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.

Want to enroll in Imperial Health Plan, you can do so in one of the following ways:

  1. Enroll over the phone by calling us at 1-800-838-5648 and we will take your enrollment information over the phone
  2. Schedule a face-to-face appointment by calling 1-800-838-5914 and we can schedule an appointment with an employed Sales Representative or Independent Agent.
  3. Download the attached enrollment form and submit via:
Email: Enrollmentunit@www.imperialhealthplan.com
Mail: Imperial Health Plan of California, Inc.
Attn: Membership Department
PO BOX 60874
Pasadena, CA 91116
Fax: 626-380-9066
  1. Complete online enrollment application via Medicare Online Enrollment Center (OEC) at http://www.medicare.gov. By accessing this link, you acknowledge that you have reviewed the Imperial Health Plan Summary of Benefits, Drug Formulary, and the Provider Search Function that are provided on https://www.imperialhealthplan.com or by calling the Membership Department at 1-800-626-380-9066.

Enrollment Application

If you select PBP 005 Senior Value (HMO 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:

  • You live in our service area
  • You have both Medicare Part A and Medicare Part B
  • You are a United States Citizen
  • You do not have End-Stage Renal Disease (ESRD), with limited exceptions

To join Senior Value (HMO SNP), you must also have been diagnosed with diabetes, chronic heart failure (CHF), and/or cardiovascular disorders(s).

 


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