollment
- • Screens income and resources for LIS qualification.
- • Explains savings: $0 premiums, $0 deductibles, capped copays.
- • Guides members step-by-step through SSA's Extra Help application.
- • Sends reminders for incomplete applications.
- • Automates recontact before subsidy expiration.
- Result: Participation rates rise from 40% → 65%+, helping thousands more seniors access prescription savings they already qualify for.
Compliance Without Complexity
CMS 2024 Final Rule expanded language access and member communication rules. coverage voice helps you stay ahead with automation built for compliance.
- • Translates all required materials into any language spoken by 5%+ of your service area.
- • Tracks and stores each member's language preference.
- • Uses CMS-approved scripts for LIS and D-SNP conversations.
- • Keeps all recordings and transcripts for 10-year audit retention.
- • Meets HIPAA, SOC 2, and TCPA consent requirements automatically.
Educate & Engage Dual-Eligible Members
Explain Benefits Clearly
AI describes the real-world advantages of dual coverage, simpler coordination, one ID card, and more covered services.
Close Care Gaps Automatically
AI identifies overdue screenings or medications and connects members to care managers.
Re-Engage Lost Members
Members who haven't used benefits in 90+ days receive friendly, multilingual check-ins that renew trust.
Behavioral Health Support
Voice AI screens for depression, substance use, or food insecurity, connecting members with the right specialists.
D-SNP & PACE Education
AI explains Dual Special Needs Plans and Program of All-inclusive Care for the Elderly (PACE) programs in member-friendly language, boosting understanding and enrollment.
Technology That Understands Medicare + Medicaid
Unlike generic AI bots, coverage voice is trained specifically on Medicare-Medicaid workflows and CMS guidance.
Real-time Eligibility Lookups
For both Medicare and Medicaid.
Dual-Benefit Verification
For D-SNP and Medicare + Medicaid plan (MMP) programs.
Integration Ready
With SSA, Medicaid portals, and plan CRMs.
WCAG 2.1 Accessibility
For visually impaired members.
Full BAA and HIPAA Protection
For all data transfers.
Turn Outreach Into Outcomes
Plans using coverage voice for dual-eligible outreach see quantifiable results across engagement and quality metrics.
Performance Metrics Overview
LIS Enrollment Rate
+40%
HEDIS Improvement
+32%
Staffing Cost Reduction
50%
Higher Member Retention
37%
Trusted by Medicare Leaders
Maria Contreras
Community Outreach Director, BlueMed Advantage
"We've never reached this many dual-eligible members. The multilingual AI changed everything."
John Weaver
Operations VP, SilverCare Health
"Our LIS completion rate jumped to 70% in two months. AI follow-ups ensured nothing fell through."
Fatima Rahman
Compliance Officer, Harmony Health
"We used to dread CMS language compliance. Now every script, translation, and consent is handled automatically."
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
coverage voice supports 120+ languages including Spanish, Mandarin, Vietnamese, and many others. The AI is trained to understand regional dialects and cultural nuances, ensuring conversations feel natural and respectful to each member's background.
The AI screens members for LIS qualification, explains benefits in plain language, guides them through the SSA Extra Help application step-by-step, sends reminders for incomplete applications, and automatically recontacts members before subsidy expiration. This comprehensive approach has helped plans increase LIS enrollment from 40% to 65%+.
The system automatically translates all required materials into any language spoken by 5%+ of your service area, tracks and stores each member's language preference, uses CMS-approved scripts for LIS and D-SNP conversations, and maintains all recordings and transcripts for 10-year audit retention. All HIPAA, SOC 2, and TCPA consent requirements are handled automatically.
Yes. The AI explains Dual Special Needs Plans (D-SNP) and Program of All-inclusive Care for the Elderly (PACE) programs in member-friendly language, helping members understand their options and boosting enrollment rates. The system can verify dual-benefit eligibility and guide members through the enrollment process.
The AI identifies overdue screenings or medications and automatically connects members to care managers. It also screens for behavioral health issues, food insecurity, and other social determinants of health, ensuring members receive the care they need. This proactive approach has helped plans improve HEDIS scores by 32% on average.
Reimagine Engagement for Every Member
Engage, educate, and empower dual-eligible and LIS members with AI that speaks their language, earns their trust, and ensures compliance every step of the way.