Country Guide
Best Health Insurance in North Dakota (2026)
North Dakota expanded Medicaid. Compare ACA marketplace plans to find the right coverage for ND residents.
By Itai Varochik | Updated February 20, 2026
Top Exchanges in North Dakota
| # | Exchange | Best For | Fees | Type |
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield ND | Widest ND network | $5,160/yr | — |
| 2 | Medica North Dakota | Regional coverage | $4,680/yr | — |
| 3 | Sanford Health ND | ND-integrated care | $4,440/yr | — |
| 4 | Quartz Health ND | Budget plans | $4,200/yr | — |
| 5 | UnitedHealthcare ND | Plan variety | $5,520/yr | — |