Medicare agents
Power dialer for a 50-person Medicare agency
Last updated 27 August 2026
Short answer
A 50-person Medicare agency on DialSheet pays $493 a month for software (17 three-seat packs at $29) plus roughly $1,822 of usage billed by its own Twilio account — about $2,315 a month all in, or $27,780 a year, which works out at $0.011 per dial across roughly 210,000 dials a month. The same 50 seats on RingCentral cost about $1,000 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 50 reps
- Software, per month
- $493 (17 × 3-seat pack)
- Twilio, per month
- ≈ $1,822
- All-in monthly
- ≈ $2,315
- All-in yearly
- ≈ $27,780
- Dials per month
- 210,000
- 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 50 seats costs elsewhere
List prices as of August 2026 for the tools a large Medicare agency actually shortlists. Per-user figures are approximate and several vendors quote rather than publish.
| Tool | Per user | 50 seats/mo | Trade-off |
|---|---|---|---|
| DialSheet | $9.67 effective | $493 | you connect your own Twilio and pay carrier rates |
| RingCentral | ~$20–45/user/mo | $1,000–$2,250 | a business phone system rather than an outbound sales dialer |
| Aircall | ~$30–50/user/mo | $1,500–$2,500 | seat minimums apply and the power dialer needs the Professional tier |
| Close | ~$99–139/user/mo | $4,950–$6,950 | you buy an entire CRM suite to get the calling |
| Salesloft | ~$100+/user/mo (quote-based) | $5,000–$8,250 | the dialer is one module of a sales-engagement suite on an annual contract |
| Outreach | ~$100+/user/mo (quote-based) | $5,000–$9,000 | enterprise sales-engagement pricing with an annual commitment |
Against RingCentral at list price, a 50-seat Medicare agency on DialSheet Pro saves roughly $6,084 a year in software — about 2× the licence cost — before adding your Twilio usage of roughly $21,864 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.
Running 50 Medicare agents rather than three
At 50 seats the problem stops being cost and starts being visibility. The team leaderboard shows dials, connects, connect rate, conversations and talk time per rep over 7-day, 30-day and custom ranges, and exports to CSV for your own reporting. Each rep can hold a dedicated Twilio number so callbacks reach the person who made the call, and leads are either assigned per rep or worked from a shared pool. On Pro, recorded calls are transcribed and graded against a call script you define, which turns “why is that rep behind” into a per-checkpoint answer instead of a hunch.
Seats stay in 3-seat packs at $29 a month, so growing from 50 to 56 costs $58 more per month — not $120 more, which is what the same six people cost on a per-user plan.
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 3 reps$29/mo software
- Medicare agency with 10 reps$116/mo software
- Medicare agency with 25 reps$261/mo software
Compare against what you use now
- DialSheet vs RingCentral~$20–45/user/mo · per-seat
- DialSheet vs Aircall~$30–50/user/mo · per-seat
- DialSheet vs Close~$99–139/user/mo · per-seat
- DialSheet vs Salesloft~$100+/user/mo (quote-based) · per-seat, annual
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
- Calls per day before spam-likelyhow fast a number burns at team volume