Champion Care (HMO C-SNP)

Champion Care (HMO C-SNP) is a HMO C-SNP plan offered by Champion Health Plans-USA, LLC. available for enrollment in 2026 to people living in CAR, CHU, CLA and WAS counties. The overall rating for this plan is not yet available for 2026.

It's important to know that Champion Care (HMO C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about Champion Care (HMO C-SNP).

Plan Costs:

The cost of a Medicare Advantage Plan is made up of four main parts.

• First, the monthly premium — the amount you pay every month.
• Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
• Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
• Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.

You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.

Common Services:

Drug Coverage

The Champion Care (HMO C-SNP) plan features a $0 drug deductible, meaning your prescription drug coverage begins immediately with no out-of-pocket deductible costs. For Tier 1 preferred generics and Tier 6 select care drugs, there is no copay for a 1-month or 3-month supply at standard pharmacies, or for a 3-month supply through standard mail order. Tier 2 generic drugs are also highly affordable, requiring only a $3 copay for a 1-month supply at a standard pharmacy or a $6 copay for a 3-month standard mail order. For higher-tier medications, costs vary depending on the drug classification. Tier 3 preferred brands have a $47 copay for a 1-month standard pharmacy supply, while Tier 4 non-preferred brands carry a $100 copay for a 1-month supply. Tier 5 specialty drugs require a 33% coinsurance for a 1-month supply at standard pharmacies, which is the highest tier of coverage under this plan.

Additional Benefits

The Champion Care (HMO C-SNP) plan offers comprehensive medical coverage with no copay and no coinsurance for primary care, specialists, preventive services, and routine diagnostic tests. Inpatient acute hospital stays, outpatient observation, and home health services also feature no copayments or coinsurance, though certain specialized care like outpatient hospital visits and psychiatric stays require flat copays. Emergency care is highly accessible with no copay for urgent care and a $70 copay for emergency room visits, which is waived upon hospital admission. This plan also includes valuable supplemental benefits, such as routine dental, vision, and hearing services with no copayments, alongside a $3,000 annual dental maximum and a $335 eyewear allowance. Additionally, members can access up to 24 one-way transportation trips per year with no copay or coinsurance, as well as durable medical equipment with no copays and up to 20% coinsurance. While most routine care requires no out-of-pocket costs, select services like dialysis and prescription hearing aids carry predictable coinsurance or copayments.