Imperial Strong (HMO)

Health Insurance Company: Imperial Health Plan of California, Inc.

Medicare Advantage Plan Details

Imperial Health Plan of California, Inc.
$0 /mo
monthly premium
Imperial Strong (HMO)
Additional Coverage
Overall Star Rating (2024)
  • Rx
  • Dental
  • Vision
  • Hearing
3
out of 5 stars

General Plan Details

Medical Deductible
$240
Out-of-Pocket Maximum
$8850
Rx Drug Coverage
Yes
Rx Deductible
$545

Additional Benefits

Dental Coverage
Yes
Vision Coverage
Yes
Mental Health Coverage
Yes
Chiropractic Coverage
No
Optional Supplemental Benefits
No
Part B Give Back
No

Doctor & Hospital Coverage

Primary Doctor Office Visit
20% coinsurance per visit
Specialist Office Visit
20% coinsurance per visit
Periodic Exam Coverage
$0 copay

Emergency Room

20% coinsurance per visit (always covered)

Ambulance Coverage

20% coinsurance

Lab, X-Ray, Radiology Coverage

Outpatient diag procs/tests/lab services:
Medicare-covered diagnostic procedures/tests: 20% coinsurance
Medicare-covered lab services: 20% coinsurance
Outpatient diag/therapeutic rad services:
Medicare-covered diagnostic radiological services (e.g., CT, MRI, etc): 20% coinsurance
Medicare-covered x-ray services: 20% coinsurance

Outpatient Surgery Coverage

Outpatient hospital:
Medicare-covered outpatient hospital services: 20% coinsurance per visit

Hospitalization Coverage

Inpatient hospital-acute:
In 2024 the amounts for each benefit period are:
$1,632 deductible for days 1 through 60
$408 copay per day for days 61 through 90
Inpatient hospital psychiatric:
In 2024 the amounts for each benefit period are:
$1,632 deductible for days 1 through 60
$408 copay per day for days 61 through 90

Rehabilitation Coverage

Occupational therapy services:
20% coinsurance
Physical therapy and speech and language therapy services:
20% coinsurance

Urgent Care Coverage

20% coinsurance per visit (always covered)

Skilled Nursing Facility (SNF)

In 2024 the amounts for each benefit period are:
$0 copay for days 1 through 20
$204 copay per day for days 21 through 100

Mental Health Coverage

Medicare-covered individual sessions: 20% coinsurance
Medicare-covered group sessions: 20% coinsurance

Dental, Vision, Hearing Benefits

Dental Services

Oral exams: $0 copay
Prophylaxis (cleaning): $0 copay
Dental x-rays: $0 copay

Vision Benefits

Eye exams:
Routine eye exams: $0 copay
Eyewear:
Contact Lenses: $0 copay
Eyeglasses: $0 copay

Hearing Benefits

Hearing exams:
Routine hearing exams: $0 copay
Hearing aids:
Hearing aids (all types): $0 copay

Plan Links

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Where This Plan is Available

Additional Plan Info

Year:
2024
Plan ID:
H5496-014-0
Insurance Company Website:
Imperial Health Plan of California, Inc.

Health Insurance Companies Offering Plans

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  • Mutual of Omaha
  • Premera Blue Cross
  • SCAN Health Plan
  • Scott and White Health Plan now part of Baylor Scott & White Health
  • UnitedHealthcareⓇ
  • Wellcare