Medicare & Medical Insurance Services

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 Digital_ExpCloud_AWS_Sales@hcl.com .