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    Medicare & Medical Insurance Solutions

     Info
    Multi-product
    The Medicare and Medical Insurance Solution is a unified, cloud-native digital solution designed to transform the end-to-end experience for Medicare-eligible members (65+), brokers, employers, and payers. Built on a proven architecture with secure integration capabilities, low-code agility, and omnichannel enablement, the solution enables healthcare insurers and similar organizations to deliver seamless engagement, compliance-ready interactions, and operational efficiency across the healthcare value chain.

    Overview

    Healthcare insurers need to enable seamless digital onboarding and self-service for Medicare members, ensure regulatory compliance (HIPAA, CMS, ADA), and deliver a personalized, compliant, and efficient user experience for members, brokers, and employers. The Medicare and Medical Insurance Solution is a unified, cloud-native digital solution designed to transform the end-to-end experience for Medicare-eligible members (65+), brokers, employers, and payers. Built on a proven architecture with secure integration capabilities, low-code agility, and omnichannel enablement, the solution enables healthcare insurers and similar organizations to deliver seamless engagement, compliance-ready interactions, and operational efficiency across the healthcare value chain.

    Key Benefits: Member Portal (65 Over/under)

    • Personalized plan comparison and selection based on eligibility, health needs, and cost
    • Streamlined digital enrollment and onboarding
    • Self-service portal for claims, payments, ID cards, PCP selection, and support
    • Multilingual and ADA-compliant experience across devices

    Brokers Portal

    • Unified broker portal for quote generation, lead tracking, and enrollment management
    • Real-time access to commission dashboards and plan updates
    • Co-branded microsites for employer-specific campaigns

    Employers Portal

    • Secure dashboards to manage employee eligibility, enrollments, and reporting
    • Integration with HRIS systems for data synchronization
    • Access to plan analytics and utilization insights

    Insurance Admin Portal

    • 360 degree-member view with real-time engagement tracking
    • Integration with back-end systems (EPIC, CMS, EHR, CRMs)
    • AI-driven insights for churn reduction, segmentation, and personalization
    • Tools for compliance, document generation, and outreach automation

    The Medicare and Medical Insurance Solution on AWS Marketplace is only available via a private offer. To discuss how we can provide a private offer tailored to your organization's specific needs or to schedule a demo, please reach out to us at Digital_ExpCloud_AWS_Sales@hcl.com .

    Use cases

    Customer Onboarding

    Enable seamless digital onboarding and self-service for Medicare members through a Unified, intuitive experience across web/mobile with guided workflows, multilingual support, and accessibility. Empower brokers to sell and manage insurance plans effectively with an integrated broker portal with quote tools, lead management, and real-time commission and enrollment tracking

    Security, Governance and Compliance

    Ensure regulatory compliance (HIPAA, CMS, ADA) through pre-configured compliance-ready modules for consent, accessibility, and reporting

    Personalization

    Deliver a personalized, compliant, and efficient user experience for members, brokers, and employers through a solution that unifies digital journeys with low-code agility, AI personalization, and end-to-end integration to enhance acquisition, retention, and service efficiency.

    Details

    Deployed on AWS
    2 of 3 products deployed on AWS
    New

    Introducing multi-product solutions

    You can now purchase comprehensive solutions tailored to use cases and industries.

    Multi-product solutions

    Products included

    Deployed on AWS
    HCL Volt MX is an industry-leading multiexperience low-code platform that empowers everyone in your organization to build engaging experiences across all digital touchpoints.
    Deployed on AWS
    In today's digital+ economy, the experiences your brand offers can make or break your business. HCL's Total Experience is a holistic approach that considers every touchpoint an organization has with its customers and employees, ensuring every interaction is intelligent, connected, immersive and personalized.
    The Medicare and Medical Insurance Services are part of a unified, cloud-native digital solution designed to transform the end-to-end experience for Medicare-eligible members (65+), brokers, employers, and payers. Built on a proven architecture with secure integration capabilities, low-code agility, and omnichannel enablement, the solution enables healthcare insurers and similar organizations to deliver seamless engagement, compliance-ready interactions, and operational efficiency across the healthcare value chain.

    Features and programs

    Financing for AWS Marketplace purchases

    AWS Marketplace now accepts line of credit payments through the PNC Vendor Finance program. This program is available to select AWS customers in the US, excluding NV, NC, ND, TN, & VT.
    Financing for AWS Marketplace purchases

    Pricing

    Custom pricing options

    Pricing is based on your specific requirements and eligibility. Request a private offer to receive a custom quote.

    Integration guide

    HCLSoftware Lab Services will assist in customizing and integrating the accelerator application and SaaS solution into your environment.

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