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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2027 NV Enrollment Book – Champion Ally (HMO) (English)

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2027 CA Enrollment Book – Champion Ally (HMO) (English)

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2027 NV Enrollment Book – Champion Advantage & Champion Connect (HMO-POS C-SNP) (English)

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2027 CA Enrollment Book – Champion Advantage & Champion Connect (HMO-POS C-SNP) (English)

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

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

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

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

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2027 Over-the-Counter Benefits Catalog (English)

2027 OTC Item Catalog

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2027 CA Enrollment Book – Champion Care & Champion Choice (HMO C-SNP) (Korean)

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2027 CA Enrollment Book – Champion Ally (HMO) (Korean)

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2027 CA Enrollment Book – Champion Advantage & Champion Connect (HMO-POS C-SNP) (Korean)

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2027 CA Enrollment Book – Champion Advantage & Champion Connect (HMO-POS C-SNP) (Vietnamese)

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2027 CA Enrollment Book – Champion Advantage & Champion Connect (HMO-POS C-SNP) (Chinese, Traditional)

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2027 CA Enrollment Book – Champion Advantage & Champion Connect (HMO-POS C-SNP) (Spanish)

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2027 NV Enrollment Book – Champion Advantage & Champion Connect (HMO-POS C-SNP) (Spanish)

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2027 CA Enrollment Book – Champion Ally (HMO) (Chinese, Traditional)

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2027 CA Enrollment Book – Champion Ally (HMO) (Spanish)

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2027 NV Enrollment Book – Champion Ally (HMO) (Vietnamese)

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2027 NV Enrollment Book – Champion Ally (HMO) (Chinese, Traditional)

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