AI AGENTS FOR MEDICARE
Seamlessly manage the full Medicare lifecycle including screening, onboarding, and support – especially during AEP – with AI Agents for Medicare that convert more medicare leads and cut costs.






MEDICARE TEAMS LIKE YOURS ARE THRIVING WITH AI AGENTS
90%
AI Agent Containment
Regal’s AI Agents for Medicare fully handle 90% of inbound calls—screening for eligibility, answering common questions, and qualifying medicare leads without any human intervention. That means faster responses, lower costs, and zero strain on your team.
Build Once, Deploy Everywhere with AI Agent Builder
Need more volume during AEP? Instantly scale by turning AI Agents on or off—no retraining required. Just ramp up when enrollment spikes, and your agents are ready to go.

Operate Safely at Scale with HIPAA-Compliant AI Agents
Coordinate Every Step with a Unified Customer Data Profile and Journey Builder

Refine Every Interaction with AI Conversation Intelligence
Handle AEP Spikes Without Missing a Beat
Regal transforms patient communications with AI Agents for Medicare that are always-on, easy to customize and monitor, and built to scale—especially during AEP.
- Use eligibility data and real-time signals to personalize every outreach and follow-up.
- Automate calls, SMS, reminders, and enrollment tasks across the full lifecycle—without adding headcount.
- Instantly respond to questions, concerns, and plan changes on the member’s preferred channel—when timing matters most.
Discover the full potential of Regal’s AI Agents for Medicare.
Get Started TodayHow Medicare Provider Call Centers Use Regal
ENROLLMENT & ONBOARDING
✅ Lead Qualification & Speed-to-Lead: Improve Medicare enrollment rates by automatically qualifying and prioritizing prospects with Regal’s AI Phone Agents—ensuring the right medicare leads get connected to the right agent fast.
✅ Member Onboarding: Trigger AI-powered welcome calls and personalized follow-ups as soon as new members enroll, guiding them through plan details, coverage verification, and next steps.
COMMUNICATIONS & OPERATIONS
✅ Eligibility & Coverage Verification: Set up automated Journeys to contact members and verify eligibility, coverage details, or required documents—so there’s no delay in getting them enrolled or supported.
✅ Plan Change & Annual Enrollment Period (AEP) Outreach: Proactively engage members during AEP or when plan updates are available, ensuring they don’t miss important deadlines or savings opportunities.
✅ Appointment & Follow-Up Reminders: Automatically remind members of upcoming appointments, screenings, or required paperwork via SMS, phone, or email—and reschedule if needed.
RETENTION & MEMBER SUPPORT
✅ Member Retention Campaigns: Keep your members engaged year-round with automated communications about plan benefits, deadlines, and available support resources.
✅ Claims & Billing Follow-Ups: Use AI Agents for Medicare to proactively assist members with claims status, payment reminders, or billing questions—without the long hold times.
✅ Compliance & Satisfaction Surveys: Automatically collect member feedback and satisfaction scores after key touchpoints to stay compliant and continuously improve.
Safe and secure
Our enterprise-ready platform is designed for privacy, security, and compliance.




Customer data is kept in Regal, and we prevent LLM partners from training with your data to ensure zero-day data retention.
FAQS
How can Regal help me improve Medicare enrollment rates?
Is Regal HIPAA compliant and secure for handling member data?
- Stored securely and never used to train external AI models.
- Protected with SOC 2 and PCI compliance.
- Governed by customizable guardrails to ensure adherence to Medicare regulations and privacy requirements.
How do Regal’s AI Agents for Medicare improve my Medicare call center efficiency?
- Handle inbound inquiries like plan questions, coverage verification, or document collection.
- Qualify Medicare leads instantly and route high-value members to your best agents.
- Reduce hold times and increase first-contact resolution.
- Scale member outreach without increasing headcount or sacrificing personalization.
With Regal, your human agents can finally focus on complex, high-value conversations—while our AI Agents for Medicare handle the rest.
What kind of reporting and analytics does Regal offer for Medicare providers?
- Track key metrics like lead qualification rate, enrollment conversion rate, call containment, and member engagement.
- Monitor AI Agent and human agent performance side-by-side.
- Run A/B tests on messaging, outreach timing, and channel mix.
- Export data to your data warehouse (Snowflake, S3) for deeper analysis.
No more flying blind—you’ll always know what’s working and where to optimize.
Can Regal help reduce compliance risk during Annual Enrollment Period (AEP)?
- Pre-build compliant outreach Journeys for AEP, with real-time monitoring and automated stop rules.
- Ensure every AI Agent interaction follows approved scripts and compliance guidelines.
- Track every member communication with full audit trails and reporting.
- Automate reminders and updates so no member misses critical deadlines.
With Regal, you can scale AEP outreach without worrying about compliance missteps.

Treat your customers like royalty
Ready to see Regal in action?
Book a personalized demo.

