Photograph your Insurance Card

Take a photo of your ID and then select Use Photo

Front side

Place the card within the outline. Make sure the card to be centre and within the outline.

Front side

Place the card within the outline. Make sure the card to be centre and within the outline.

Retake photo Go back without using photo

Front

Go back without using photo

Back

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Do you want to complete the Open questions?

Please select a Zip Code

Zip code

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Do you want to back page

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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 to check if the information you provided during scheduling is updated in our records.

Do you have another insurance to add for this visit?

Yes

For security reasons, we ended your session when you refreshed the page. To resume your session, please go back to your email or text message and click the link provided. Don't worry, your progress has been saved and you can pick up where you left off.

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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

Free same-day delivery Test

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 Testing a capsule

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 adjust the card to fit in the frame by dragging the orange scale below the image before saving

Photograph your Insurance Card

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Please select a Zip Code

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

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