Request Information

If you would like more information about CareSource Medicare Advantage, please fill out the form below. You can receive information in different ways depending on what is most convenient for you, with no obligation to enroll.

To receive information in the quickest manner, you can contact a CareSource Medicare Advantage Sales Representative directly:

Ohio: 1-844-607-2830 (TTY: 1-800-750-0750 or 711)

You can also contact Member Services:

Ohio: (TTY: )

We are open 8 a.m. – 8 p.m. Monday through Friday, and from Oct. 1 – March 31 we are open the same hours seven days a week.

First Name:

Last Name:

Phone:

Address:

City:

State:

ZIP Code:

Email:

I would like to receive email from CareSource.
I would like a CareSource representative to call me.
I would like to receive information about CareSource through the mail.

This is NOT an Enrollment Application

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