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Health insurance in North Dakota
3 insurers offer individual marketplace plans in North Dakota for 2026, across 53 counties. How many you can actually choose from depends on where you live — the county table below shows the range.
| Insurers in the state | 3 |
| Counties with marketplace plans | 53 |
| Average insurers per county | 2.9 |
| Registered marketplace agents | 204 |
Insurers offering plans in North Dakota
- Blue Cross Blue Shield of North Dakota
- Medica
- Sanford Health Plan
Coverage by county
Counties are listed by how many insurers serve them. In most states the choice is much wider in metropolitan counties than rural ones.
| County | Insurers |
|---|---|
| Adams County | 3 |
| Barnes County | 3 |
| Benson County | 3 |
| Billings County | 3 |
| Bottineau County | 3 |
| Bowman County | 3 |
| Burleigh County | 3 |
| Cass County | 3 |
| Cavalier County | 3 |
| Dickey County | 3 |
| Dunn County | 3 |
| Eddy County | 3 |
| Emmons County | 3 |
| Foster County | 3 |
| Golden Valley County | 3 |
| Grand Forks County | 3 |
| Grant County | 3 |
| Griggs County | 3 |
| Hettinger County | 3 |
| Kidder County | 3 |
| LaMoure County | 3 |
| Logan County | 3 |
| McHenry County | 3 |
| McIntosh County | 3 |
| McLean County | 3 |
| Mercer County | 3 |
| Nelson County | 3 |
| Oliver County | 3 |
| Pembina County | 3 |
| Pierce County | 3 |
| Ramsey County | 3 |
| Ransom County | 3 |
| Renville County | 3 |
| Richland County | 3 |
| Rolette County | 3 |
| Sargent County | 3 |
| Sheridan County | 3 |
| Sioux County | 3 |
| Slope County | 3 |
| Stark County | 3 |
| Steele County | 3 |
| Stutsman County | 3 |
| Towner County | 3 |
| Traill County | 3 |
| Walsh County | 3 |
| Ward County | 3 |
| Wells County | 3 |
| Williams County | 3 |
| Burke County | 2 |
| Divide County | 2 |
| McKenzie County | 2 |
| Morton County | 2 |
| Mountrail County | 2 |
Free enrollment help in North Dakota
Navigators and certified assisters are funded to help people enrol at no charge. They cannot sell you a policy or steer you to one insurer.
| Coal Country Community Health Center · North Beulah | 7018737788 |
| Family HealthCare Center · Fargo | 7015517530 |
| Family HealthCare Center · Valley City | 7015517530 |
| Family HealthCare Center · Valley City | 7015517530 |
| McKenzie County Healthcare Systems, Inc · Watford City | 7018423000 |
| Minot State University · Tioga | 7018583071 |
| Minot State University · Mcclusky | 7018583467 |
| Minot State University · Tioga | 7018583071 |
| Minot State University · Hillsboro | 7018583877 |
| Minot State University · Velva | 7018583052 |
| Minot State University · Wishek | 7018583467 |
| Minot State University · Crosby | 7018583071 |
| Minot State University · Watford City | 7018583071 |
| Minot State University · Rolla | 7018583052 |
| Minot State University · Rugby | 7018583052 |
| Minot State University · Upham | 7018583052 |
| Minot State University · Turtle Lake | 7018583052 |
| Minot State University · Underwood | 7018583052 |
| Minot State University · Washburn | 7018583052 |
| Minot State University · Lansford | 7018583052 |
| Minot State University · Westhope | 7018583052 |
| Minot State University · Cando | 8335459448 |
| Minot State University · Manning | 7018583071 |
| Minot State University · Belcourt | 8335459448 |
| Minot State University · Mcville | 7018583011 |
| Minot State University · Bowbells | 8335459448 |
| Minot State University · Williston | 7018583071 |
| Minot State University · Stanley | 7018583071 |
| Minot State University · New Town | 7018583071 |
| Minot State University · Stanton | 7018583071 |
Source: CMS Health Insurance Exchange public use files, plan year 2026, and the federal Find Local Help directory. Covers the federal marketplace only. States running their own exchanges publish separately and are not included.