How to enroll

Enrollment into one of Imperial Health Plan of California (HMO) (HMO SNP) MAPD plans is easy. Please use one of the enrollment methods below:


Call us at 1-800-838-5914 and we will complete the application with you over the phone.


Visit or for on-line enrollment options.


Complete the enrollment application and fax it to 1-626-380-9066


Complete the enrollment application and email it to


Complete the enrollment application and mail it:

Imperial Health Plan
Attention: Membership Department
PO Box 60874
Pasadena, CA 91106

What Happens After Enrollment Application Is Completed?

After you have completed and submitted the enrollment application for Imperial, what happens next?

Enrollment Confirmation

We will confirm your enrollment based on enrollment criteria

Acknowledgement / Confirmation Letter

When enrollment is confirmed we will send you an Acknowledgement/Confirmation letter that confirms your enrollment. This letter will contain the plan you selected and your Member ID number. If, for any reason, your application is not accepted, we will notify you, including the reason(s) why.

Evidence of Coverage (EOC) & ID Card

The EOC will include your plan ID Card, Provider/Pharmacy Directory and Drug Formulary. These books have all the information needed to use your plan benefits. Please keep your ID Card with you all times. Your ID Card is used for all medical services including Dr. visits, hospital stays, emergencies and pharmacy.

Phone Call

Member Services will call you within 7-10 business days of your confirmed enrollment. The Member Services Representative will inform you that you can start receiving services and will be happy to help set-up your first PCP visit and answer any additional questions you may have.

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