Champion Health Plan Member Resources
Everything You Need, All in One Place
Documents, forms, benefits, and support.
Can’t find what you’re looking for? Our Member Services team is here to help.
Member Services Hours of Operation
October 1 – March 31: 7 days a week, 8am – 8pm
April 1 – September 30: Monday – Friday, 8am – 8pm
Member Resources
As a Champion Health Plan member, you can easily find your plan documents, forms, benefits, and doctors all in one place.
We’ve listed the most used resources first to make things easy. Can’t find what you need? Call Member Services. We’re here to help.
Plan Documents
Summary of Benefits, Evidence of Coverage, Annual Notice of Change, and enrollment materials for your plan.
Forms
Authorization requests, appeals, disclosure forms, and enrollment paperwork, downloadable in English, Spanish, Vietnamese, Korean and Chinese where available.
Benefits
See what’s covered under your Champion Health Plan, including extra benefits like OTC and healthy foods allowances.
Prescription Drug Coverage
Look up covered medications, mail order, prior authorization, and how to get help paying for prescriptions.
Find a Provider
Search for doctors, specialists, and pharmacies in the Champion Health Plan network near you.
Claims, Appeals & More
Submit a claim, file a complaint or appeal, report fraud, and review your rights as a member.
Manage Your Prescriptions
We make it easy to understand and manage your prescription drugs. You can check if your medicine is covered, find a pharmacy near you, or have your prescriptions delivered to your home.
Some medicines may need approval before they are covered. If this happens, we’ll help you understand what to do next.
Formulary Look-Up Tool | See which prescription drugs are covered by your plan
Mail Order (Birdi) | Get up to a 90-day supply of your medicine delivered to your home
Extra Help | Learn about help with Medicare Part D drug costs
Medicare Prescription Payment Plan | Pay your out-of-pocket prescription drug costs in monthly payments instead of all at once
Championed Care Concierge
Healthcare can be confusing, but you do not have to figure it out alone. The Championed Care Concierge team is here to help you get the care and support you need.
We can help you:
- Understand and use your plan benefits
- Make appointments with doctors and specialists
- Arrange transportation to healthcare visits
- Apply for Extra Help to lower your prescription drug costs
- Complete your Medi-Cal renewal so you can keep your coverage
- Connect with food, housing, utility, and community programs
- Connect with a nurse or care manager when you need extra help with your health
We listen to your needs, help with the next steps, and follow up to make sure you are connected. With Championed Care Concierge, you have a caring team ready to help you throughout your healthcare journey.
Submit a Claim or File a Complaint
If you need to submit a healthcare or prescription drug claim, or if something about your care or coverage didn’t go the way it should have, we want to hear from you. Most complaints are resolved within 30 days, and urgent issues get a faster response.
Submit a Healthcare Claim or Bill
Submit a Part D Prescription Drug Claim
File a Grievance or Appeal
Report Fraud, Waste & Abuse
Frequently Asked Questions
Do I need to create an account or download an app to use my plan?
No. Champion Health Plan does not require a member portal or app. Everything you need, including your plan documents, forms, and benefit information, is available right here on this page or by calling Member Services.
How do I find a doctor or specialist in my network?
Use our Find a Provider directory to search by name, specialty, or location. You can also call Member Services and we’ll help you find a provider near you.
How do I know what's covered under my plan?
Your Summary of Benefits and Evidence of Coverage outline everything included in your plan. You can find both on the Plan Documents page, organized by plan name and state.
What extra benefits do I get with Champion Health Plan?
Depending on your plan, you may have access to an over-the-counter allowance, a healthy foods benefit, dental coverage, and transportation reimbursement. Visit the Benefits page for the details for your specific plan.
How do I check if my medication is covered?
Use the Formulary Look Up Tool to search for your medication, or download the full Covered Medication List for your state. Formularies are updated monthly.
Can I get my prescriptions delivered?
Yes. Through our MedImpact Direct Mail program, you can receive up to a 90-day supply of maintenance medications by mail. Visit the Prescription Drug Coverage page to get started.
How do I submit a claim?
Mail your claim or bill to our Claims Department, or call Member Services and we’ll guide you through the process. Part D prescription claims are submitted directly to MedImpact.
What if I'm not happy with my care or a decision Champion made?
You can file a complaint or appeal by phone or in writing. Most complaints are answered within 30 calendar days, and urgent issues receive a faster response. Visit Plan Resources for full details and contact information.
What are Member Services hours?
October 1 through March 31: 7 days a week, 8am to 8pm. April 1 through September 30: Monday through Friday, 8am to 8pm. Call 1-800-885-8000 (TTY 711).
Can I get help in a language other than English?
Yes. Member Services offers free language interpreter services for non-English speakers, and many of our documents and forms are available in Spanish, Vietnamese, and Chinese.
Still Have Questions?
Our Member Services team is ready to help, by phone or online.
October 1 – March 31: 7 days a week, 8am – 8pm | April 1 – September 30: Monday – Friday, 8am – 8pm
This page was last updated on 9/1/2026. Pending CMS approval.