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MAPD, C-SNP HMO, & C-SNP HMO-POS Plans
What Is a Medicare Advantage Prescription Drug Plan (MAPD)?
A Medicare Advantage Prescription Drug Plan (MAPD) combines the benefits of Medicare Part A (hospital insurance), Medicare Part B (medical insurance), and Medicare Part D (prescription drug coverage) into one convenient plan.
MAPDs typically offer extra benefits not included in Original Medicare—such as dental, vision, hearing, transportation, healthy food, and over-the-counter allowances—to support your overall health and well-being.
Champion Ally is Champion Health Plan’s MAPD plan. It delivers comprehensive medical and prescription drug coverage plus valuable extras that help you stay healthy, active, and independent.
What Is a C-SNP HMO Plan?
A Chronic Condition Special Needs Plan (C-SNP) HMO is a Medicare Advantage Prescription Drug Plan tailored for people living with certain chronic health conditions.
Members select an in-network Primary Care Physician (PCP) who coordinates care, provides referrals to specialists, and ensures that treatment is personalized and condition-focused.
Champion Health Plan’s C-SNP HMO Programs
- Champion Care – Designed for members with Diabetes and or cardiovascular disease.
- Champion Choice – Designed for members with Diabetes and or cardiovascular disease. This plan also integrates seamlessly with Medicaid (Medi-Cal in California) to improve care coordination and deliver enhanced benefits for dual-eligible members.
- Champion Plus – Designed for members with serious behavioral health conditions, including Schizophrenia, Schizoaffective Disorder, Bipolar Disorder, Major Depression, and Paranoid Disorders. Members have direct access to a psychiatrist who works in close coordination with the member’s Champion PCP to ensure comprehensive mental and physical health support. This plan also integrates with Medicaid (Medi-Cal) for added services and care coordination.
What Is a C-SNP HMO-POS Plan?
A Chronic Condition Special Needs Plan (C-SNP) HMO-POS combines the coordinated care of an HMO with the flexibility of a Point-of-Service (POS) option.
Members choose an in-network PCP and a Primary Treating Physician (PTP) – typically a Nephrologist—to lead their care team. While most services are provided in-network, members can also access approved out-of-network providers with prior authorization.
Champion Health Plan’s HMO-POS Programs
- Champion Advantage, Champion Choice, and Champion Select – Tailored for individuals with chronic kidney disease (CKD), including end-stage renal disease (ESRD). These plans deliver specialized support for dialysis and kidney care while offering limited out-of-network access when medically necessary and authorized.
Key Benefits Across All Champion Health Plan Programs
- Comprehensive Coverage: Hospital, medical, and prescription drug benefits combined in one plan.
- Condition-Focused Care: Specialized programs for diabetes, cardiovascular disease, behavioral health, and CKD/ESRD.
- Coordinated Medicaid Benefits: Champion Choice and Champion Plus align with Medicaid (Medi-Cal) to streamline care and add extra benefits.
- Flexibility & Access: HMO plans emphasize coordinated, in-network care; HMO-POS plans add flexibility with prior-authorized out-of-network options.
- Extra Benefits Beyond Original Medicare: Dental, vision, hearing, transportation, healthy food, over-the-counter allowances, and more.
- Supportive Care Options: Direct access to psychiatrists, dialysis providers, and at-home care support where appropriate.
Why Champion Health Plan
With Champion Health Plan, you’re at the center of care. Whether you’re maintaining your health or managing a chronic condition, our programs deliver personalized benefits, coordinated support, and trusted partnerships with your care team—so you can focus on living your best life.
This page was last updated on 10/2/25. Pending CMS approval.