Find 2019 Medicare Plans in North Dakota - ND Medicare Insurance Overview

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North Dakota Medicare Insurance

Medicare in North Dakota

Medicare offers healthcare coverage to North Dakota residents age 65 or older, or to those North Dakota residents that suffer from certain medical disabilities. In 2016, 116,000 people are enrolled in Medicare in North Dakota, accounting for 15.6% of the population in North Dakota. In 2009 approximately $7,958 was spent per Medicare enrollee in North Dakota, about 23.22% lower than the national average of $10,365. From 2015 to 2030 the senior population in North Dakota is projected to increase by an estimated 41.2% according to calculations based off of the 2000 Census. Therefore the number of Medicare enrollees in the state is also expected to grow.

Local Medicare Resources

Medicare beneficiaries, their families, and their caregivers who reside in Michigan can receive free, personal, and objective health insurance counseling services from the State Health Insurance Counseling Program (SHIC). Residents of North Dakota can also participate in a program called Senior Medicare Patrol (SMP) which aims to help individuals detect, protect themselves against, and report instances of Medicare errors, fraud, and/or abuse.

Types of Medicare Coverage

When you are eligible for Medicare you may sign up for Original Medicare (Part A & Part B), which cover hospital services and medical services, respectively, or you may enroll in a Medicare Advantage Plan (Medicare Part C). If you sign up for Original Medicare you also have the option to purchase a separate or stand alone prescription drug plan (Part D). Medicare Advantage and Medicare Part D insurance plans are sold by private insurance companies that have a contract with Medicare. Original Medicare offers its beneficiaries flexibility in choosing their providers and you are not limited to a network. However, there is no limit on out-of-pocket medical expenses and you must always pay 20% coinsurance for medical service costs. For most Medicare beneficiaries, Part A is already paid through paycheck deductions during their working years (or their spouse's) but most Medicare beneficiaries pay premiums for Part B unless they are eligible for financial assistance. Many Medicare beneficiaries will elect to enroll in a Medicare Advantage plan that includes prescription drug coverage (MAPD) or purchase a stand alone prescription drug plan to go with their Original Medicare coverage. Medicare Advantage plans require you to stay in network but some plans will also cover out-of-network care at a higher cost. Most Medicare Advantage plans also include additional health benefits such as vision, dental, or hearing coverage and you have the option to purchase a Medicare Advantage plan with prescription drug coverage (MAPD) in almost all states.

North Dakota 2017 Medicare Advantage Plans at a glance

Using CMS data HealthPocket found that:

  • The average total monthly premium for a 2017 Medicare Advantage plan in North Dakota is $120.90, 93.5% greater than the national average of $62.48. 2.5% of 2017 Medicare Part C insurance plans in North Dakota have a $0 monthly premium.
  • The maximum possible annual drug deductible in any 2017 Medicare Advantage plan with a drug component is $399, but in North Dakota the average annual drug deductible for Medicare Part C insurance plans with drug components is $152.41. 40.47% of 2017 Medicare Part C insurance plans with a drug component in North Dakota have a $0 annual drug deductible.
  • The average total monthly premium for a 2017 Medicare Advantage plan without a drug component in North Dakota is $73.68. 47.37% of 2017 Medicare Part C insurance plans without a drug component in North Dakota have a $0 monthly premium.
  • The average medical out-of-pocket limit for 2017 Medicare Part C insurance plans in North Dakota is $4,142.98. 51.11% of 2017 Medicare Advantage plans in North Dakota had a medical out-of-pocket limit of $3,400 or less.

To assist seniors in choosing Medicare plans, CMS assigns star ratings to Medicare Part C and Part D plans each year based on preventive care, chronic condition management, customer service, member satisfaction, and drug pricing. Ratings range from 1 star (a poor plan) to 5 stars (an excellent plan).

  • The average overall CMS star rating assigned to Medicare Part C insurance plans in North Dakota was 4.4 stars in 2017.
  • Among North Dakota's 2017 Medicare Advantage plans with CMS star ratings:
    • 89.44% earned a score of 4 or 4.5 stars
    • 7.78% earned a score of 3 or 3.5 stars
    • 2.78% of plans are “Not enough data available” or “Too new to be measured”.

Sources:

Data on Medicare eligibility, enrollment, and spending by state from Kaiser Family Foundation

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North Dakota Medicare Insurance Companies

There are 16 Medicare insurance providers that offer affordable and comprehensive Medicare insurance in North Dakota. Of these, the companies that offer the largest variety of plans to choose from are Humana, Medica, and HealthPartners. In North Dakota,Medica has the largest selection of Medicare Advantage plans while Humana offers the most Medicare Part D plans. The following are all medicare insurance providers in North Dakota:

Humana

9 Plans

Medica

6 Plans

WellCare

3 Plans

Cigna

3 Plans

UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY

2 Plans

OMAHA HEALTH INSURANCE COMPANY

2 Plans

Aetna

2 Plans

Lasso Healthcare

1 Plans

2019 Featured Medicare Plans in North Dakota

There are 45 medicare plans in North Dakota. The following are the 10 highest rated medicare plans in North Dakota based on their CMS rating for the plan's overall quality.

Monthly CostPlan NameCMS Rating
from $37Wellmark Blue Cross and Blue Shield - MedicareBlue Rx Standard (PDP)
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from $89Wellmark Blue Cross and Blue Shield - MedicareBlue Rx Premier (PDP)
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from $35HealthPartners - HealthPartners Sanford Basic (Cost) - Barnes County
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from $39HealthPartners - HealthPartners Sanford Vital (Cost) - Barnes County
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from $73HealthPartners - HealthPartners Sanford Active (Cost) - Barnes County
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from $159HealthPartners - HealthPartners Sanford Ultimate (Cost) - Barnes County
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from $0Humana - HumanaChoice H5216-086 (PPO) - Burleigh County
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from $27Humana - HumanaChoice H5216-092 (PPO) - Burleigh County
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from $34Humana - Humana Value Plus H5216-171 (PPO) - Burleigh County
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from $49Medica - Medica Prime Solution Thrift (Cost) - Adams County
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See all Medicare plans in North Dakota

North Dakota Featured Medicare Plans for Managing High Blood Pressure

The following are the 5 highest rated medicare plans in North Dakota based on their CMS rating for the plan's ability for controlling high blood pressure.

Monthly CostPlan NameCMS Rating
from $97Humana - Humana Gold Choice H8145-089 (PFFS) - Burleigh County
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from $107Humana - HumanaChoice H5216-103 (PPO) - Burleigh County
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from $57Humana - HumanaChoice H5216-088 (PPO) - Burleigh County
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from $34Humana - Humana Value Plus H5216-171 (PPO) - Burleigh County
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from $27Humana - HumanaChoice H5216-092 (PPO) - Burleigh County
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North Dakota Featured Medicare Plans for Managing Diabetes

The following are the 5 highest rated medicare plans in North Dakota based on their CMS rating for the plan's ability for diabetes care including: eye exam, kidney disease monitoring, blood sugar controlled and cholesterol controlled.

Monthly CostPlan NameCMS Rating
from $97Humana - Humana Gold Choice H8145-089 (PFFS) - Burleigh County
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from $159HealthPartners - HealthPartners Sanford Ultimate (Cost) - Barnes County
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from $73HealthPartners - HealthPartners Sanford Active (Cost) - Barnes County
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from $39HealthPartners - HealthPartners Sanford Vital (Cost) - Barnes County
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from $35HealthPartners - HealthPartners Sanford Basic (Cost) - Barnes County
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North Dakota Featured Medicare Plans for Managing Rheumatoid Arthritis

The following are the 5 highest rated medicare plans in North Dakota based on their CMS rating for the plan's ability for rheumatoid arthritis management.

Monthly CostPlan NameCMS Rating
from $97Humana - Humana Gold Choice H8145-089 (PFFS) - Burleigh County
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from $107Humana - HumanaChoice H5216-103 (PPO) - Burleigh County
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from $57Humana - HumanaChoice H5216-088 (PPO) - Burleigh County
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from $34Humana - Humana Value Plus H5216-171 (PPO) - Burleigh County
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from $27Humana - HumanaChoice H5216-092 (PPO) - Burleigh County
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North Dakota Featured Medicare Plans for Managing Osteoporosis

The following are the 5 highest rated medicare plans in North Dakota based on their CMS rating for the plan's ability for osteoporosis management.

Monthly CostPlan NameCMS Rating
from $159HealthPartners - HealthPartners Sanford Ultimate (Cost) - Barnes County
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from $73HealthPartners - HealthPartners Sanford Active (Cost) - Barnes County
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from $39HealthPartners - HealthPartners Sanford Vital (Cost) - Barnes County
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from $35HealthPartners - HealthPartners Sanford Basic (Cost) - Barnes County
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from $97Humana - Humana Gold Choice H8145-089 (PFFS) - Burleigh County
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Most Popular Medicare Doctors in North Dakota

The following are the most popular medicare doctors in North Dakota based on the provider utilization and payment data published by the U.S. Department of Health & Human Services.

NameSpecialtyLocation
Neurological SurgeryBISMARCK, ND
Internal MedicineBISMARCK, ND
Orthopaedic SurgeryBISMARCK, ND
Internal MedicineBISMARCK, ND
Orthopaedic SurgeryFARGO, ND
Internal MedicineBISMARCK, ND
RadiologyGRAND FORKS, ND
RadiologyFARGO, ND
OphthalmologyJAMESTOWN, ND
Orthopaedic SurgeryGRAND FORKS, ND
See all doctors accepting Medicare in North Dakota

Browse Medicare Plans by Cities

  1. Fargo, ND
  2. Bismarck, ND
  3. Grand Forks, ND
  4. Minot, ND
  5. West Fargo, ND
  6. Dickinson, ND
See all cities in North Dakota

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