Photograph your Insurance Card

Take a photo of your Card and then select Use Photo

Front side

Please place the card, horizontally, within the outline. Make sure the card is centered within the outline.

Front side

Please place the card, horizontally, within the outline. Make sure the card is centered within the outline.

Retake? Go back without using photo

Front

Go back without using photo

Back

Language

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Do you want to complete the Open questions?

Please select a Zip Code

Zipcode

Cancel

Save

Alert

Are you sure you want to leave this page and go back? The data you entered will not be saved.

Yes

No Page

This is the first page of the Registration process

The person responsible for payment must be at least 18 years old. Please review if all the information entered for the person responsible for payment is correct. Once you revise the information, click Next to go to the next page.

Information provided is incorrect.

Attention: It appears that you've made more than three unsuccessful attempts to verify your information. Please contact our front desk at 8185048499 to check if the information you provided during scheduling is updated in our records.

Please Verify Your Choice

Do you have another insurance to add?

Yes

To ensure your security, we've automatically ended your session after a page refresh. You can easily resume your work by clicking the link provided in your email or text message. Rest assured, your progress is safely saved, and you can continue from where you left off.

Please wait...

This may take little more than a minute

We can't find you in our system
Let's fix that

Go back and confirm you typed in the correct information

Legal Name(Your name as it appears on a state-issued ID or passport)
Date of Birth(MM/DD/YYYY)
Phone Number

If you continue to have trouble, please reach out directly to your Care Team
or emil help@yosicare.com for assistance

Capsule Same-Day Delivery

1Get a Text from Capsule

Capsule will text you within an hour to schedule your free, same-day delivery.

2Delivery Is Free

Just pay your normal copay.

3Receive Your Medication

Capsule will deliver within a few hours. You (or someone you trust) will need to sign for it.

Still have question?

Learn more about how Capsule works on their Website, or view their FAQs more?.

Crop Image

You can resize the image to fit within the frame by dragging the orange scale beneath the image before clicking "Save"

Cancel

Save

Photograph your Insurance Card

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Please select a Zip Code

Alert

No Page

We can't find you in our system Let's fix that

We can't find you in our system
Let's fix that