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

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2026 CA Summary of Benefits (SBs) – Champion Care (HMO C-SNP) H6170-008 (English)

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2026 CA Summary of Benefits (SBs) – Champion Care (HMO C-SNP) H6170-008 (Spanish)

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2026 CA Summary of Benefits (SBs) – Champion Care (HMO C-SNP) H6170-008 (Vietnamese)

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2026 CA Summary of Benefits (SBs) – Champion Care (HMO C-SNP) H6170-008 (Chinese, Simplified)

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2026 NV Summary of Benefits (SBs) – Champion Care (HMO C-SNP) H6474-008 (Chinese, Simplified)

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2026 NV Summary of Benefits (SBs) – Champion Care (HMO C-SNP) H6474-008 (Spanish)

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2026 NV Summary of Benefits (SBs) – Champion Care (HMO C-SNP) H6474-008 (English)

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2026 NV Summary of Benefits (SBs) – Champion Choice (HMO C-SNP) H6474-009 (English)

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2026 NV Summary of Benefits (SBs) – Champion Choice (HMO C-SNP) H6474-009 (Spanish)

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2026 NV Summary of Benefits (SBs) – Champion Choice (HMO C-SNP) H6474-009 (Chinese, Simplified)

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2026 CA Summary of Benefits (SBs) – Champion Choice (HMO C-SNP) H6170-009 (Chinese, Simplified)

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2026 CA Summary of Benefits (SBs) – Champion Choice (HMO C-SNP) H6170-009 (Vietnamese)

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2026 CA Summary of Benefits (SBs) – Champion Choice (HMO C-SNP) H6170-009 (Spanish)

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2026 CA Summary of Benefits (SBs) – Champion Choice (HMO C-SNP) H6170-009 (English)

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2026 CA Champion Advantage (HMO-POS C-SNP) Annual Notice of Change (ANOC) (English)

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2026 CA Champion Connect (HMO-POS C-SNP) Annual Notice of Change (ANOC) (English)

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2026 CA Champion Select (HMO-POS C-SNP) Annual Notice of Change (ANOC) (English)

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2026 CA Champion Advantage (HMO-POS C-SNP) Annual Notice of Change (ANOC) (Spanish)

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2026 CA Champion Connect (HMO-POS C-SNP) Annual Notice of Change (ANOC) (Spanish)

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2026 CA Champion Select (HMO-POS C-SNP) Annual Notice of Change (ANOC) (Spanish)

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