Member Services:
1-800-595-0619
ACA Brokers & Sales Support:
1-866-442-0001

Self-enrollment is now easier than ever. No waiting, no hassle — just a few clicks and you’re in.

  • Quick & Secure
  • Personalized Experience
  • Enroll Anytime, Anywhere
  • Don’t wait for someone else to do it — empower yourself and enroll today!

When submitting a claim for a covered service, please submit a written request with the following information:

  • Date of service
  • Provider/office name
  • Diagnosis code
  • CPT/HCPCS/REV code
  • Provider NPI
  • Amount billed
  • Any applicable medical records

For your convenience, claim forms can be found here:

You are leaving Imperial public website and being redirected to Imperial secured portal​

You have clicked a link that will take you out of the Imperial Health Plan of California website.