ENG (English) Archives - Page 15 of 16 - Champion Health Plan

Contact Us

Call to Enroll

Speak with a plan representative or licensed sales agent with no obligation to join.

1-800-201-7116 | TTY 711

Call Member Services

Speak to a Member Services Representative for questions or support around your existing plan.

1-800-885-8000 | TTY 711

Schedule a Callback

Member Services Hours of Operations
April 1 – September 30: Monday – Friday, 8 am – 8 pm
October 1 – March 31: Monday – Sunday, 8 am – 8 pm

2026 Champion Advantage, Champion Connect & Champion Select CKD ESRD HMO-POS C-SNP – California (English)

2026 Champion Advantage, Champion Connect & Champion Select CKD ESRD HMO-POS C-SNP – Nevada (English)

Verification of Chronic Condition Form (English)

Medicare Prescription Payment Plan Form (English)

Medicare Prescription Payment Plan Form

Authorization Service Request (English)

Clinical Criteria – Nevada (English)

Clinical Criteria – California (English)

Authorization for Disclosure of Protected Health Information (English)

Healthy Foods Catalog