Welcome to the CareSource iConnect program! Please enter your information below to begin the registration process. We want to make sure that we are listening to our members, and tailoring our products and services to your needs now and in the future. If you have any questions, please call (888) 882-3613, or email iconnect@caresource.com.

Thank you!

1) Personal Information

Yes
No
Yes
No
Male
Female

2) iConnect Story

CareSource is also looking for members who have a unique story to tell about their health care. Has CareSource made a difference in your life or in the life of someone you know? If you have a story you would like to share with us today, please feel free to share your story below.

3a) Email Alerts?

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No
Yes
No
Yes
No

3b) Texting Alerts?

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No
Yes
No
Yes
No

3c) Social Media?

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No
Yes
No
Yes
No
Yes
No

3d) Focus Groups?

We will be offering incentives and paid transportation for all of these meetings.

Yes
No

4) Waiver Agreement

I agree that CareSource can use my story for any reasonable purpose including marketing, advertising, business development, internal and external communications, CareSource blogs, etc.

I Agree
I Disagree