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Medicare & Medical Insurance Services

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.
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About

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 Services, when deployed as part of an HCLSoftware Total Experience solution, are 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 services enable 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°-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 and requires acquisition of additional HCLSoftware entitlements. 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 DigitalExpCloudAWS_Sales@hcl.com.

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