Medicare agents
Power dialer for a 3-person Medicare agency
Last updated 27 August 2026
Short answer
A 3-person Medicare agency on DialSheet pays $29 a month for software (1 three-seat packs at $29) plus roughly $109 of usage billed by its own Twilio account — about $138 a month all in, or $1,656 a year, which works out at $0.011 per dial across roughly 12,600 dials a month. The same 3 seats on Dialpad cost about $45 a month in licence fees alone, before telephony.
Medicare agencies have a brutally seasonal shape — AEP runs 15 October to 7 December and a year of production happens inside eight weeks. DialSheet is free up to 500 leads and $29/month per three-seat pack after, which means staffing up for enrollment season costs $29 per three extra agents rather than a per-seat contract you carry all year. Calls run about $0.014 a minute through your own Twilio, and every call is recorded into your account.
The numbers for 3 reps
- Software, per month
- $29 (1 × 3-seat pack)
- Twilio, per month
- ≈ $109
- All-in monthly
- ≈ $138
- All-in yearly
- ≈ $1,656
- Dials per month
- 12,600
- Cost per dial
- $0.011
Assumes 200 dials per rep per working day, a 10% connect rate and 6-minute average conversations over 21 working days — working estimates for Medicare agents on a power dialer, not a quote. Telephony is billed to your own Twilio account at ~$0.014/min plus ~$1.15/month per number.
Why the usual dialers misprice Medicare agents
AEP is the whole problem. A twenty-agent room in November may be a five-agent room in February, and per-seat annual contracts are written to make you pay November prices in February. Pack pricing with no annual commitment matches the season instead of fighting it.
What 3 seats costs elsewhere
List prices as of August 2026 for the tools a small Medicare agency actually shortlists. Per-user figures are approximate and several vendors quote rather than publish.
| Tool | Per user | 3 seats/mo | Trade-off |
|---|---|---|---|
| DialSheet | $9.67 effective | $29 | you connect your own Twilio and pay carrier rates |
| Dialpad | ~$15–25/user/mo | $45–$75 | built as a phone system first — the sales dialer sits in higher tiers |
| JustCall | ~$19–89/user/mo (annual) | $57–$267 | the dialer is gated above the entry plan, and the team tiers carry a two-user minimum |
| RingCentral | ~$20–45/user/mo | $60–$135 | a business phone system rather than an outbound sales dialer |
| CallHub | ~$25+/user/mo plus usage | $75–$150 | credit-based billing on top of the seat makes the real cost hard to predict |
| Aircall | ~$30–50/user/mo | $90–$150 | seat minimums apply and the power dialer needs the Professional tier |
Against Dialpad at list price, a 3-seat Medicare agency on DialSheet Pro saves roughly $192 a year in software — about 2× the licence cost — before adding your Twilio usage of roughly $1,308 annually.
How Medicare agents actually run it
The list is T65 lists, aged Medicare leads and inbound respondents; the scoreboard is enrollments. This is the loop between them.
01Stage the T65 list against birthdays
Turning-65 lists are date-driven: the call matters in a specific window. Import with the birth month as a custom field, tag by month, and each month's cohort becomes a filter you can dial without rebuilding the list.
02Staff up for AEP without a contract negotiation
Add three-seat packs as the room fills in October and remove them in December. Seats are $29 per pack per month with no annual commitment, so the cost curve follows the enrollment calendar rather than the sales cycle of a software vendor.
03Keep the recording attached to the enrollment
Calls are recorded by default into your own Twilio account, with transcripts and AI summaries on Pro. The recording sits on the lead record next to the notes, which is where you want it when a call needs to be reviewed months later.
CMS rules sit on top of ordinary telemarketing law
Medicare marketing is governed by CMS requirements that go well beyond normal telemarketing rules — including expectations around recording and retaining sales calls, scope-of-appointment documentation, and what may be said about plans. On top of that sit the TCPA, the Do Not Call Registry and state rules, and calls go to seniors, the most protected class of consumer. DialSheet records by default and stores recordings in your own Twilio account so retention is yours to control. This is orientation and not compliance advice: CMS marketing rules are revised regularly and you must work from the current guidance.
Questions Medicare agents ask
What does a dialer cost for a Medicare agency during AEP?
Twenty agents on DialSheet is $203 a month — seven three-seat packs at $29 — with no annual commitment, so you can scale back in December. Twenty seats on a $99-per-user platform is $1,980 a month, usually on an annual contract you keep paying after AEP ends.
Are calls recorded and retained?
Yes. Recording is on by default and files are stored in your own Twilio account, so retention periods and access are under your control rather than a vendor's. Confirm your obligations against current CMS guidance.
Can we add and remove agents seasonally?
Yes — seats are bought in three-packs at $29 a month each and can be added or removed as the season demands. There is no per-user annual commitment.
Does it work for T65 birthday campaigns?
Yes. Import birth month as a custom field, tag cohorts by month, and filter to the month you are working. Tasks with due dates handle individual callbacks inside the window.
Start dialing free
500 leads and 1 seats at no cost, on your own Twilio account. Pro is $29 a month per 3-seat pack when you outgrow it — never priced per user.
Other Medicare agency team sizes
- Dialers for medicare agentsthe trade overview, any team size
- Medicare agency with 10 reps$116/mo software
- Medicare agency with 25 reps$261/mo software
- Medicare agency with 50 reps$493/mo software
Compare against what you use now
- DialSheet vs Dialpad~$15–25/user/mo · per-seat
- DialSheet vs JustCall~$19–89/user/mo (annual) · per-seat
- DialSheet vs RingCentral~$20–45/user/mo · per-seat
- DialSheet vs CallHub~$25+/user/mo plus usage · per-seat plus credits
Similar trades
- Final expense insuranceAgents calling direct-mail and aged leads to place small whole-life policies.
- Debt settlement & credit repairConsultants calling consumers carrying unsecured debt into enrollment.
- Financial advisorsAdvisors prospecting for assets and booking discovery meetings.
- Insurance agenciesAgencies working aged and fresh leads across P&C, life and health.
Guides worth reading next
- What a power dialer actually costs2026 price survey across 10+ tools
- Twilio cold calling costthe wholesale maths behind these numbers
- DNC and TCPA basicsthe regime consumer dialing sits under
- AI call scoring and coachinggrading recorded calls against a script
- Warming up a new numberkeeping answer rates up as volume climbs
- Cold call script templatesscripts new reps can follow on screen