100% Compliant Medicare Marketing That Protects Your License
Medicare Voice AI, built specifically for the Centers for Medicare & Medicaid Services (CMS) and Telephone Consumer Protection Act (TCPA) rules, ensures every inbound and outbound call meets 2025 regulations, eliminating violations that can cost $46,517 per incident.
The Compliance Crisis Facing Medicare Teams
Medicare marketing has become one of the most regulated areas in U.S. healthcare. A single script mistake, like missing a disclosure or using "free," can trigger five-figure CMS penalties, TCPA lawsuits up to $1,500 per call, and even license suspension.
In 2025, new CMS Marketing Communication Guidelines (MCMG) and TCPA rulings tightened oversight:
- One-to-one consent: Beneficiaries must authorize each Third-Party Marketing Organization (TPMO) before sharing their data.
- Standardized compensation: Bans steering incentives and requires full disclosure of agent payment.
- Enhanced call recording: All marketing conversations are retained for 10 years.
- Express written consent: Required for every outbound Medicare marketing call, not just autodialed ones.
Medicare Voice AI Compliance You Can Count On
CMS Penalties Avoided per Incident
$46,517
TCPA Penalties Avoided per Incident
$1,500
Audit Readiness
100%
Staff Efficiency
60%
Trust Built
32%
Medicare Voice AI Solution: Compliance Built In
coverage voice embeds federal and state rules directly into every conversation, ensuring flawless adherence to CMS and TCPA requirements while maintaining natural, human-sounding calls.
CMS-Approved Script Adherence
- • Identifies the agent, company, and call purpose up front.
- • Collects and verifies the Scope of Appointment (SOA) consent before discussing plans.
- • Automatically removes prohibited phrases like "best plan" or "no cost."
- • Presents balanced plan information to avoid steering.
- • Announces recording and obtains verbal acknowledgment.
If a conversation shifts from education to marketing, coverage voice pauses to confirm new consent, preventing the most common compliance error.
TCPA-Compliant Outbound Calling
- • Collects express written consent tied to your business name and campaign scope.
- • Stores timestamped proof of consent with source tracking.
- • Performs Do-Not-Call (DNC) scrubbing before every call.
- • Checks the Reassigned Numbers Database (RND) to avoid dialing recycled numbers.
- • Honors opt-outs immediately across all channels.
Double-Consent Transfers Done Right
CMS and TCPA require two approvals before transferring outbound Medicare calls. coverage voice automates the full sequence:
- • Verify TCPA consent to call.
- • Explain the purpose and gain verbal CMS consent to discuss plans.
- • Transfer only if a licensed agent is available; otherwise, schedule a compliant callback.
Every step is recorded, time-stamped, and stored for audit review.
Automatic Recording & Retention
- • Starts recording at call beginning, no manual trigger.
- • Encrypts all files in HIPAA-secure storage.
- • Tags metadata for easy retrieval during CMS audits.
- • Keeps recordings for 10 years with complete audit logs.
Members hear a clear notification: "This call is recorded for quality and compliance." Consent is captured before proceeding, satisfying both federal and two-party-consent state laws.
Digital Marketing Compliance
coverage voice also monitors outbound email, SMS, and social media interactions.
- • Requires opt-in consent before any digital outreach.
- • Provides single-click opt-out and suppression.
- • Applies CMS-approved educational content templates.
- • Blocks unsolicited messages via social media DMs.
All leads generated from paid ads or landing pages sync automatically with verified consent proof, closing the gap between digital and voice compliance.
Trusted by Leaders
Nina Webster
Compliance Director, Sunrise Advantage
"We replaced manual QA with coverage voice and passed our first CMS audit with zero findings."
Mark Henderson
Operations VP, PrimeHealth
"Double-consent automation saved us countless headaches during AEP."
Derrick Lopez
Medicare Broker Owner
"For the first time, every recording and SOA is just a click away."
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 embeds CMS 2025 guidelines directly into every conversation. It automatically identifies agents, collects SOA consent before plan discussions, removes prohibited phrases, presents balanced information, and announces recording with verbal acknowledgment. All interactions are recorded and stored for 10 years with complete audit trails.
coverage voice collects express written consent tied to your business name and campaign scope, stores timestamped proof with source tracking, performs DNC scrubbing before every call, checks the Reassigned Numbers Database (RND), and honors opt-outs immediately across all channels—protecting you from $1,500 per-call TCPA penalties.
CMS and TCPA require two approvals before transferring outbound Medicare calls. coverage voice automates the sequence: first verifies TCPA consent to call, then explains the purpose and gains verbal CMS consent to discuss plans. It only transfers if a licensed agent is available; otherwise, it schedules a compliant callback. Every step is recorded, time-stamped, and stored for audit review.
All marketing conversations are automatically recorded from call beginning, encrypted in HIPAA-secure storage, tagged with metadata for easy retrieval, and retained for 10 years with complete audit logs—ensuring full compliance with CMS 2025 requirements.
Yes. coverage voice monitors outbound email, SMS, and social media interactions. It requires opt-in consent before any digital outreach, provides single-click opt-out and suppression, applies CMS-approved educational content templates, and blocks unsolicited messages via social media DMs. All leads from paid ads or landing pages sync automatically with verified consent proof.
See Compliance in Action
Protect your agents, your license, and your revenue. Schedule a personalized demo of coverage voice to experience Medicare-ready, audit-proof AI compliance.