Our area of expertise is providing top-notch leads for ACA (Affordable Care Act) insurance. Our dedicated salespeople locate possible customers and evaluate them based on client requirements. We then nurture the lead and assign it to the representative for that state. We have the best sales team available, and we can supply you with as many high-quality transfers as you need by customer needs. 

Cost per action (CPA) CPA

We can offer customized health insurance deals to meet your specific needs.

Cost-Per-Lead, or CPL,

We offer live quality and quantity transfers on the CPL module.

Cost per Qualified Lead (CpQL)

We can offer lead generation and live transfer services as per your specific requirements.

We also can provide ACA (Affordable Care Act) insurance services provides support and services related to ACA health insurance plans. We assist customers with inquiries about health coverage, enrollment, renewals, and claims. Below are the key services typically offered by an ACA insurance call center:

1. ACA Enrollment Assistance

  • Purpose: Helping individuals and families enroll in ACA-compliant health insurance plans.
  • Common Tasks:
    • Guiding customers through the Health Insurance Marketplace.
    • Explaining eligibility for subsidies or tax credits.
    • Assisting with the selection of the best health insurance plan based on individual needs.
    • Providing information about open enrollment periods and special enrollment qualifications.

2. Renewal of ACA Health Plans

  • Purpose: Assisting customers in renewing their existing health insurance plans.
  • Common Tasks:
    • Providing guidance on annual renewal deadlines.
    • Reviewing changes in coverage or premiums for the upcoming year.
    • Updating personal and financial information to determine continued eligibility for subsidies.
    • Recommending alternative plans if needed.

3. Eligibility and Subsidy Information

  • Purpose: Clarifying eligibility requirements for ACA plans and financial assistance programs.
  • Common Tasks:
    • Explaining income qualifications for premium tax credits or cost-sharing reductions.
    • Assisting with Medicaid or CHIP (Children’s Health Insurance Program) eligibility assessments.
    • Helping customers understand the financial assistance they can receive based on their household income.

4. Claims Assistance

  • Purpose: Supporting customers with filing and managing insurance claims under ACA plans.
  • Common Tasks:
    • Providing step-by-step assistance with submitting claims.
    • Explaining benefits coverage and how claims are processed.
    • Resolving issues related to denied or delayed claims.
    • Offering help with appeals or disputes regarding claims.

5. Premium Payments and Billing Support

  • Purpose: Helping customers with premium payments and billing inquiries.
  • Common Tasks:
    • Assisting customers in setting up payment options such as automatic payments.
    • Resolving billing discrepancies or issues with missed payments.
    • Providing guidance on how to maintain coverage by staying current on payments.

6. Coverage and Plan Information

  • Purpose: Educating customers about their ACA plan benefits, including what’s covered and what’s not.
  • Common Tasks:
    • Explaining essential health benefits (e.g., preventive services, maternity care, mental health services).
    • Clarifying details on deductibles, copayments, and out-of-pocket maximums.
    • Helping customers understand their network of providers (in-network vs. out-of-network care).

7. Special Enrollment Period (SEP) Assistance

  • Purpose: Assisting individuals who qualify for Special Enrollment Periods outside of the regular open enrollment period.
  • Common Tasks:
    • Providing information on life events that trigger SEPs, such as marriage, birth, or loss of coverage.
    • Guiding customers through the process of applying for coverage during an SEP.
    • Ensuring customers meet deadlines and submit proper documentation.

8. Customer Education and Support

  • Purpose: Educating individuals and businesses about their health insurance options under the ACA.
  • Common Tasks:
    • Explaining how ACA plans work and how to maximize benefits.
    • Offering webinars, guides, and resources for better understanding health insurance coverage.
    • Answering general questions about the ACA, healthcare reform, and compliance requirements.

9. Small Business Health Options (SHOP)

  • Purpose: Assisting small businesses in enrolling employees in ACA-compliant health insurance plans.
  • Common Tasks:
    • Guiding business owners through the Small Business Health Options Program (SHOP).
    • Helping them understand eligibility for tax credits to reduce premium costs.
    • Assisting with plan selection and employee enrollment processes.

Conclusion:

As an ACA insurance call center we play a crucial role in providing personalized support to individuals and businesses navigating health coverage options under the Affordable Care Act. Whether it’s helping with enrollment, answering plan-related questions, or resolving claims issues, we will ensures that customers receive the assistance they need to make informed healthcare decisions.