Automate Medicare Renewals & Member Engagement at Scale
Medicare Voice AI that runs personalized renewal reminders, CAHPS-aligned satisfaction surveys, and benefit-use education, boosting retention by 37%, cutting churn, and increasing lifetime member value. coverage voice engages every member across the year, at scale, with HIPAA-secure workflows.
The Retention Crisis Costing Plans Millions
Only ~40% of members with renewal opportunities receive proactive outreach; 62% report onboarding dissatisfaction. "Orphan clients" lack ongoing touchpoints and switch during AEP.
Peak Risk Windows:
First 90 days post-enrollment; pre-AEP shopping.
Gaps:
Limited welcome calls, incomplete HRAs, and low survey response.
Impact:
Lost Stars gains, higher CAC payback, lower LTV.
How do you keep the members you worked so hard to attract when it's time to renew?
Retention
95%
Profit
+25%
Lifetime Value (LTV)
+70K
Efficiency
50%
Medicare Voice AI Solution: Lifecycle Engagement That Retains
coverage voice automates renewal, feedback, and education across the member journey—always compliant, always documented.
Automated Renewal Reminder Campaigns
- • Contacts 100% of members 60/30/14 days before renewal.
- • Personalizes scripts with plan details, utilization, and upcoming changes.
- • Confirms renewals instantly or warm-transfers to licensed agents for changes.
Outcomes: 90–95% best-in-class retention vs. 80–85% baseline.
Keep Renewals Simple and Seamless
- • Proactively remind members of upcoming renewal dates through personalized calls and SMS.
- • Simplify renewals with one-click confirmations or agent-assisted warm transfers.
- • Enable side-by-side plan comparisons for your approved products only.
- • Display coverage, premium, provider, and cost details by specialty or distance.
- • Eliminate paperwork and waiting, members can renew in minutes, not days.
Satisfaction Surveys & Real-Time Recovery
- • Voice + SMS surveys within 24 hours of key events (enrollment, visits, claims).
- • NLP flags negative sentiment; auto-routes to retention specialists in minutes.
- • Lifts CAHPS-related experience metrics and prevents disenrollment.
Personalize Every Extra Benefit
- • Educate members about unused benefits through personalized Voice AI calls.
- • Remind members to activate flex cards and use transportation or wellness credits.
- • Automatically connect members to support for benefit activation or scheduling.
- • Gather real-time feedback to improve benefit satisfaction and program utilization.
- • Use AI-driven insights to enhance member experience and strengthen retention.
Benefit Utilization Education
- • Educates on OTC allowances, flex cards, food/transport benefits, dental/vision, and preventive services.
- • Schedules needed care, coordinates transport, and prompts card activation.
Results: +35% benefit utilization; -21% readmissions (better follow-up care).
Year-Round Engagement Playbook
coverage voice replaces manual calls, lead tracking, and reminder scripts with AI automation that sounds human, stays compliant, and scales instantly.
Welcome & Onboarding
30-day welcome calls, PCP selection, HRA completion
Quarterly Check-Ins
Relationship maintenance between enrollment periods
Targeted Moments
Birthdays, milestones, seasonal wellness campaigns
Proactive Notices
Formulary/network changes and plan modifications
Omnichannel Client Intake
Voice, SMS, email personalized at scale
Why Plans Choose coverage voice
Close the engagement gap
Lift Stars via experience
Reduce churn
Prove ROI
Stay compliant
What Customers Say About Member Retention & Renewals
VP, Medicare Advantage Plan
VP, Medicare Advantage Plan
"We used to lose 15–20% of members at renewal. With Voice AI, our retention hit 94% last AEP."
Director of Member Services
Director of Member Services, Regional FMO
"The automated 30-day welcome calls closed gaps we always missed. Members feel supported, and our Star Ratings improved."
COO, National Medicare Broker
COO, National Medicare Broker
"Renewals used to take half our call center's time. Now Voice AI handles the first touch, and agents focus only on complex cases."
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 automates personalized renewal reminders, satisfaction surveys, and benefit education throughout the member lifecycle. By engaging members proactively at key touchpoints (60/30/14 days before renewal, post-enrollment, after visits), we help plans achieve 90-95% retention rates compared to 80-85% baseline.
coverage voice conducts CAHPS-aligned satisfaction surveys via Voice + SMS within 24 hours of key events like enrollment, provider visits, and claims. The system uses NLP to flag negative sentiment and automatically routes at-risk members to retention specialists in minutes, helping lift CAHPS-related experience metrics and prevent disenrollment.
The system educates members about unused benefits through personalized Voice AI calls, including OTC allowances, flex cards, food/transport benefits, dental/vision, and preventive services. It schedules needed care, coordinates transport, and prompts card activation. Results show +35% benefit utilization and -21% readmissions through better follow-up care.
Yes. coverage voice provides year-round engagement through welcome & onboarding calls (30-day welcome calls, PCP selection, HRA completion), quarterly check-ins for relationship maintenance, targeted moments (birthdays, milestones, seasonal wellness campaigns), proactive notices (formulary/network changes), and omnichannel client intake via Voice, SMS, and email—all personalized at scale.
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. coverage voice ensures all workflows are HIPAA-secure and compliant.
Automate Retention Before the Next AEP
Don't let disengagement erase acquisition spend. See how coverage voice turns one-time enrollees into loyal members at scale, with compliance built in.