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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.

Plan Year

State

Language

Plan Name

On this page

  • Evidence of Coverage (EOC)
  • 2026
  • CA
  • ENG (English)

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

  • Document

Last Modified Date:

  • November 3, 2026
  • Enrollment Book
  • 2027
  • CA
  • VIT (Tiếng Việt)

2027 CA Enrollment Book – Champion AnWell (HMO) (Vietnamese)

  • Document

Last Modified Date:

  • November 2, 2026
  • Enrollment Book
  • 2027
  • CA
  • ESP (Español)

2027 CA Enrollment Book – Champion Advantage & Champion Connect (HMO-POS C-SNP) (Spanish)

  • Document

Last Modified Date:

  • November 2, 2026
  • Evidence of Coverage (EOC)
  • 2026
  • CA
  • ESP (Español)

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

  • Document

Last Modified Date:

  • November 2, 2026
  • Evidence of Coverage (EOC)
  • 2026
  • CA
  • ENG (English)

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

  • Document

Last Modified Date:

  • November 2, 2026
  • Formulary (Medication List)
  • 2026
  • NV
  • ENG (English)

2026 Covered Medication List (Formulary) – Nevada (English)

*Note: Covered Medication List (Formulary) is updated on a monthly basis.
  • Document

Last Modified Date:

  • October 29, 2026
  • Formulary (Medication List)
  • 2026
  • CA
  • ENG (English)

2026 Covered Medication List (Formulary) – California (English)

*Note: Covered Medication List (Formulary) is updated on a monthly basis.
  • Document

Last Modified Date:

  • October 29, 2026
  • Formulary (Medication List)
  • 2026
  • CA
  • ESP (Español)

2026 Covered Medication List (Formulary) – California (Spanish)

*Note: Covered Medication List (Formulary) is updated on a monthly basis.
  • Document

Last Modified Date:

  • October 29, 2026
  • Formulary (Medication List)
  • 2026
  • NV
  • ESP (Español)

2026 Covered Medication List (Formulary) – Nevada (Spanish)

*Note: Covered Medication List (Formulary) is updated on a monthly basis.
  • Document

Last Modified Date:

  • October 29, 2026
  • Summary of Benefits (SBs), Errata
  • 2026
  • NV
  • ESP (Español)

Errata – 2026 NV Champion Plus (HMO C-SNP) Summary of Benefits (SBs) (Spanish)

  • Document

Last Modified Date:

  • October 29, 2026
  • Errata
  • 2026
  • NV
  • ENG (English)

Errata – 2026 NV Champion Plus (HMO C-SNP) Summary of Benefits (SBs) (English)

  • Document

Last Modified Date:

  • October 29, 2026
  • Errata
  • 2026
  • NV
  • ENG (English)

Errata – 2026 NV Champion Plus (HMO C-SNP) Evidence of Coverage (EOC) (English)

  • Document

Last Modified Date:

  • October 29, 2026
  • Evidence of Coverage (EOC), Errata
  • 2026
  • NV
  • ESP (Español)

Errata – 2026 NV Champion Connect (HMO-POS C-SNP) Evidence of Coverage (EOC) (Spanish)

  • Document

Last Modified Date:

  • October 29, 2026
  • Summary of Benefits (SBs), Errata
  • NV
  • ESP (Español)

Errata – 2026 NV Champion Connect (HMO-POS C-SNP) Summary of Benefits (SBs) (Spanish)

  • Document

Last Modified Date:

  • October 29, 2026
  • Errata
  • 2026
  • NV
  • ENG (English)

Errata – 2026 NV Champion Connect (HMO-POS C-SNP) Summary of Benefits (SBs) (English)

  • Document

Last Modified Date:

  • October 28, 2026
  • Summary of Benefits (SBs), Errata
  • 2026
  • NV
  • ESP (Español)

Errata – 2026 NV Champion Choice (HMO C-SNP) Summary of Benefits (SBs) (Spanish)

  • Document

Last Modified Date:

  • October 28, 2026
  • Errata
  • 2026
  • NV
  • ENG (English)

Errata – 2026 NV Champion Choice (HMO C-SNP) Evidence of Coverage (EOC) (English)

  • Document

Last Modified Date:

  • October 28, 2026
  • Summary of Benefits (SBs), Errata
  • 2026
  • CA
  • ESP (Español)

Errata – 2026 CA Champion Plus (HMO C-SNP) Summary of Benefits (SBs) (Spanish)

  • Document

Last Modified Date:

  • October 28, 2026
  • Summary of Benefits (SBs), Errata
  • 2026
  • CA
  • ESP (Español)

Errata – 2026 CA Champion Connect (HMO-POS C-SNP) Summary of Benefits (SBs) (Spanish)

  • Document

Last Modified Date:

  • October 28, 2026
  • Summary of Benefits (SBs)
  • 2026
  • NV
  • VIT (Tiếng Việt)

2026 NV Summary of Benefits (SBs) – Champion Advantage (HMO-POS C-SNP) H6474-001 (Vietnamese)

  • Document

Last Modified Date:

  • October 28, 2026