How to Enroll

Pre-Enrollment Checklist

Before making an enrollment decision, it is important that you fully understand our benefits and rules. Have questions? Speak to a Member Services representative by calling 1-800-885-8000 | TTY: 711.

Understanding the Benefits

Review the full list of benefits found in the Evidence of Coverage (EOC), especially for those services that you routinely see a doctor. Call 1-800-885-8000 | TTY: 711 to request a copy of the EOC.

Review the provider directory (or ask your doctor) to make sure the doctors you see now are in the network. If they are not listed, it means you will likely have to select a new doctor.

Review the provider and pharmacy directory to make sure the pharmacy you use for any prescription medicines is in the network. If the pharmacy is not listed, you will likely have to select a new pharmacy for your prescriptions.

Understanding Important Rules

You must continue to pay your Medicare Part B premium. This premium is normally taken out of your Social Security check each month.

Benefits, premiums and/or copayments/co-insurance may change on January 1.

Except in emergency, urgent care, and out of network dialysis treatment, we do not cover services by out-of-network providers (doctors who are not listed in the provider directory).

Enrollment Periods Explained

Know When to Enroll

We’re here to help with information about the different plan types and enrollment periods.

When you turn 65, provided you are no longer working
If you don’t know when your Medicare Part A or B coverage starts
If you are still working at the age of 65 (or older)
If your Medicare Part A or B coverage has not yet begun

Enrollment Periods

Enroll in Champion Health Plan or make changes to your current plan during these enrollment periods.

Switch to a Champion Health Plan Medicare Advantage Prescription Drug health plan

We are a Chronic Special Needs Plan (HMO C-SNP) for Medicare beneficiaries with end stage renal disease (ESRD) and accept enrollments all year.

Annual Election Period

When: October 15–December 7
During the Annual Election Period (AEP), you can make changes to your current Medicare plan. Any enrollments or changes made during this period are effective on January 1 of the following year.

Open Enrollment

When: January 1–March 31
If you are enrolled in a Medicare Advantage plan during the open enrollment period (OEP), you’ll have an opportunity to:

Switch to a different Medicare Advantage plan
Drop your Medicare Advantage plan and return to Original Medicare, Part A and Part B
Sign up for a stand-alone Medicare Part D Prescription Drug Plan (if you choose to return to Original Medicare)
Drop your stand-alone Medicare Part D Prescription Drug Plan

Special Enrollment
When: Year-round
If you qualify for special enrollment, you can make changes to your coverage during the special enrollment period (SEP). Qualifying life events include:

Retiring from your job if you’re over 65
Moving to a different area not covered by your plan
Losing your current coverage
When your current plan changes its contract with Medicare
Receiving extra help paying for your Medicare prescription drug coverage
Are eligible to enroll in a Special Needs Plan (like Champion Health Plan)

Initial Enrollment Period
When: Year-round
The initial enrollment period (IEP) is when you first sign up for Medicare. There are two ways to become eligible during this period:

Eligibility by birthday
You can join during the 7-month period that runs 3 months before the month you turn 65 to 3 months after the month you turn 65
Coverage will begin the first day of the month after you enroll
If you join Medicare before you turn 65, your coverage will begin the first day of the month you turn 65
Eligibility by disability
You can join during the 7-month period that runs 3 months before your 25th month of getting disability benefits to 3 months after your 25th month of getting disability benefits
Coverage will begin the first day of the month after you enroll
If you join during one of the 3 months before you first get Medicare, your coverage will begin the first day of your 25th month of entitlement to disability benefits

Explore Our Plans

Champion Health Plan benefit plans are designed to fit your needs and budget. Quality care at affordable prices.

Request an Enrollment Kit

Want more information? Download an enrollment kit and get started with Champion Health Plan today!

How to Enroll in Champion Health Plan

There are four easy ways to enroll.

By Phone

Speak with a licensed sales rep right away
Call: 1-800-885-8000 | TTY 711

One-on-One

Request an appointment or call: 1-800-885-8000 | TTY 711

By Mail

Download the enrollment form.

Mail to:

Champion Health Plan
Attn: Enrollment
PO Box 15337
Long Beach, CA 90815-9995

Medicare Website

You can enroll in Champion Health Plan through the CMS Medicare Enrollment Center by clicking here.

This page was last updated on 10/15/23. Pending CMS approval.