Imperial Health Plan of California, Inc.
Imperial Health Plan of California is a private Medicare Advantage HMO and HMO SNP plan provider serving Medicare beneficiaries across 50 California counties and five additional states (Arizona, Nevada, Texas, Utah) through CMS capitation contracts and a 100% agent distribution model.
- Company typePrivate
- Founded-
- HeadquartersPasadena, United States
- Headcount251–500
- GTM typeB2C
- OfferingServices
What Imperial Health Plan of California, Inc. does
Imperial Health Plan of California, Inc. is a private Medicare Advantage HMO and HMO Special Needs Plan (SNP) operator headquartered in Pasadena, California. Established by a physician, the company delivers CMS-contracted Medicare Advantage coverage across 50 California counties under contract number H5496, and extends Medicare Advantage and Marketplace health plans to a total of six states and 71 counties (including Arizona, Nevada, Texas, and Utah). The product portfolio comprises standard HMOs (Imperial Dynamic Plan 012 and Imperial Courage Plan 016), a chronic-condition SNP (Imperial Senior Value 005 for diabetes, chronic heart failure, and cardiovascular disorders), a dual-eligible SNP (Imperial Dual Plan), and ACA Marketplace plans in non-California states. Imperial holds NCQA accreditation and was recognized by U.S. News & World Report as a Best Insurance Company for Medicare 2026.
The company's operating model is built on CMS capitation payments received per enrolled Medicare beneficiary, with care delivered through a contracted provider network (utilizing the EZ Net Provider Portal for eligibility, authorization, and claims administration). MedImpact serves as the pharmacy benefit manager for Part D drug coverage and formulary administration. Imperial augments core medical benefits with an ecosystem of third-party partners including Teladoc for telehealth, Delta Dental for dental coverage, VSP for vision, TruHearing for hearing services, Lucet Behavioral Health for mental health, Papa Pals for in-home support, CapitalRx for prescription payment plans, and American Specialty Health (Silver&Fit) for fitness and chiropractic/acupuncture services.
Distribution is conducted exclusively through a 100% agent channel, leveraging licensed independent insurance agents and Field Marketing Organizations (FMOs), supported by a dedicated Agent Portal for certification, training, commission tracking, and enrollment. Members access benefits through a self-service Member Portal. The company employs 251–500 people, has no disclosed parent company, no funding rounds, no M&A activity, and no institutional or private equity ownership evidenced in available data.
Imperial Health Plan of California, Inc. firmographics
Firmographics- Name
- Imperial Health Plan of California, Inc.
- Legal name
- Imperial Health Plan of California, Inc.
- Website
- https://imperialhealthplan.com
- Company type
- Private
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Short description
- Imperial Health Plan of California is a private Medicare Advantage HMO and HMO SNP plan provider serving Medicare beneficiaries across 50 California counties and five additional states (Arizona, Nevada, Texas, Utah) through CMS capitation contracts and a 100% agent distribution model.
- Ownership category
- akta.pro rank
Imperial Health Plan of California, Inc. industry classification
Industry- Product category
- Medicare Advantage Health Insurance
- NAICS
- HMO Medical Centers (621491), Direct Health and Medical Insurance Carriers (524114)
- SIC
- Hospital & Medical Service Plans (6324), Accident & Health Insurance (6321)
- akta.pro primary industry
- Medicare Advantage HMOs (HMO/HMO-POS) (HLAEAMAH)
- akta.pro secondary industries
- MA Special Needs Plans (MA-SNP: D-SNP/C-SNP/I-SNP) (HLAEACAE), D-SNP Plan Sponsorship & Benefit Design (HLAEAFAA), MA Chronic Condition Management & Supplemental Benefits (SSBCI) (HLAEACAI)
Keywords
Where Imperial Health Plan of California, Inc. is headquartered
LocationHeadquarters
- HQ city
- Pasadena
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Imperial Health Plan of California, Inc. business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Healthcare service delivery and capitation payouts to providers, Personnel, Marketing or Sales, Operations, Technology or R&D, Infrastructure
Revenue model
- Medicare Advantage Capitation: Imperial Health Plan generates revenue through capitation payments from the Centers for Medicare & Medicaid Services (CMS). As a Medicare Advantage HMO and HMO SNP, the organization receives monthly per-member payments from CMS to provide covered healthcare benefits to enrolled Medicare beneficiaries.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Dynamic Plan (HMO) - Plan 012 |
| Subscription | Annual | Senior Value Plan (HMO C-SNP) - Plan 005 |
| Subscription | Annual | Imperial Courage Plan (HMO) - Plan 016 |
Go-to-market motion1 record
Distribution channels4 records
Marketing channels4 records
Imperial Health Plan of California, Inc. product offering
Product offeringCore offering
Imperial Health Plan of California, Inc. operates as a Medicare Advantage HMO and HMO SNP providing health coverage to Medicare-eligible beneficiaries through contracted provider networks. The plan offers core products including Imperial Dynamic (HMO), Imperial Senior Value (HMO C-SNP for chronic conditions), Imperial Courage (HMO), and Imperial Dual (HMO D-SNP), plus Marketplace plans in Arizona, Nevada, Texas, and Utah, with integrated medical, pharmacy, dental, vision, hearing, behavioral, and supplemental benefits.
Product overview
Imperial Health Plan of California, Inc. operates as a Medicare Advantage HMO and HMO SNP plan provider with a multi-product portfolio. The company offers Medicare Advantage plans (Imperial Senior Value C-SNP, Imperial Dynamic Plan HMO, Imperial Courage Plan HMO, and Imperial Dual Plan D-SNP) alongside Marketplace plans across six states. The core Medicare Advantage products provide comprehensive medical coverage, with optional add-on modules including Part D prescription drug coverage, telehealth (Teladoc), dental, vision, hearing, behavioral health, and fitness (Silver & Fit). Additional benefit modules encompass over-the-counter allowances, transportation, meals, in-home support (Papa Pals), and clinical programs such as diabetes management, case management, and quit smoking support. The company maintains digital platforms including member, agent, and provider portals for self-service operations, with MedImpact serving as the pharmacy benefit manager.
Differentiator
Problem solved
Functional benefit
Brands
- Imperial Senior Value: HMO C-SNP plan for beneficiaries with chronic conditions like diabetes, chronic heart failure, and cardiovascular disorders.
- Imperial Dynamic Plan
- Imperial Courage Plan
Products and services
- Imperial Dynamic Plan (HMO) Standard Medicare Advantage HMO plan offering comprehensive health coverage with access to network providers. Plan code 012.
- Imperial Senior Value (HMO C-SNP) Medicare Advantage Chronic Condition Special Needs Plan (C-SNP) for beneficiaries with diabetes, chronic heart failure (CHF), and cardiovascular disorders, including prescription drug coverage. Plan code 005.
- Imperial Courage Plan (HMO) Medicare Advantage HMO plan offering health coverage benefits. Plan code 016.
- Imperial Dual Plan (HMO D-SNP) Dual-Eligible Special Needs Plan (D-SNP) for beneficiaries who qualify for both Medicare and Medicaid coverage.
- Marketplace Plans Health insurance plans available through the Health Insurance Marketplace (ACA exchange) in Arizona, Nevada, Texas, and Utah.
Companies that use Imperial Health Plan of California, Inc.
Customer profileSegments3 records
Ideal customer profiles4 records
Imperial Health Plan of California, Inc. technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration12 records
Imperial Health Plan of California, Inc. partnerships and signals
Strategic signalPartnerships
Nine partnerships are on record, tiered core and supporting.
- MedImpactcoreMedImpact serves as the pharmacy benefit manager (PBM) for Imperial Health Plan, providing prescription drug coverage administration, formulary management, pharmacy network access, and coverage determination services. Members can access MedImpact for prescription searches, mail order, and pharmacy benefit inquiries.
- Delta DentalcoreDelta Dental provides dental provider network access and dental benefits administration for Imperial Health Plan members. The partnership includes a dental benefits addendum and provider locator for members seeking in-network dental care.
- VSP (Vision Service Plan)coreVSP provides vision care benefits and access to vision providers for Imperial Health Plan members, including coverage for eye exams and eyewear.
- TeladoccoreTeladoc provides telehealth services enabling Imperial Health Plan members to access healthcare providers remotely via phone or video. Members can receive care for various conditions including mental health treatment, urgent care, and chronic condition management.
- American Specialty Health (Silver&Fit)supportingAmerican Specialty Health provides the Silver&Fit healthy aging and exercise program, offering members digital tools, personalized support, and access to participating fitness centers and YMCAs. Also provides chiropractic and acupuncture benefits through ASH Networks.
- TruHearingsupportingTruHearing provides hearing aid coverage and hearing care services for Imperial Health Plan members, including discounted hearing aids and routine hearing exams.
- Lucet Behavioral HealthcoreLucet Behavioral Health provides mental health services and substance use disorder support for Imperial Health Plan members, helping members navigate mental health care journeys.
- Papa PalssupportingPapa Pals provides in-home support services for Imperial Health Plan members, connecting members with companions for assistance with daily activities, transportation, and other non-medical support needs.
- CapitalRxsupportingCapitalRx provides medication prescription payment plan services, allowing members to spread prescription drug costs over time rather than paying full amount upfront at pharmacy.
Scale indicators3 records
Recent moves6 records
Expansion highlights5 records
Imperial Health Plan of California, Inc. competitors and assessment
Company assessmentDirect peers
- Alignment Health Plan: California-headquartered Medicare Advantage HMO with strong HMO SNP and D-SNP presence; directly comparable regional MA carrier competing in many of the same California counties as Imperial.
- SCAN Health Plan: California-based not-for-profit Medicare Advantage HMO with a long-standing C-SNP and D-SNP franchise; comparable in product mix, geography, and target senior population.
- Brand New Day Health Plan: California-focused Medicare Advantage HMO/SNP carrier owned by Centene; competes head-to-head with Imperial in California counties and offers similar C-SNP and D-SNP products.
Broad incumbents
- Blue Shield of California: Major California incumbent insurer offering Medicare Advantage HMO plans alongside commercial and group products; competing broad-line carrier with much larger scale and contracting leverage.
- Anthem Blue Cross (California): Elevance Health's California Blue plan offering Medicare Advantage alongside commercial and Medi-Cal products; comparable in product breadth but with vastly larger national scale.
- Kaiser Permanente (California): Integrated HMO with one of California's largest Medicare Advantage footprints; significant direct overlap with Imperial's territory and SNP focus areas.
- UnitedHealthcare (Optum): Largest U.S. Medicare Advantage carrier with HMO, HMO-POS, and D-SNP plans across all of Imperial's six states; dominant national incumbent setting competitive benchmarks on pricing and benefits.
- Humana: Top-three national Medicare Advantage HMO/PPO carrier with deep D-SNP and C-SNP programs; competes with Imperial on product structure, supplemental benefits, and agent commissions.
- Aetna (CVS Health): National MA carrier (HMO/HMO-POS/PPO and D-SNP) with overlap in Imperial's expansion states; competitive on plan design, supplemental benefits, and pharmacy-network-integration.
Emerging players
- Clover Health: Technology-oriented Medicare Advantage carrier focused on physicians and underserved seniors; comparable in mission-driven, senior-focused MA positioning rather than direct geography.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Imperial Health Plan of California, Inc. compliance and trust
Trust signalCompliance4 records
Imperial Health Plan of California, Inc. financial estimates
Financial estimateRevenue estimate
Valuation estimate
Imperial Health Plan of California, Inc. leadership team
Management profileNumber of profiles
Imperial Health Plan of California, Inc. funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Imperial Health Plan of California, Inc. M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Imperial Health Plan of California, Inc.
What does Imperial Health Plan of California, Inc. do?
Imperial Health Plan of California, Inc. operates as a Medicare Advantage HMO and HMO SNP providing health coverage to Medicare-eligible beneficiaries through contracted provider networks. The plan offers core products including Imperial Dynamic (HMO), Imperial Senior Value (HMO C-SNP for chronic conditions), Imperial Courage (HMO), and Imperial Dual (HMO D-SNP), plus Marketplace plans in Arizona, Nevada, Texas, and Utah, with integrated medical, pharmacy, dental, vision, hearing, behavioral, and supplemental benefits.
Is Imperial Health Plan of California, Inc. a public or private company?
Imperial Health Plan of California, Inc. is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Imperial Health Plan of California, Inc. founded?
Imperial Health Plan of California, Inc. was founded in -1. It employs 251 to 500 people.
Where is Imperial Health Plan of California, Inc. based?
Imperial Health Plan of California, Inc. is headquartered in Pasadena, United States, in the North America region.
How does Imperial Health Plan of California, Inc. make money?
One revenue line is on record: medicare Advantage Capitation.
Who are Imperial Health Plan of California, Inc.'s main competitors?
Direct peers on record are Alignment Health Plan, SCAN Health Plan and Brand New Day Health Plan. Broad incumbents are Blue Shield of California, Anthem Blue Cross (California), Kaiser Permanente (California), UnitedHealthcare (Optum), Humana and Aetna (CVS Health). Clover Health is listed as an emerging player.
Does Imperial Health Plan of California, Inc. have an API?
No public API is recorded for Imperial Health Plan of California, Inc..
What industry is Imperial Health Plan of California, Inc. in?
Imperial Health Plan of California, Inc.'s product category is Medicare Advantage Health Insurance. Its primary akta.pro industry code is HLAEAMAH, Medicare Advantage HMOs (HMO/HMO-POS), with a secondary code of HLAEACAE, MA Special Needs Plans (MA-SNP: D-SNP/C-SNP/I-SNP). Its NAICS code is 621491 and its SIC code is 6324.