Champion Health Plan is committed to helping our members continue to receive needed health care during a disaster or emergency.
There are currently no special disaster or emergency notices affecting Champion Health Plan members.
If a disaster or emergency affects our members’ ability to access health care, Champion Health Plan will post important information and instructions on this page.
Special Medicare disaster and emergency requirements may apply when a qualifying disaster or emergency has been declared and the event disrupts access to health care in Champion Health Plan’s service area.
When these requirements apply, Champion Health Plan will:
For purposes of these special Medicare requirements, a disaster or emergency may be declared by:
A disaster or emergency declaration does not necessarily mean these special Medicare requirements automatically apply.
The declaration must also result in a disruption of access to health care in the affected Champion Health Plan service area.
When the Medicare disaster and emergency requirements are triggered, Champion Health Plan will continue the special access protections for the period required by Medicare.
Generally, the special requirements continue for 30 days after all applicable disaster or emergency declarations affecting the service area have ended or expired, or until 30 days after the disruption of access to health care has ended, whichever occurs earlier, in accordance with Medicare requirements.
During an applicable disaster or emergency, Champion Health Plan will cover Medicare Part A and Part B services and supplemental Part C benefits furnished at non-contracted facilities as required by Medicare.
Affected members will receive the same applicable cost sharing as if the covered service or benefit had been furnished at a Champion Health Plan contracted facility.
Non-contracted providers should submit claims to Champion Health Plan in accordance with Champion Health Plan’s claims submission requirements.
Payment to non-contracted providers will be made in accordance with applicable Medicare requirements and Champion Health Plan’s applicable terms and conditions of payment.
Provider Services: 1-800-885-8000|TTY 711
Claims Submission:
For questions related to claims, please contact claims@championpayer.com
Submit electronically through your clearinghouse.
Payer ID #: CPS01 (use a “zero,” not the letter “o”)
Send paper claims to:
Champion Health Plan
PO Box 15337
Long Beach, CA 90815-9995
If a disaster or emergency affects your ability to obtain your covered prescription medications, Champion Health Plan can help you understand your available pharmacy and refill options.
Contact Member Services if you cannot access your regular pharmacy or your medications have been lost, damaged, destroyed, or left behind because of an evacuation or emergency.
If a disaster or emergency affects your ability to receive covered care, prescription medications, medical equipment, supplies, or other covered benefits, contact:
Champion Health Plan Member Services
1-800-885-8000|TTY 711
Hours are 8AM to 8PM seven days a week (October 1 – March 31) and 8AM to 8PM Monday-Friday (April 1 – September 30).
For a medical emergency, call 911 or go to the nearest emergency room.
California
Nevada
