Medicare Advantage plans in North Dakota, 2027
23 Medicare Advantage plans are sold in North Dakota for 2027 (29 in 2026); 18 are open to everyone and 5 of those have a $0 premium everywhere they are sold. 12,671 North Dakota members in September 2026 were in plans that end or leave their county for 2027.
What changes in North Dakota for 2027?
| In the state | 2026 | 2027 | Change |
|---|---|---|---|
| Plans sold in the state | 29 | 23 | ▼down 6 |
| Plans open to everyone | 23 | 18 | ▼down 5 |
| Plans with a $0 premium everywhere they are sold | 7 | 5 | ▼down 2 |
| Plans that lower the Part B premium | 2 | 2 | no change |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026.
Which companies sell the most plans in North Dakota?
Plans open to everyone, by parent company and the brands it sells under, 2027
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Which North Dakota counties lose the most?
Plans end in or leave North Dakota counties 338 times for 2027. Counties with the most members in those plans come first; each links to its 2027 plan list.
| County | Plans open to all | $0 premium | Plans that end or leave | Their members here |
|---|---|---|---|---|
| Cass | 14 | 4 | 9 | 3,843 |
| Burleigh | 12 | 5 | 7 | 1,693 |
| Grand Forks | 9 | 4 | 9 | 1,328 |
| Morton | 9 | 4 | 10 | 801 |
| Richland | 11 | 3 | 11 | 721 |
| Ward | 6 | 0 | 5 | 660 |
| Williams | 6 | 0 | 5 | 405 |
| Barnes | 13 | 4 | 9 | 288 |
| Mercer | 11 | 3 | 11 | 264 |
| Ramsey | 8 | 0 | 11 | 257 |
| Stutsman | 12 | 5 | 6 | 228 |
| Stark | 6 | 0 | 5 | 224 |
| Traill | 14 | 4 | 8 | 195 |
| McLean | 14 | 4 | 8 | 180 |
| Mountrail | 6 | 0 | 9 | 142 |
| Pembina | 9 | 1 | 6 | 84 |
| Walsh | 14 | 4 | 8 | 80 |
| Bottineau | 6 | 0 | 5 | 75 |
| Emmons | 9 | 3 | 5 | 71 |
| McHenry | 9 | 1 | 6 | 69 |
| Benson | 6 | 0 | 9 | 65 |
| Ransom | 14 | 4 | 8 | 61 |
| McKenzie | 6 | 0 | 5 | 58 |
| Pierce | 6 | 0 | 5 | 58 |
| Dickey | 9 | 3 | 5 | 55 |
| Logan | 9 | 3 | 5 | 55 |
| Sargent | 9 | 3 | 5 | 51 |
| McIntosh | 9 | 3 | 5 | 48 |
| Renville | 6 | 0 | 5 | 48 |
| Rolette | 6 | 0 | 5 | 47 |
| LaMoure | 9 | 3 | 5 | 45 |
| Nelson | 11 | 3 | 7 | 45 |
| Eddy | 9 | 3 | 5 | 37 |
| Griggs | 11 | 3 | 7 | 33 |
| Hettinger | 6 | 0 | 5 | 31 |
| Wells | 9 | 3 | 5 | 31 |
| Dunn | 6 | 0 | 5 | 30 |
| Kidder | 12 | 4 | 6 | 30 |
| Cavalier | 6 | 0 | 5 | 28 |
| Steele | 11 | 3 | 7 | 28 |
| Burke | 6 | 0 | 5 | 22 |
| Oliver | 11 | 3 | 11 | 21 |
| Towner | 6 | 0 | 5 | 20 |
| Grant | 9 | 3 | 5 | 18 |
| Bowman | 6 | 0 | 5 | 17 |
| Adams | 6 | 0 | 5 | 16 |
| Golden Valley | 6 | 0 | 5 | 16 |
| Foster | 9 | 3 | 5 | 15 |
| Divide | 6 | 0 | 5 | 12 |
| Sheridan | 9 | 3 | 5 | 11 |
| Slope | 6 | 0 | 5 | 11 |
| Billings | 6 | 0 | 5 | 0 |
| Sioux | 9 | 3 | 5 | 0 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
Which large plans sold in North Dakota end?
| 2026 plan | Brand | Members in all states, Sept. 2026 |
|---|---|---|
| NextBlue Discover PPOH6202-004 | NextBlue of North Dakota | 4,490 |
| Align ChoicePlusH8385-004 | Align powered by Sanford Health Plan | 2,917 |
| Align ChoiceEliteH8385-002 | Align powered by Sanford Health Plan | 1,397 |
| Medica Prime Solution Core w/RxH2450-035 | Medica | 1,391 |
| NextBlue Summit PPOH6202-005 | NextBlue of North Dakota | 1,258 |
| NextBlue Freedom PPOH6202-003 | NextBlue of North Dakota | 935 |
| AARP Medicare Advantage from UHC FG-0003H2001-120 | UnitedHealthcare | 741 |
| Medica Prime Solution Premier w/RxH2450-037 | Medica | 376 |
| Align Dual PartnershipH8967-003 | Great Plains Medicare Advantage | 52 |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
Which plans in North Dakota lower the Part B premium?
2 plans open to everyone and sold in at least one North Dakota county pay part of the Part B premium in 2027; the largest reduction comes first.
| 2027 plan | Brand | Monthly reduction |
|---|---|---|
| AARP Medicare Advantage Patriot No Rx FG-MA01H2001-124 | UnitedHealthcare | $170 |
| Medica Advantage SaluteH8889-009 | Medica | $160 |
Source: CMS plan benefit package files, 2027 and 2026; CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
54,704 of North Dakota's 155,072 people with Medicare were in a Medicare Advantage plan in September 2026 (35%).
What else should you check?
- Every plan not offered in 2027By company and state
- Part B giveback plansWhere they are sold
- Every statePlan counts for 2027