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careCycle

Also known as: carecycle.ai

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Voice agentindependentVerified 2026-09-28
Entry priceNot published. A flat rate per active policy plus usage, quoted in a pricing call.Full pricing detail

careCycle offers AI employees and a softphone platform for Medicare and ACA agencies: voice agents prequalify leads, warm transfer to licensed agents, answer benefit questions from maintained plan data and run retention campaigns, with a public API. It states SOC 2 Type 2 certification and HIPAA compliance.

careCycle is an agency operating system for Medicare and ACA distribution, combining AI employees, a softphone dialer, a CRM and campaigns. Its Sales Suite prequalifies inbound and outbound leads and warm transfers high intent callers to licensed agents. The Retention Suite runs Welcome Call, Approval Check-In and plan review campaigns, and the Revenue Suite works cross sell and ancillary attachment.

Campaigns are Pulse workflows of call, SMS, wait and loop steps routed on how each call ended, and automations chain them into a member journey. The receptionist, Cora, answers member calls and verifies benefit answers against careCycle's own Medicare Advantage plan dataset, linked to the agency's book of business by plan code, and the agency decides per scenario whether the AI transfers, books or logs an inquiry.

Custom roles and data filters scope what each teammate can do and which members' records they see, audit logs record every action, and careCycle reports SOC 2 Type 2 certification and HIPAA compliance. It runs its own models and says nothing goes to OpenAI, Anthropic or Google. Integrations cover MedicarePRO, GoGuruX, EnrollHere, Salesforce and HealthSherpa, and a public API with webhooks covers customers, policies, campaigns, appointments and lead sources. Pricing is a flat rate per active policy plus usage, quoted in a call. careCycle is backed by Y Combinator.

Vendor details

Canonical URL

https://carecycle.ai

Category

Voice agent

Funding status

careCycle is backed by Y Combinator. The team has been building voice AI since 2021, and the founder previously led GTM at AI Rudder (a horizontal voice AI company). careCycle reports early outcomes including a 5x increase in after-hours conversion, 37% improvement in 90-day retention, 3,000+ agent hours saved in a single AEP, and $2M+ in additional renewals during AEP 2024.

Company status

independent

Use cases & customers

Primary use cases

24/7 Medicare lead pre-screening and qualificationwarm transfer of high-intent leads to licensed agentspost-enrollment member retention and welcome callsapplication status updates and benefits questionsrenewal protection during AEP

Target customers

Medicare insurance agenciesFMOs and distribution teamslicensed Medicare and ACA agentsMedicare call centers

Deployment options

cloud platform with white-glove onboarding by forward-deployed engineersself-serve plan signup

Integrations

careCycle integrates with MedicarePRO, GoGuruX, EnrollHere, Salesforce and HealthSherpa, syncs customers and policies, connects calendars, and offers a public API with scoped keys, webhooks and ping post for lead vendors.

In practice

A Medicare agency wants every new member called soon after enrollment. careCycle's Retention Suite runs the Welcome Call campaign as a Pulse workflow of calls, SMS and waits, routes on how each call ended, and warm transfers callers who need a person to a licensed agent.

A member calls after hours asking whether a specialist is covered. Cora checks copays, deductibles, drug coverage and providers against careCycle's Medicare Advantage plan dataset joined to the agency's book of business, then books an appointment or logs the inquiry as the agency has set for that scenario.

Your compliance lead needs to know who touched a member's record. Custom roles and NPN data filters limit what each teammate sees, and audit logs record who did what, when and from where across records, campaigns and calls.

Sources & related URLs

Agentic Index coverage score

9.0 / 14 capabilities · 64%

Integrations & Tool Calling Full

The AI transfers calls, books appointments and logs inquiries per scenario, and careCycle connects to MedicarePRO, GoGuruX, EnrollHere, Salesforce and HealthSherpa, syncs customers and policies, and pushes events out by webhook.

SourcecareCycle, docs.carecycle.ai Assistant behaviors and carecycle.ai homepageread 2026-09-28
Workflow Orchestration Full

Pulse workflows chain entry, call, SMS, wait, loop and exit nodes with routing on how each call ended, automations chain campaigns into a member journey, and AI employees work beside licensed agents with warm transfers between them.

SourcecareCycle, docs.carecycle.ai Pulse nodes and configurationread 2026-09-28
Knowledge Grounding & RAG Full

Cora queries a maintained Medicare Advantage plan benefit dataset, joined to the agency's imported book of business by plan code, to verify copays, deductibles, drug coverage and providers before answering. That dataset is careCycle's own, and there is no stated way to add the agency's own documents.

SourcecareCycle, docs.carecycle.ai Plan dataread 2026-09-28
Human Oversight & Guardrails Partial

The agency decides scenario by scenario whether the AI transfers, books or logs an inquiry, during business hours and after, and warm transfers hand high intent callers to licensed agents. There is no human verification or approval before the AI acts or sends a message.

SourcecareCycle, docs.carecycle.ai Assistant behaviorsread 2026-09-28
Security, Identity & Governance Full

Custom roles set what each teammate can do and data filters scope which records they see by NPN, sessions cap at 12 hours and audit logs record who, what, when and from where. careCycle reports SOC 2 Type 2 certification and HIPAA compliance.

SourcecareCycle, docs.carecycle.ai Roles and permissions and SOC 2 and HIPAA pagesread 2026-09-28
Observability & Auditability Full

Audit logs track who did what, when and from where across customer records, campaigns, calls and admin actions, calls can be replayed with transcripts and dispositions, appointments carry an audit history through the API, and webhook deliveries are logged.

SourcecareCycle, docs.carecycle.ai SOC 2 and HIPAA page and API reference indexread 2026-09-28
Memory & State Persistence Not documented

The AI keeps no separate memory with its own scope and lifetime. Member history lives in careCycle's CRM records (customers, policies, calls), which are the agency's business record.

SourcecareCycle, docs.carecycle.ai documentationread 2026-09-28
Deployment & Data Residency Not documented

There is no region choice or deployment in the agency's own environment. careCycle says its AI runs on premises with nothing sent to OpenAI, Anthropic or Google, which describes where careCycle runs its own models.

SourcecareCycle, carecycle.ai homepage and docs SOC 2 and HIPAA pageread 2026-09-28
Prebuilt Agents, Templates & Packs Full

Named campaigns do separate jobs within Sales, Retention and Revenue suites, among them inbound and outbound prequalification, a Welcome Call, an Approval Check-In and ACA specific retention campaigns, and cross sell and ancillary revenue campaigns, with campaign templates available through the API.

SourcecareCycle, carecycle.ai homepage and docs.carecycle.ai guides indexread 2026-09-28
Triggers & Channel Coverage Full

Campaign triggers and automations enroll customers into a Pulse workflow on rules, callback pulses call members back on their own, and a receptionist number answers inbound calls and texts, so work starts without an agent placing it.

SourcecareCycle, docs.carecycle.ai Pulse nodes and documentation indexread 2026-09-28
Model Flexibility & Routing Not documented

The customer does not choose a model or provider. careCycle runs its own models on premises and says nothing goes to OpenAI, Anthropic or Google.

SourcecareCycle, carecycle.ai homepageread 2026-09-28
APIs, SDKs & MCP Extensibility Full

The careCycle Public API takes an x-api-key header with keys scoped by capability and rate limited per key, and its reference covers customers and policies, campaigns and their behaviors, enrollment, appointments, sources, suppressions and ping post, with webhooks for real time events.

SourcecareCycle, docs.carecycle.ai API authentication and API reference indexread 2026-09-28
Testing, Debugging & Optimization Partial

Before launch, staff talk to their AI employee in the browser or take a real test call that exercises the full flow, and a preflight check stops on missing variables. The review is by ear, with no scored test cases or pass or fail criteria.

SourcecareCycle, docs.carecycle.ai Test your campaignread 2026-09-28
Browser & Computer Use Not documented

There is no browser, desktop or computer control. AI employees work by phone and SMS and act through the platform and CRM integrations.

SourcecareCycle, docs.carecycle.ai guidesread 2026-09-28

The Agentic Index coverage score grades every vendor Full, Partial or Not documented against the same 14 buyer facing capabilities, from public evidence only. Each capability links to how all vendors in the index score on it. How this evidence is graded

Product updates

·Agent capabilityVerified

In careCycle 2.0 every call opens with a member fact sheet listing policies with their writing agent, appointments with reference codes, open requests and whether anyone acted on them, and summaries of the last eight calls. The assistant can now move or cancel an appointment during the call using the same steps as the operator reschedule and cancel paths, and on the problem calls careCycle tested, repeat notes fell from 14 to 1 and false promises from 33 to 6.

Bears on: Memory / state

View source
·Agent capabilityVerified

careCycle expanded its assistant's plan data to every US county across Medicare Advantage and PDP plan types. Its rebuilt lookup pipeline delivers benefit answers in two seconds, down from 6.5 seconds, according to the release note. The same release lets Pulse routing use custom fields and customer assignment use customer tags.

Bears on: Workflow orchestration

View source
·Agent capabilityVerified

careCycle introduced Assembly, a new campaign workspace for configuring AI employees. The feature allows users to query current configurations, review call performance, and prepare changes via a guided conversation, complete with full version control for tracking and restoring previous setups.

Bears on: Agent capability

View source
View all 3 careCycle updates →Tracked since Aug 2026 · Verified from public vendor sources

Pricing

Not published. A flat rate per active policy plus usage, quoted in a pricing call.

Per active policy on the book, plus usage

Trial available

What is public

careCycle publishes its billing structure, a rate per active policy plus usage, with free seats and all features included. The rates are not published.

Billing mechanics

Billing has two parts. One is a flat rate per active policy, with no tiers or bands, and the other is usage billed for what runs. careCycle puts it as "A quiet month costs less than a heavy one, and AEP costs what AEP costs." Seats are free and all features are included.

Variable cost rationale

careCycle meters active policies on the agency's book, at a flat rate per policy with no tiers or bands, and usage, billed for what runs. The bill grows as the book grows and as activity rises, so a heavy period such as AEP costs more than a quiet month. Seats are free, so adding agents, supervisors or support staff adds nothing. Neither rate is published, and no cap or commitment is published to limit usage.

Sales call required

No, self serve available

Free / trial

No free tier or trial published

Lowest paid plan

Not published

Key ambiguities

Neither the per policy rate nor the usage rates are published.

Agentic Index verified 2026-09-28
Official pricing page

Related vendors

Alternatives to careCycle

The closest documented capability profiles to careCycle among voice agents tracked by Agentic Index, ordered by similarity on the same 14 point evidence the rankings use. No vendor pays for placement.

  • JustCall9.0 / 14Adds documented Memory & State Persistence
  • Salient9.5 / 14Adds documented Memory & State Persistence
  • Allo9.0 / 14Adds documented Model Flexibility & Routing
  • Awaz7.0 / 14A lighter documented profile than careCycle
  • Callers8.0 / 14Adds documented Memory & State Persistence
  • Consio7.0 / 14A lighter documented profile than careCycle

Similarity is computed from each vendor's Agentic Index coverage score evidence, axis by axis, not from the totals. How this evidence is graded

Compare careCycle with other vendors →Compare all voice agents →See where careCycle ranks →
Data confidence: high

Head to head

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