High-regulation notice
This is a C fit. Medicare Advantage marketing is among the most tightly regulated outbound categories in the United States, and the rules are not a matter of interpretation for a software vendor. 42 CFR 422.2264(a)(2)(iv) prohibits unsolicited telephone solicitation, robocalls, text messages and voicemail messages by Medicare Advantage organizations and their agents and brokers. Cold calling is out. Anything you do here has to rest on a documented beneficiary request and must be reviewed by your compliance owner. Nothing on this page is compliance or legal advice.
What a permitted call looks like
A beneficiary requested a consultation and left a number. That request is the basis, and the scope of the conversation is set by what was requested. A licensed and appointed agent makes the call, and the required documentation follows the agreed scope of appointment.
DialBreeze fits one narrow piece of that: dialing the permissioned list and capturing what was asked so the agent arrives prepared.
Three workflows where the tool can help, within the rules
Consultation request callback. Call only the beneficiaries who submitted a request, and only with a licensed agent on the line.
Reschedule call. The beneficiary already agreed to talk and asked to move the time. This is administrative, and it is still logged.
Member service contact. Existing members with a service question. That is a different category from marketing, and it should be handled on its own path.
Dispositions a compliance owner can audit
Consultation booked, scope of appointment documented, materials requested, not eligible with a permitted follow-up window, not interested, do not call permanently, third party marketing organization record routed to compliance. Every one of those should be reviewable.
The rules that stack on top of each other
CMS rules come first, and 42 CFR 422.2274 governs agent, broker and third party marketing organization conduct and compensation. The general telemarketing rules apply on top: 16 CFR 310.4(c) and 47 CFR 64.1200(c)(1) cap solicitation calls at 8 a.m. through 9 p.m. local time at the called party’s location, and 47 CFR 64.1200(a)(10) requires honoring a revocation made by any reasonable means within a reasonable time not to exceed ten business days.
Recording requires all-party consent in Washington (RCW 9.73.030) and California (Penal Code 632). Where protected health information is involved, the HIPAA business associate framework at 45 CFR 164.504(e)(1) matters to how your tooling contracts are structured.
Why we publish this page at all
Agencies search for a Medicare sales dialer. The honest answer is that the category exists and the legal room to use it is narrow. Publishing a page that pretends otherwise would put an agency at risk and misrepresent the product. This page states the constraint instead.
Cost and setup
Solo is $49 per seat per month. Team is $149 per month for three operator seats. Studio is $399 per month with seats sized at onboarding. Production calling runs on your own Telnyx account, billed separately. The trial runs on a sandbox with test numbers, which is the right place to rehearse a script before a compliance review.
Honest limits
The tool dials up to three lines, keeps a human on each conversation and produces after-call output. It does not determine whether a beneficiary may be contacted, does not produce scope of appointment documentation, and cannot be relied on as a compliance record.
Why the CMS constraints change how you build a list
The starting point for this category is not the calling technique, it is the permission record. 42 CFR 422.2264(a)(2)(iv) prohibits unsolicited telephone solicitation, robocalls, text messages and voicemail messages by Medicare Advantage organizations and their agents and brokers. That removes the cold call from the toolkit entirely, and it means the list source is the whole campaign.
A record belongs in the queue only when it carries a documented request that your compliance owner has reviewed. Anything else should stay out, no matter how promising it looks.
How a permitted workflow actually runs
The call happens with a licensed and appointed agent on the line, on a record the beneficiary initiated. The scope of the conversation is set by what was requested, and the required scope of appointment documentation is handled the way CMS guidance and your carrier require.
DialBreeze fits one narrow part: dialing the permissioned list and capturing the plan question so the agent arrives prepared. It is not a compliance record and it does not prove consent.
Dispositions a compliance owner can review
Consultation booked, scope of appointment documented, materials requested, not eligible with a permitted follow-up window, not interested, do not call permanently, third party marketing organization record routed to compliance. Each of those should be reviewable after the fact, with a date and an owner.
The rules that stack
42 CFR 422.2274 governs agent, broker and third party marketing organization conduct and compensation. On top of that, 16 CFR 310.4(c) and 47 CFR 64.1200(c)(1) cap solicitation calls at 8 a.m. through 9 p.m. local time at the called party’s location, and 47 CFR 64.1200(a)(10) requires honoring a revocation made by any reasonable means within a reasonable time not to exceed ten business days. Recording requires all-party consent in Washington (RCW 9.73.030) and California (Penal Code 632).
Confirm current CMS guidance, carrier agreements and state rules before any campaign. This page describes constraints, it does not provide compliance advice.