Healthcare Payers

Plan renewal and
re-enrollment.

Stay covered. Stay confident. We’ll help you every step of the way.

Use intelligent, proactive outreach to engage members ahead of open enrollment—confirm renewal, explore plan options, and complete re-enrollment so members keep the coverage they need without interruption.

Explore intelligent outreach
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The challenge...

Members may not understand when open enrollment begins or what they need to do to renew.

Confusion about plan changes, costs, and coverage can lead to inaction, lapse in coverage, or disenrollment.

Manual outreach is labor-intensive, inconsistent, and difficult to scale across large member populations.

The goal is to reach the right members with the right information—at the right time—so they renew with confidence and stay covered without disruption.

The objective...

The health plan set out to create proactive renewal and re-enrollment outreach that could:

  • Identify members nearing renewal or at risk of disenrollment.
  • Confirm intent to renew and capture key member information.
  • Present plan options, benefit highlights, and cost comparisons.
  • Surface potential issues that could prevent renewal.
  • Guide members through next steps for seamless re-enrollment.
  • Answer common questions about coverage, costs and changes.
  • Send timely reminders and follow-ups to drive completion.
  • Connect members to the right resources for complex needs.
  • Improve renewal rates, reduce disenrollment, and protect revenue.

The Alvaria Intelligence
Platform approach.

AIP unifies enrollment, eligibility, plan, and engagement data to identify members at key renewal milestones.

AIP personalizes outreach, recommends the right plan information and offer, and orchestrates the member journey across preferred channels.

Outcomes are measured, learned, and used to continuously improve renewal performance.

Selected engagement model

Agentic-led engagement
for seamless renewals.

Agentic begins
& leads
Human supervises
or steps in as needed
Resolution

An agentic agent informs, educates, and guides members through renewal decisions, plan comparisons, and enrollment. When questions are complex, upgrades, downgrades, or special situations arise, the interaction is seamlessly routed to the appropriate human expert.

Agentic begins and leads.
Human supervises or steps in as needed.

Better experience. More renewals. Stronger retention.

Customer value...

  • Easy access to plan information
  • Clear options and cost transparency
  • Guidance to keep the right coverage
  • Reminders and support along the way
  • Confidence in their renewal decision

Business value...

  • Higher renewal and re-enrollment rates
  • Lower involuntary disenrollment
  • Protected premium revenue
  • Improved member satisfaction and loyalty
  • Stronger performance on quality metrics

Keep members covered.
Protect revenue. Build loyalty.

Proactive renewal outreach keeps members covered with ease—so they keep the coverage they need and you keep the business.

Request a personalized demo
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