How to Enroll

Pre-Enrollment Checklist

Before enrolling, ensure you fully understand our benefits and rules. Have questions? Call Member Services at 1-800-885-8000 | TTY: 711.

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Understanding the Benefits

  • Review Benefits: The full list of benefits is in the Evidence of Coverage (EOC). To request a copy, call 1-800-885-8000 | TTY: 711.
  • Provider Directory: Ensure your current doctors are in-network. If not, you may need to choose new ones or use the out-of-network physician coverage option. Prior authorization may be required.
  • Pharmacy Directory: Verify your pharmacy is in-network. If not, you may need to switch pharmacies.

Understanding Important Rules

  • Medicare Part B Premium: Continue paying your Medicare Part B premium, usually deducted from your Social Security check.
  • Changes: Benefits, premiums, and copayments/co-insurance may change on January 1.
  • Out-of-Network Services: Emergency, urgent care, Primary Care, and out-of-network dialysis centers do not require prior authorizations, but out-of-network physicians require plan prior authorizations.
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Enrollment Periods Explained

Know When to Enroll

We provide information on different plan types and enrollment periods.

  • When you turn 65 and are no longer working.
  • If you don’t know when your Medicare Part A or B coverage starts.
  • If you are still working at 65 or older.
  • If your Medicare Part A or B coverage has not yet begun.

Enrollment Periods

  • Annual Election Period (AEP): October 15–December 7. Make changes to your Medicare plan, effective January 1.
  • Open Enrollment Period (OEP): January 1–March 31. Switch Medicare Advantage plans, return to Original Medicare, or sign up for a stand-alone Medicare Part D Prescription Drug Plan.
  • Special Enrollment Period (SEP): Year-round for qualifying life events like retiring, moving, losing coverage, or receiving extra help with Medicare prescription drug coverage.
  • Initial Enrollment Period (IEP): Year-round for first-time Medicare sign-ups.
    • By Birthday: Join during the 7-month period around your 65th birthday.
    • By Disability: Join during the 7-month period around your 25th month of disability benefits.

Explore Our Plans

Champion Health Plan offers quality care at affordable prices to fit your needs and budget.

Request an Enrollment Kit

Download an enrollment kit to 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 at 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 and mail it to:

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

This page was last updated on 10/1/24. Pending CMS approval.