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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)
  • 2027
  • CA
  • ENG (English)

2027 CA Evidence of Coverage (EOC) for Champion Compass Plan (English)

  • Document

Last Modified Date:

  • October 13, 2026
  • Evidence of Coverage (EOC)
  • 2027
  • CA
  • ENG (English)

2027 CA Evidence of Coverage (EOC) for Champion Home Plan (English)

  • Document

Last Modified Date:

  • October 13, 2026
  • Evidence of Coverage (EOC)
  • 2027
  • CA
  • ENG (English)

2027 CA Evidence of Coverage (EOC) for Champion Secure Plan (English)

  • Document

Last Modified Date:

  • October 13, 2026
  • Evidence of Coverage (EOC)
  • 2027
  • CA
  • ENG (English)

2027 CA Evidence of Coverage (EOC) for Champion Choice Plan (English)

  • Document

Last Modified Date:

  • October 13, 2026
  • Clinical Criteria
  • 2026, 2027
  • CA
  • ENG (English)

Clinical Criteria – California (English)

Clinical Criteria for Utilization Management (UM) Decision-Making – California (English)
  • Document

Last Modified Date:

  • October 2, 2026
  • Clinical Criteria
  • 2026, 2027
  • CA
  • ESP (Español)

Clinical Criteria – California (Spanish)

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

Last Modified Date:

  • October 2, 2026
  • Clinical Criteria
  • 2026, 2027
  • NV
  • ESP (Español)

Clinical Criteria – Nevada (Spanish)

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

Last Modified Date:

  • October 2, 2026
  • Dental Documents
  • 2026, 2027
  • CA, NV
  • ENG (English)

Dental Fee Schedule

Champion Health Plan Dental Fee Schedule – California and Nevada (English)
  • Document

Last Modified Date:

  • October 2, 2026
  • Annual Notice of Change (ANOC)
  • 2027
  • CA
  • ENG (English)

2027 CA Champion Advantage (HMO-POS C-SNP) Annual Notice of Change (ANOC) (English)

Annual Notice of Change for 2027. This material describes changes to our plan’s costs and benefits next year.
  • Document

Last Modified Date:

  • October 2, 2026
  • Annual Notice of Change (ANOC)
  • 2027
  • CA
  • ESP (Español)

2027 CA Champion Connect (HMO-POS C-SNP) Annual Notice of Change (ANOC) (Spanish) / Aviso Anual de Cambios para 2027 de Champion Connect (HMO-POS C-SNP)

Aviso Anual de Cambios para 2027. Este documento describe los cambios en los costos y beneficios de nuestro plan para el próximo año.
  • Document

Last Modified Date:

  • October 2, 2026
  • Annual Notice of Change (ANOC)
  • 2027
  • CA
  • ENG (English)

2027 CA Champion Ally (HMO) Annual Notice of Change (ANOC) (English)

Annual Notice of Change for 2027. This material describes changes to our plan’s costs and benefits next year.
  • Document

Last Modified Date:

  • October 2, 2026
  • Annual Notice of Change (ANOC)
  • 2027
  • CA
  • ESP (Español)

2027 CA Champion Ally (HMO) Annual Notice of Change (ANOC) (Spanish) / Aviso Anual de Cambios para 2027 de Champion Ally (HMO)

Aviso Anual de Cambios para 2027. Este documento describe los cambios en los costos y beneficios de nuestro plan para el próximo año.
  • Document

Last Modified Date:

  • October 2, 2026
  • Annual Notice of Change (ANOC)
  • 2027
  • CA
  • ENG (English)

2027 CA Champion Care (HMO C-SNP) Annual Notice of Change (ANOC) (English)

Annual Notice of Change for 2027. This material describes changes to our plan’s costs and benefits next year.
  • Document

Last Modified Date:

  • October 2, 2026
  • Annual Notice of Change (ANOC)
  • 2027
  • CA
  • ESP (Español)

2027 CA Champion Care (HMO C-SNP) Annual Notice of Change (ANOC) (Spanish) / Aviso Anual de Cambios para 2027 de Champion Care (HMO C-SNP)

Aviso Anual de Cambios para 2027. Este documento describe los cambios en los costos y beneficios de nuestro plan para el próximo año.
  • Document

Last Modified Date:

  • October 2, 2026
  • Annual Notice of Change (ANOC)
  • 2027
  • CA
  • ESP (Español)

2027 CA Champion Choice (HMO C-SNP) Annual Notice of Change (ANOC) (Spanish) / Aviso Anual de Cambios para 2027 de Champion Choice (HMO C-SNP)

Aviso Anual de Cambios para 2027. Este documento describe los cambios en los costos y beneficios de nuestro plan para el próximo año.
  • Document

Last Modified Date:

  • October 2, 2026
  • Annual Notice of Change (ANOC)
  • 2027
  • NV
  • ENG (English)

2027 NV Champion Advantage (HMO-POS C-SNP) Annual Notice of Change (ANOC) (English)

Annual Notice of Change for 2027. This material describes changes to our plan’s costs and benefits next year.
  • Document

Last Modified Date:

  • October 2, 2026
  • Annual Notice of Change (ANOC)
  • 2027
  • NV
  • ESP (Español)

2027 NV Champion Advantage (HMO-POS C-SNP) Annual Notice of Change (ANOC) (Spanish) / Aviso Anual de Cambios para 2027 de Champion Advantage (HMO-POS C-SNP)

Aviso Anual de Cambios para 2027. Este documento describe los cambios en los costos y beneficios de nuestro plan para el próximo año.
  • Document

Last Modified Date:

  • October 2, 2026
  • Annual Notice of Change (ANOC)
  • 2027
  • NV
  • ESP (Español)

2027 NV Champion Connect (HMO-POS C-SNP) Annual Notice of Change (ANOC) (Spanish) / Aviso Anual de Cambios para 2027 de Champion Connect (HMO-POS C-SNP)

Aviso Anual de Cambios para 2027. Este documento describe los cambios en los costos y beneficios de nuestro plan para el próximo año.
  • Document

Last Modified Date:

  • October 2, 2026
  • Annual Notice of Change (ANOC)
  • 2027
  • NV
  • ENG (English)

2027 NV Champion Ally (HMO) Annual Notice of Change (ANOC) (English)

Annual Notice of Change for 2027. This material describes changes to our plan’s costs and benefits next year.
  • Document

Last Modified Date:

  • October 2, 2026
  • Annual Notice of Change (ANOC)
  • 2027
  • NV
  • ESP (Español)

2027 NV Champion Ally (HMO) Annual Notice of Change (ANOC) (Spanish) / Aviso Anual de Cambios para 2027 de Champion Ally (HMO)

Aviso Anual de Cambios para 2027. Este documento describe los cambios en los costos y beneficios de nuestro plan para el próximo año.
  • Document

Last Modified Date:

  • October 2, 2026