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.

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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.

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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.

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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.

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2027 CA Champion Connect (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.

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2027 CA 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.

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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.

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2026 Dental Provider Directory

Search for dentists.

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2026 CA Summary of Benefits (SBs) – Champion Ally (HMO) H6170-007 (Chinese, Simplified)

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2026 CA Summary of Benefits (SBs) – Champion Ally (HMO) H6170-007 (Vietnamese)

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2026 CA Summary of Benefits (SBs) – Champion Ally (HMO) H6170-007 (Spanish)

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2026 NV Summary of Benefits (SBs) – Champion Ally (HMO) H6474-007 (Spanish)

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2026 NV Summary of Benefits (SBs) – Champion Ally (HMO) H6474-007 (English)

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2026 CA Summary of Benefits (SBs) – Champion Ally (HMO) H6170-007 (English)

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2026 CA Summary of Benefits (SBs) – Champion Select (HMO-POS C-SNP) H6170-003 (Vietnamese)

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2026 NV Summary of Benefits (SBs) – Champion Select (HMO-POS C-SNP) H6474-003 (Spanish)

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2026 NV Summary of Benefits (SBs) – Champion Select (HMO-POS C-SNP) H6474-003 (English)

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2026 CA Summary of Benefits (SBs) – Champion Select (HMO-POS C-SNP) H6170-003 (English)

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2026 CA Summary of Benefits (SBs) – Champion Connect (HMO-POS C-SNP) H6170-002 (Vietnamese)

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2026 NV Summary of Benefits (SBs) – Champion Connect (HMO-POS C-SNP) H6474-002 (Spanish)

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2026 NV Summary of Benefits (SBs) – Champion Connect (HMO-POS C-SNP) H6474-002 (English)

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