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Part D Coverage Resource

  • Plan Documents, Provider Resources

2027 NV Summary of Benefits (SoB) – Champion Choice (HMO C-SNP) H6474-009 (English)

2027 Nevada Summary of Benefit for Champion Choice Plan (HMO C-SNP) H6474-009
  • Document
  • Plan Documents, Provider Resources

2027 NV Summary of Benefits (SoB) – Champion Connect (HMO-POS C-SNP) H6474-002 (English)

2027 Nevada Summary of Benefits for Champion Connect Plan (HMO-POS C-SNP) H6474-002
  • Document
  • Plan Documents, Provider Resources

2027 NV Summary of Benefits (SoB) – Champion Plus (HMO C-SNP) H6474-010 (English)

2027 Nevada Summary of Benefits for Champion Plus Plan (HMO C-SNP) H6474-010
  • Document
  • Plan Documents, Provider Resources

2027 CA Summary of Benefits (SoB) – Champion Secure (HMO C-SNP) H6170-017 (English)

2027 California Summary of Benefits for Champion Secure Plan (HMO C-SNP) H6170-017
  • Document
  • Plan Documents, Provider Resources

2027 CA Summary of Benefits (SoB) – Champion Care (HMO C-SNP) H6170-008 (English)

2027 California Summary of Benefits for Champion Care (HMO C-SNP) H6170-008
  • Document
  • Plan Documents, Provider Resources

2027 CA Summary of Benefits (SoB) – Champion AnWell (HMO MAPD) H6170-018 (English)

2027 California Summary of Benefits Plan for Champion AnWell Plan (HMO) H6170-018
  • Document
  • Plan Documents, Provider Resources

2027 CA Summary of Benefits (SoB) – Champion Connect (HMO-POS C-SNP) H6170-002 (English)

2027 California Summary of Benefits for Champion Connect Plan (HMO-POS C-SNP) H6170-002
  • Document
  • Plan Documents, Provider Resources

2027 CA Summary of Benefits (SoB) – Champion Choice (HMO C-SNP) H6170-009 (English)

2027 California Summary of Benefits for Champion Choice Plan (HMO C-SNP) H6170-009
  • Document
  • Plan Documents, Provider Resources

2027 CA Summary of Benefits (SoB) – Champion Advantage (HMO-POS C-SNP) H6170-001 (English)

2027 California Summary of Benefits for Champion Advantage Plan (HMO-POS C-SNP) H6170-001
  • Document
  • Plan Documents, Provider Resources

2027 CA Summary of Benefits (SoB) – Champion Compass (HMO C-SNP) H6170-015 (English)

2027 California Summary of Benefits for Champion Compass Plan (HMO C-SNP) H6170-015
  • Document
  • Plan Documents, Provider Resources

2027 CA Summary of Benefits (SoB) – Champion Plus (HMO C-SNP) H6170-010 (English)

2027 California Summary of Benefits (SoB) for Champion Plus Plan (HMO C-SNP) H6170-010
  • Document
  • Plan Documents, Provider Resources

2027 CA Summary of Benefits (SoB) – Champion Ally (HMO) H6170-007 (English)

2027 California Summary of Benefits (SoB) for the Champion Ally Plan (HMO) H6170-007
  • Document
  • Plan Documents, Provider Resources

2027 CA Summary of Benefits (SoB) – Champion Home (HMO C-SNP) H6170-016 (English)

Summary of Benefits (SoB) for 2027 California Champion Home Plan (HMO C-SNP) H6170-016 Eligible Counties: Fresno, Imperial, Kern, Los Angeles, Madera, Orange, Riverside, San Bernardino and San Diego Counties
  • Document
  • Plan Documents

2026 Over-the-Counter (OTC) Benefits Catalog (English)

2026 OTC Item Catalog (CVS Pharmacy)
  • Document
  • Plan Documents, Plan Resources, Provider Resources

Clinical Criteria – Nevada (Spanish)

Criterios clínicos para la toma de decisiones de gestión de la utilización (UM) – Nevada (Spanish)
  • Document
  • Plan Documents

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

  • Document
  • Plan Documents

2026 Champion Connect HMO-POS C-SNP Evidence of Coverage (EOC) – Nevada (English)

  • Document
  • Plan Documents

2026 Champion Connect CKD ESRD HMO-POS C-SNP – California (Spanish)

  • Document
  • Plan Documents

2026 Champion Connect CKD ESRD HMO-POS C-SNP – California (English)

  • Document
  • Plan Documents

2026 Champion Advantage CKD ESRD HMO-POS C-SNP – Nevada (Spanish)

  • Document