Plan Documents

Access Champion Health Plan documents by plan year, state, language and plan name where applicable. Plan Documents can be filtered by category including Summary of Benefits, Evidence of Coverage, Annual Notice of Change and more.

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2026 CA Enrollment Book – Champion Ally (HMO C-SNP) (Chinese, Simplified)

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2026 NV Enrollment Book – Champion Care & Champion Choice (HMO C-SNP) (Chinese, Simplified)

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2026 NV Enrollment Book – Champion Plus (HMO C-SNP) (Vietnamese)

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2026 CA Enrollment Book – Champion Plus (HMO C-SNP) (Vietnamese)

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2026 NV Enrollment Book – Champion Ally (HMO) (English)

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2026 Summary of Benefits (SBs) – Champion Plus Plan Behavioral Health (HMO-POS C-SNP) H6170-010 – California – Vietnamese

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2026 Summary of Benefits (SBs) – Champion Plus Plan Behavioral Health (HMO-POS C-SNP) H6474-010 – Nevada – Spanish

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2026 Summary of Benefits (SBs) – Champion Plus Plan Behavioral Health (HMO-POS C-SNP) H6170-010 – California – Spanish

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2026 Summary of Benefits (SBs) – Champion Select CKD ESRD (HMO-POS C-SNP) H6170-003 – California – Spanish

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2026 Summary of Benefits (SBs) – Champion Connect CKD ESRD (HMO-POS C-SNP) H6170-002 – California – English

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2026 Summary of Benefits (SBs) – Champion Plus Plan Behavioral Health (HMO C-SNP) H6474-010 – Nevada – English

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2026 Summary of Benefits (SBs) – Champion Plus Plan Behavioral Health (HMO C-SNP) H6170-010 – California – English

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2026 Champion Advantage CKD ESRD HMO-POS C-SNP Evidence of Coverage (EOC) – California (Spanish)

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2026 Champion Connect CKD ESRD HMO-POS C-SNP Evidence of Coverage (EOC) – California (Spanish)

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2026 Champion Select CKD ESRD HMO-POS C-SNP Evidence of Coverage (EOC) – California (Spanish)

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2026 Champion Choice Diabetes Cardiovascular HMO C-SNP Evidence of Coverage (EOC) – California (Spanish)

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2026 Champion Care Diabetes Cardiovascular HMO C-SNP Evidence of Coverage (EOC) – California (Spanish)

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2026 Champion Choice Diabetes Cardiovascular HMO C-SNP Evidence of Coverage (EOC) – California (English)

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2026 Champion Care Diabetes Cardiovascular HMO C-SNP Evidence of Coverage (EOC) – California (English)

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2026 Champion Select CKD ESRD HMO-POS C-SNP Evidence of Coverage (EOC) – California (English)

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