What Is a C-SNP HMO-POS Plan?

Chronic Special Needs Plans (C-SNP) are Medicare Advantage Plans designed for beneficiaries with specific medical conditions, such as diabetes, congestive heart failure, cardiovascular disorders, and end-stage renal disease.

Champion Health Plan is an HMO-POS C-SNP focused on helping individuals with end-stage renal disease manage their health, improve their quality of life, and reduce healthcare costs.

HMO-POS (Health Maintenance Organization Point-of-Service) Plans offer the flexibility of both HMO and PPO plans, allowing you to see out-of-network physicians with prior authorization. However, you must still choose an in-network Primary Care Physician (PCP) and Nephrologist (Primary Treating Physician, PTP), who will work together to manage your healthcare needs.

Key Benefits:

• In-Network and Out-of-Network Coverage: Access out-of-network providers with prior authorization.
• Direct Access: No referral is needed to see your plan-participating Nephrologist, Dialysis Center, Primary Care Physician, or Urgent Care Center.
• Dialysis Care Options: Coverage for Participating Dialysis Centers and non-participating Dialysis Clinics at lower copayments than original Medicare.
• Benefits beyond Original Medicare: Transportation, Dental, Vision, Hearing Aid, Over-the-Counter, and Healthy Food allowances are just a few of the extra benefits of enrolling in Champion Health Plan
• Home Assist Program: If suitable, receive dialysis treatments at home with the support of your Dialysis Center and Nephrologist.

With Champion Health Plan, you are at the center of our care, supported by a dedicated team to support your healthcare needs.