CareSource Life Services® Request Info

If you would like more information about CareSource Life Services, 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.

You also can reach us at 1-844-607-2828 or by email at We are open Monday through Friday, 8 a.m. – 5 p.m. We look forward to hearing from you!

This is NOT an Enrollment Application