MedicarePartD.guide

A non-government resource built from CMS public data

Imperial Dynamic Plan (HMO)

Available to residents of San Francisco County, CA for 2026. Contract H5496, plan 012, segment 0.

Plan details

Monthly premium$0.00
Drug deductible$0.00
Plan typeMedicare Advantage
Contract / planH5496-012-0
Offered byImperial Health Plan of California, Inc.
Parent organizationImperial Health Plan of California
Formulary drugs3,250

CMS star ratings

Overall
3.5 out of 5 stars for Overall
Health plan (Part C)
3.5 out of 5 stars for Health plan (Part C)
Drug plan (Part D)
3.5 out of 5 stars for Drug plan (Part D)

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 2$6.00
Tier 3$45.00
Tier 4$90.00
Tier 533%

Also available in 50 other CA counties