Where to buy a plan in North Dakota
North Dakota uses HealthCare.gov for individual and family plans. Open enrollment for 2027 coverage runs November 1, 2026 to January 15, 2027 (source).
North Dakota Marketplace insurers by hospitals in network, 2027
Hospitals listed in at least one of each insurer's 2027 North Dakota plan networks, from the insurers' provider directory files loaded November 4, 2026. One plan's network can be smaller than another's from the same insurer.
| # | Insurer | Hospitals in network |
|---|---|---|
| 1 | Blue Cross Blue Shield of North Dakota | 46 of 46 |
| 2 | Sanford Health Plan | 42 of 46 |
| 3 | Medica | 26 of 46 |
"Of" counts the open, non-VA hospitals in North Dakota on this site that have a Medicare number.
2027 monthly premiums in North Dakota by metal level
40-year-old, no tobacco, before tax credits. Lowest and highest premium across North Dakota counties, and the typical county's average. Most people pay less after tax credits.
| Metal level | Lowest | Typical county average | Highest |
|---|---|---|---|
| Bronze | $357 | $451 | $567 |
| Silver | $478 | $662 | $886 |
| Gold | $496 | $666 | $882 |
2027 Marketplace plan rates for 40-year-old, no tobacco, before tax credits, in 3 counties.
Medicaid income limits in North Dakota
The income limit for each group, as a share of the federal poverty line, as HealthCare.gov reports it for 2027. Adults in North Dakota qualify for Medicaid up to 133% of the poverty line. Ask a hospital which North Dakota Medicaid plans it takes.
- Adults133%of the poverty line
- Parents39%of the poverty line
- Pregnant people170%of the poverty line
- Children133%of the poverty line
Check a North Dakota hospital's networks
Each hospital page has an Insurance section with the Marketplace insurers whose plans list it and a plan checker.
- CHI Mercy HealthValley City, ND5 of 5CMS stars
- Sanford Medical Center FargoFargo, ND4 of 5CMS stars
- St Alexius Medical CenterBismarck, ND4 of 5CMS stars
- Sanford Medical Center BismarckBismarck, ND4 of 5CMS stars
- Jamestown HospitalJamestown, ND4 of 5CMS stars
- West River Regional Medical Center-CAHHettinger, ND4 of 5CMS stars
Source: HealthCare.gov Marketplace API (state exchange, Medicaid limits, plan rates). Individual Marketplace (ACA) plans only.
Source: the insurers' 2027 machine-readable provider files listed in the CMS Marketplace public use files, loaded November 4, 2026, matched to hospitals by NPI from CMS Hospital Enrollments. How we match networks to hospitals
Networks change; confirm with your insurer before you go. Not affiliated with any insurer, HealthCare.gov or CMS.