Dental add-on
Yes. The dental add-on is $29 a month with two cleanings a year.
- Fillings are covered at 80%
- Six month wait for major work
cedar-dental-rider.pdf
The plan detail they asked about, without the hold music
Enrollment calls are full of exact numbers across thick documents. Jamie listens to both sides and puts the deductible, the drug tier or the start date on your screen a few seconds after the question.
Live transcript Both sides of the call, written out as they speak
- Caller
What is the deductible on that Silver plan you mentioned?
- You
Three thousand dollars for one person. Regular doctor visits are $30 and do not wait on the deductible.
- Caller
And what would it cost me each month?
- You
Four hundred twelve a month before any subsidy. The Gold plan would be $508.
- Caller
My doctor is at Lakeview Family Clinic. Are they in the network?
- You
Cedar's directory shows them in network for next year. Please call the clinic to confirm before you enroll.
- Caller
I take a brand-name inhaler every day. Is that covered?
- You
It is covered on tier 3, so $60 a fill after the deductible. The generic version is $10.
- Caller
What is the most I could end up paying in a bad year?
- You
Eight thousand two hundred, not counting premiums. After that the plan pays covered care in full.
- Caller
We use the urgent care on Mill Road a lot. Is that one covered?
- You
It shows as in network. An urgent care visit is a $75 copay on this plan.
- Caller
If I sign up today, when does coverage start?
- You
January 1, as long as you enroll by December 15.
- Caller
I fill prescriptions at the pharmacy on Fifth Street. Does that still work?
- You
Yes. It is a preferred pharmacy, so you get the lower copay there.
- Caller
Can I add dental to this?
Answer cards Newest on top
Fifth Street pharmacy
The Fifth Street pharmacy is listed in Cedar's preferred network.
- Preferred pharmacies have the lower copay
- Open 8 am to 8 pm on weekdays
directory.cedarhealth.example/pharmacy
Start date
Enroll by December 15 and coverage starts January 1.
- After the 15th it starts February 1
- First premium is due before the start date
enrollment-calendar.md
Mill Road Urgent Care
Mill Road Urgent Care shows as in network and is open until 9 pm daily.
- Urgent care copay is $75
- Emergency room visits go to the deductible
directory.cedarhealth.example and 1 more
Out-of-pocket maximum
The out-of-pocket maximum is $8,200 for one person.
- Premiums do not count toward it
- After that the plan pays covered care in full
cedar-silver-3000-summary.pdf
Brand-name inhaler
It is on tier 3: $60 a fill once the deductible is met.
- The generic is tier 1 at $10
- Mail order gives 90 days for two copays
cedar-formulary-2027.pdf
Lakeview Family Clinic
Cedar's directory lists Lakeview Family Clinic as in network for 2027.
- Listed for the Silver and Gold plans
- Ask them to confirm with the clinic before enrolling
directory.cedarhealth.example
Monthly premium
At age 46 in that county it is $412 a month before any subsidy.
- The Gold 1500 is $508
- Rates go by age and county
cedar-2027-rates.xlsx
Silver 3000 deductible
The Cedar Silver 3000 has a $3,000 deductible for one person.
- Family deductible is $6,000
- Primary care visits are $30 before the deductible
cedar-silver-3000-summary.pdf
It answers from the plan documents you give it
Hand over the documents for the plans you sell. Jamie reads them before the call.
- Plan summaries
- Deductibles, copays and out-of-pocket maximums, as the carrier wrote them.
- Drug lists
- Which tier a medication is on and what a fill costs.
- Rate sheets
- The premium for an age and county without scrolling a spreadsheet mid-call.
- Enrollment calendars and riders
- Deadlines, start dates and add-ons such as dental.
When the answer lives on the carrier website
Networks change more often than plan documents. When your files do not cover a question, Jamie searches the web and shows where it looked.
- Provider directories. Whether a clinic or urgent care is listed in network.
- Pharmacy listings. Whether the pharmacy they already use is in the preferred network.
- Sources on the card. Every web answer names the pages behind it. Directories can be out of date, so confirm before the person relies on it.
Questions from brokers and enrollment teams
Does Jamie make my calls compliant?
No. Jamie shows you what your plan documents say. It does not decide what you are allowed to say and it is not a compliance tool. Your carrier and regulator rules on scripts, disclosures and recording still apply to you.
Where does call audio go?
To transcribe and answer, call audio goes to our server and to the speech and AI services we use. Callers may share health details, so check whether your privacy obligations allow that before you use Jamie on these calls.
Can it give a wrong benefit or price?
Yes. It is software reading documents quickly. Every card names the file or pages behind the answer, so check the plan document before you quote a benefit, a price or a date.
Does the caller know Jamie is there?
Nothing joins the call. Recording and transcription rules still apply, and many places need the caller to agree, so check the rules where you and your callers are and tell people.
Try it during your next enrollment season
Jamie is in early use on Windows. Tell us what lines you sell and we will write back when there is a spot.