If you are interested in learning more about Imperial Health Plan of California (HMO) (HMO SNP) please contact our prospective member toll-free line at: 1-800-838-5914.
Mail: Imperial Health Plan of California, Inc.
Attn: Membership Department
PO BOX 60874
Pasadena, CA 91116
If you detect or suspect FWA, please report it immediately. Your report is confidential and prohibits retaliation against anyone for reporting in good faith a possible violation of the code, law or regulation.
If you select PBP 005 Imperial Senior Value (HMO C-SNP), you must complete the SNP Assessment Form below.
Who can join?
To join any of our Plan Benefit Packages, you must meet all of the following requirements:
To join Imperial Senior Value (C-SNP), you must also have been diagnosed with diabetes, chronic heart failure (CHF), and/or cardiovascular disorders(s).
If you’re enrolled in a Medicare plan or enrolling for the first time, generally you can only enroll, switch plans, or disenroll from a plan during certain times of the year.
Annual Election Period (AEP)
AEP is from October 15 through December 7 of every year. MA eligible individuals may enroll in or disenroll from an MA plan. The last enrollment request made, determined by the application date, will be the enrollment request that takes effect.
Initial Coverage Election Period (ICEP)
The ICEP is the period during which an individual newly eligible for MA may make an initial enrollment request to enroll in an MA plan. This period begins three months immediately before the individual’s first entitlement to both Medicare Part A and Part B and ends on the later of:
Initial Enrollment Period for Part D (IEP for Part D)
The Initial Enrollment Period for Part D (IEP for Part D) is the period during which an individual is first eligible to enroll in a Part D plan. In general, an individual is eligible to enroll in a Part D plan when he or she is entitled to Part A OR is enrolled in Part B, AND permanently resides in the service area of a Part D plan. Ultimately, CMS provides a part D eligibility effective date and maintains it in CMS systems.
Open Enrollment Period for Institutionalized Individuals (OEPI)
The OEPI is continuous for eligible individuals. For purposes of enrollment under the OEPI election period, an institutionalized individual is defined as an individual who moves into, resides in, or moves out of an institution. The OEPI ends two months after the month the individual moves out of the institution.
Medicare Advantage Open Enrollment Period (MA OEP)
During the MA OEP, MA plan enrollees may enroll in another MA plan or disenroll from their MA plan and return to Original Medicare. Individuals may make only one election during the MA OEP.
Individuals may add or drop Part D coverage during the MA OEP. Individuals enrolled in either MA-PD or MA-only plans can switch to:
The effective date for an MA OEP election is the first of the month following receipt of the enrollment request.