Unified Wellness AI is a first to market AI-driven healthcare enrollment platform designed to simplify and secure the Affordable Care Act (ACA) & Medicare enrollment process. The platform integrates patent-pending AI technology with fraud prevention and automated policy recommendations, ensuring a seamless and efficient experience for consumers, insurance agencies, insurance carriers, and government agencies.
There has long been a void in this sector for companies creating solutions to efficiency and fraud. We have navigated insurance compliance and government systems to create solutions to long standing issues that millions of Americans will benefit from.
Current Problems:
- Confusing enrollment process. Less then 9% of Americans understand insurance or how to enroll.
- Self-enrollment adoption has been slow due to traditional manual applications and self guided FAQ sections.
- Information is not centralized to one location for ease of use.
- Literature can still be confusing to understand for the average American.
- Fraud Issues- Ghost agents steal client information and switch their plans for commissions. Creates client retention issues.
- Speaking to a knowledgeable agent requires sitting on hold or scheduling a phone call for extended periods of time.
- 70% of consumers prefer audio or text over traditional phone calls for purchasing products, yet health insurance requires a live agent over the phone to assist consumers through the process.
- The current process is inconvenient, slow, frustrating & can take hours to complete.
- Scalability for agents and brokers is capped daily due to the necessity for a phone call to ask questions or finalize policies.
- Lacks full automation.
- Delayed commissions for agencies (Net 90-120).
Our Solution:
- Easy enrollment process that can take as little as 5 minutes.
- Realistic AI avatars create an efficient and enjoyable self-enrollment process that drives adoption and explains policy recommendations in detail.
- Information is centralized to one location for ease of use. Instead of looking things up, you simply ask the questions and you are answered immediately in simple understandable terms.
- AI fraud prevention eliminates ghost fraud issues and protects consumers and agents while raising retention.
- No need for a phone call because the avatar can answer all insurance related questions and finalize a policy. However, agents are on standby for complex situations that require human assistance for live call transfers.
- Our process is convenient, fast, and allows clients to enroll at their pace with no high pressure sales or unwanted conversation.
- You can pick up where you left off and finalize your own policy any time of the day or night with AI avatar assistance.
- Scalability and adoption doesn't require hiring a substantial amount of licensed agents but instead focuses on hiring the most knowledgeable and customer service driven agents in the nation.
- Delayed commissions will be eliminated to agents and agencies working with us because carriers can trust that we will not have substantial chargebacks on commissions.
Everyone in the industry benefits from our model:
- Consumers finally have an enjoyable, seamless enrollment process they can understand and complete with confidence knowing they have the best plan for their circumstances.
- Agents have more scalability, faster, without sacrificing customer service and retention using our AI avatars and fraud protection.
- Carriers do more volume and increase revenue and retention because consumers are properly informed of their coverage and how it works along with minimizing customer service calls.
- Government agencies realize larger scale adoption along with happier consumers. Our model also saves government billions in congressional budget office funds that can be reallocated.
Limited Competition:
- Healthcare.gov & healsherpa.com are the only real competitors in our market.
- They are both using old manual self enrollment models with FAQs for guidance and have below average adoption rates requiring the help of a live agent.
- Our competitors are not using artificial intelligence at all.
- Our patent pending status places anyone who tries to replicate our AI model or process at risk of infringement.
Key Features:
- Face-to-face enrollment with a conversational AI avatar anytime, anywhere, on any device.
- Personalized policy recommendations based on consumer needs, medical history, and budget.
- AI-powered fraud detection and HIPAA compliance to prevent unauthorized policy changes and protect agent and consumer data.
- AI-enhanced CRM, fraud monitoring, and compliance assistance for SAAS implementation.
- Capable of integrating with state and federal ACA & Medicare programs, improving efficiency and reducing costs.
- Designed for future expansion into other markets.
Market:
- $1.6 Trillion U.S. Individual Health Insurance Market
- $144.3 Billion Projected size of the Fraud Detection Market by 2033
- $79.86 Billion Projected AI in Insurtech Industry size by 2032
- 21M enrolled to marketplace coverage in 2024
- 67M enrolled to Medicare in 2024
- 305M Americans have insurance and need to renew every year
We are primed for explosive growth with a large nationwide market and no limit to the daily volume of enrollments. Our model is the future of insurance enrollments with multiple categories of growth from Medicare, employer-sponsored plans, supplemental insurance plans, and even life insurance. All of which are protected within our patent status, which opens opportunities for licensing.
We believe that healthcare enrollment should be simple, secure, and accessible to everyone. Our technology is designed to empower consumers by providing them with clear, AI-powered guidance through the ACA & Medicare process. We are committed to eliminating fraud, reducing inefficiencies, and improving access to healthcare through cutting-edge automation and compliance-driven solutions.
We're excited to bring this AI consumer solution to market and look forward to working with you.
www.unifiedwellness.ai
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