Tell Us

You can send us your question or request by telling us the information below. You will receive a response within one business day. If you send us your question or request on a Friday, you will receive a response by Monday of the next week.

Contact Information

Member Name:

Street Address:

Please enter the address provided during enrollment with a plan. This would not be a different preferred address given to CareSource.

Apartment:

City:

State:

Zip:

Phone:

Email:

Please know that email may not be secure, and information, including health information, could be seen when sent.

Please re-enter your Email:

How do you want us to respond to your question?

Email Phone

Member Type:

Existing Future

Relationship to Member:

Name:

Due to HIPAA guidelines, CareSource is only able to provide general information regarding anyone over the age of 18 years old, without their permission or required documentation. If this person would like specific information, they will need to email or call CareSource regarding their concerns.

Please enter your Member ID or Recipient ID

Member Date of Birth:

Plan

Subject Category:

IN-MMED-0921 First Use: 1/1/2017 OMPP Approved 12/27/2016