Champion Health Plan is an HMO, HMO C-SNP and HMO-POS C-SNP with a Medicare contract. Enrollment in Champion Health Plan depends on contract renewal.
Benefits, premiums, deductibles, and/or copayments/coinsurance may change on January 1 of each year.
Some of the plans offered by Champion Health Plan offer Special Supplemental Benefits for the Chronically Ill, a special program for those with qualifying conditions. Not all members qualify. Please see your Evidence of Coverage, Chapter 4, Section 2’s Medical Benefit Chart for more information.
Champion Health Plan documents and communications are available for free in Spanish.
Documents posted to our website are available in a different format, including Braille, large print, and audio tapes. Please call Member Services at the number listed below if you need plan information in another format.
Champion Health Plan’s Chronic Condition Special Needs Plans (C-SNP) have been approved by the Centers for Medicare & Medicaid Services and by the National Committee for Quality Assurance (NCQA) to operate as a C-SNP until December 31, 2027, based on review of Champion Health Plan’s Models of Care for Chronic Kidney Disease (CKD) including those on any form of dialysis; Cardiovascular Disease-Diabetes-Chronic Heart Failure; and Chronic and Disabling Mental Health Disorders.
For any sales or educational events sponsored by Champion Health Plan, individuals with special needs that require accommodations at the events can call Champion Health Plan’s Member Services number at the number below.
For any events that offer promotional giveaways, individuals are eligible for the free drawing, gift or prizes with no obligation to enroll in Champion Health Plan.
Champion Health Plan’s 2027 service area includes the following counties in:
For assistance, please call our Member Services at 1-800-885-8000 (TTY: 711) between 8 a.m. and 8 p.m. 7 days a week from October 1 through March 31 (except for Thanksgiving and Christmas Day); and from April 1 to September 30, hours are 8 a.m. to 8 p.m. Monday through Friday, (messages received on holidays and outside of our business hours will be returned within one business day).
Champion Health Plan may have co-branding relationships with select providers, physicians and/or pharmacies. Other providers are available in our network outside of those co-branded relationships.
Out-of-network/noncontracted providers are under no obligation to treat Champion Health Plan members, except in emergency situations. If you are enrolled in one of Champion Health Plan’s HMO Point-of-Service (HMO-POS) plans, you may be able to obtain some Part A and/or Part B services out-of-network. Please call our Member Services number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
During a federal, state, or local disaster or emergency, Champion Health Plan indicates the payment terms for out-of-network/non-contracted providers and offers services to plan members in the impacted service area.
Every year, Medicare evaluates plans based on a 5-star rating system. Champion Health Plan is still too new to have a Star Rating.
English: ATTENTION: If you speak English, free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call 1-800-885-8000 (TTY: 711) or speak to your provider.
Spanish: ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También están disponibles de forma gratuita ayuda y servicios auxiliares apropiados para proporcionar información en formatos accesibles. Llame al 1-800-885-8000 (TTY: 711) o hable con su proveedor.
Champion Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Call 1-800-885-8000 (TTY: 711).
Champion Health Plan cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATENCIÓN: Si usted habla Español, servicios de asistencia lingüística, de forma gratuita, están disponibles para usted. Llama al 1-800-885-8000 (TTY: 711).
