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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

  • Enrollment Book
  • 2026
  • CA
  • ENG (English)

2026 CA Enrollment Book – Champion Care & Champion Choice (HMO C-SNP) (English)

  • Document

Last Modified Date:

  • October 2, 2026
  • Enrollment Book
  • 2026
  • NV
  • VIT (Tiếng Việt)

2026 NV Enrollment Book – Champion Care & Champion Choice (HMO C-SNP) (Vietnamese)

  • Document

Last Modified Date:

  • October 2, 2026
  • Enrollment Book
  • 2026
  • NV
  • ESP (Español)

2026 NV Enrollment Book – Champion Care & Champion Choice (HMO C-SNP) (Spanish)

  • Document

Last Modified Date:

  • October 2, 2026
  • Enrollment Book
  • 2026
  • NV
  • ENG (English)

2026 NV Enrollment Book – Champion Care & Champion Choice (HMO C-SNP) (English)

  • Document

Last Modified Date:

  • October 2, 2026
  • Enrollment Book
  • 2026
  • CA
  • ENG (English)

2026 CA Enrollment Book – Champion Ally (HMO) (English)

  • Document

Last Modified Date:

  • October 2, 2026
  • Enrollment Book
  • 2026
  • NV
  • VIT (Tiếng Việt)

2026 NV Enrollment Book – Champion Advantage, Champion Connect, & Champion Select (HMO C-SNP) (Vietnamese)

  • Document

Last Modified Date:

  • October 2, 2026
  • Formulary (Medication List)
  • 2026, 2027
  • NV
  • ESP (Español)

Covered Medication List (Formulary) – Nevada (Spanish)

*Note: Covered Medication List (Formulary) is updated on a monthly basis.
  • Document

Last Modified Date:

  • October 14, 2026
  • Formulary (Medication List)
  • 2026, 2027
  • CA
  • ESP (Español)

Covered Medication List (Formulary) – California (Spanish)

*Note: Covered Medication List (Formulary) is updated on a monthly basis.
  • Document

Last Modified Date:

  • October 14, 2026
  • Formulary (Medication List)
  • 2026, 2027
  • CA
  • ENG (English)

Covered Medication List (Formulary) – California (English)

*Note: Covered Medication List (Formulary) is updated on a monthly basis.
  • Document

Last Modified Date:

  • October 14, 2026
  • Formulary (Medication List)
  • 2026, 2027
  • NV
  • ENG (English)

Covered Medication List (Formulary) – Nevada (English)

*Note: Covered Medication List (Formulary) is updated on a monthly basis.
  • Document

Last Modified Date:

  • October 14, 2026
  • Evidence of Coverage (EOC)
  • 2027
  • NV
  • ENG (English)

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

  • Document

Last Modified Date:

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

2027 NV Evidence of Coverage (EOC) for Champion Care Plan (English)

  • Document

Last Modified Date:

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

2027 NV Evidence of Coverage (EOC) for Champion Ally Plan (English)

  • Document

Last Modified Date:

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

2027 NV Evidence of Coverage (EOC) for Champion Plus Plan (English)

  • Document

Last Modified Date:

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

2027 NV Evidence of Coverage (EOC) for Champion Connect Plan (English)

  • Document

Last Modified Date:

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

2027 NV Evidence of Coverage (EOC) for Champion Advantage 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 Plus 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 Care 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 Ally 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 Connect Plan (English)

  • Document

Last Modified Date:

  • October 13, 2026