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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

  • Summary of Benefits (SBs)
  • 2026
  • CA
  • ENG (English)

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

  • Document

Last Modified Date:

  • October 14, 2026
  • Summary of Benefits (SBs)
  • 2026
  • CA
  • VIT (Tiếng Việt)

2026 CA Summary of Benefits (SBs) – Champion Advantage (HMO-POS C-SNP) H6170-001 (Vietnamese)

  • Document

Last Modified Date:

  • October 14, 2026
  • Summary of Benefits (SBs)
  • 2026
  • CA
  • ESP (Español)

2026 CA Summary of Benefits (SBs) – Champion Advantage (HMO-POS C-SNP) H6170-001 (Spanish)

  • Document

Last Modified Date:

  • October 14, 2026
  • Summary of Benefits (SBs)
  • 2026
  • NV
  • ESP (Español)

2026 NV Summary of Benefits (SBs) – Champion Advantage (HMO-POS C-SNP) H6474-001 (Spanish)

  • Document

Last Modified Date:

  • October 14, 2026
  • Summary of Benefits (SBs)
  • 2026
  • NV
  • ENG (English)

2026 NV Summary of Benefits (SBs) – Champion Advantage (HMO-POS C-SNP) H6474-001 (English)

  • Document

Last Modified Date:

  • October 14, 2026
  • Summary of Benefits (SBs)
  • 2026
  • CA
  • ENG (English)

2026 CA Summary of Benefits (SBs) – Champion Advantage (HMO-POS C-SNP) H6170-001 (English)

  • Document

Last Modified Date:

  • October 14, 2026
  • Summary of Benefits (SBs)
  • 2027
  • NV
  • ENG (English)

2027 NV Summary of Benefits (SBs) – Champion Ally (HMO) H6474-007 (English)

2027 Nevada Summary of Benefits for Champion Ally Plan (HMO) H6474-007
  • Document

Last Modified Date:

  • October 14, 2026
  • Summary of Benefits (SBs)
  • 2027
  • NV
  • ENG (English)

2027 NV Summary of Benefits (SBs) – Champion Advantage (HMO-POS C-SNP) H6474-001 (English)

2027 Nevada Summary of Benefits for Champion Advantage Plan (HMO-POS C-SNP) H6474-001
  • Document

Last Modified Date:

  • October 14, 2026
  • Summary of Benefits (SBs)
  • 2027
  • NV
  • ENG (English)

2027 NV Summary of Benefits (SBs) – Champion Care (HMO C-SNP) H6474-008 (English)

2027 Nevada Summary of Benefits for Champion Care Plan (HMO C-SNP) H6474-008
  • Document

Last Modified Date:

  • October 14, 2026
  • Summary of Benefits (SBs)
  • 2027
  • NV
  • ENG (English)

2027 NV Summary of Benefits (SBs) – Champion Choice (HMO C-SNP) H6474-009 (English)

2027 Nevada Summary of Benefit for Champion Choice Plan (HMO C-SNP) H6474-009
  • Document

Last Modified Date:

  • October 14, 2026
  • Summary of Benefits (SBs)
  • 2027
  • NV
  • ENG (English)

2027 NV Summary of Benefits (SBs) – Champion Connect (HMO-POS C-SNP) H6474-002 (English)

2027 Nevada Summary of Benefits for Champion Connect Plan (HMO-POS C-SNP) H6474-002
  • Document

Last Modified Date:

  • October 14, 2026
  • Summary of Benefits (SBs)
  • 2027
  • NV
  • ENG (English)

2027 NV Summary of Benefits (SBs) – Champion Plus (HMO C-SNP) H6474-010 (English)

2027 Nevada Summary of Benefits for Champion Plus Plan (HMO C-SNP) H6474-010
  • Document

Last Modified Date:

  • October 14, 2026
  • Summary of Benefits (SBs)
  • 2027
  • CA
  • ENG (English)

2027 CA Summary of Benefits (SBs) – Champion Secure (HMO C-SNP) H6170-017 (English)

2027 California Summary of Benefits for Champion Secure Plan (HMO C-SNP) H6170-017
  • Document

Last Modified Date:

  • October 14, 2026
  • Summary of Benefits (SBs)
  • 2027
  • CA
  • ENG (English)

2027 CA Summary of Benefits (SBs) – Champion Care (HMO C-SNP) H6170-008 (English)

2027 California Summary of Benefits for Champion Care (HMO C-SNP) H6170-008
  • Document

Last Modified Date:

  • October 14, 2026
  • Summary of Benefits (SBs)
  • 2027
  • CA
  • ENG (English)

2027 CA Summary of Benefits (SBs) – Champion AnWell (HMO) H6170-018 (English)

2027 California Summary of Benefits Plan for Champion AnWell Plan (HMO) H6170-018
  • Document

Last Modified Date:

  • October 14, 2026
  • Summary of Benefits (SBs)
  • 2027
  • CA
  • ENG (English)

2027 CA Summary of Benefits (SBs) – Champion Connect (HMO-POS C-SNP) H6170-002 (English)

2027 California Summary of Benefits for Champion Connect Plan (HMO-POS C-SNP) H6170-002
  • Document

Last Modified Date:

  • October 14, 2026
  • Summary of Benefits (SBs)
  • 2027
  • CA
  • ENG (English)

2027 CA Summary of Benefits (SBs) – Champion Choice (HMO C-SNP) H6170-009 (English)

2027 California Summary of Benefits for Champion Choice Plan (HMO C-SNP) H6170-009
  • Document

Last Modified Date:

  • October 14, 2026
  • Summary of Benefits (SBs)
  • 2027
  • CA
  • ENG (English)

2027 CA Summary of Benefits (SBs) – Champion Advantage (HMO-POS C-SNP) H6170-001 (English)

2027 California Summary of Benefits for Champion Advantage Plan (HMO-POS C-SNP) H6170-001
  • Document

Last Modified Date:

  • October 14, 2026
  • Summary of Benefits (SBs)
  • 2027
  • CA
  • ENG (English)

2027 CA Summary of Benefits (SBs) – Champion Compass (HMO C-SNP) H6170-015 (English)

2027 California Summary of Benefits for Champion Compass Plan (HMO C-SNP) H6170-015
  • Document

Last Modified Date:

  • October 14, 2026
  • Summary of Benefits (SBs)
  • 2027
  • CA
  • ENG (English)

2027 CA Summary of Benefits (SBs) – Champion Plus (HMO C-SNP) H6170-010 (English)

2027 California Summary of Benefits (SoB) for Champion Plus Plan (HMO C-SNP) H6170-010
  • Document

Last Modified Date:

  • October 14, 2026