North Dakota · ACA Marketplace plans
ACA Marketplace plans in North Dakota
Looking for ACA marketplace health insurance in North Dakota? Here is how this coverage lane works specifically for North Dakota residents, what it costs, and how to get it.
Facts on this page checked Jan 15, 2026. Sources are listed at the end.
How it works here
ACA Marketplace plans, explained for North Dakota.
North Dakota residents buy ACA Marketplace plans through HealthCare.gov. These are comprehensive plans that cover the ten essential health benefits, cannot deny you for a pre-existing condition, and are the only plans eligible for income-based premium tax credits.
Because North Dakota runs a federal marketplace, you enroll at HealthCare.gov. Plans and prices are set at the county level across North Dakota's 53 counties, so two neighbors in different counties can see different options.
North Dakota expanded Medicaid, so if your income is low you may qualify for Medicaid instead of a subsidized plan — the Marketplace will tell you when you apply.
North Dakota runs a federal marketplace (HealthCare.gov). Residents should enroll through HealthCare.gov, and plan menus are set at the county level across 53 counties.
Because North Dakota expanded Medicaid, a marketplace application may route lower-income adults to Medicaid instead of a subsidized private plan — that is usually good news for cost.
With an approximate uninsured rate near 7.0% and a population of about 0.8 million, North Dakota shoppers should re-check subsidies each year as income and household size change.
North Dakota facts
- Marketplace
- HealthCare.gov
- Medicaid expansion
- Adopted
- Uninsured rate
- ~7.0%
Open enrollment 2027
When North Dakota can enroll.
- Opens
- Nov 1, 2026
- Sun
- Enroll by, for Jan 1 coverage
- Dec 15, 2026
- Tue
- Last day to enroll
- Jan 15, 2027
- Fri
North Dakota residents enroll at HealthCare.gov. Enroll after Dec 15 and coverage usually starts February 1. Outside this window, a qualifying life event (a move, a new baby, losing other coverage) can open a Special Enrollment Period.
Medicare is different.Medicare’s annual enrollment runs Oct 15 to Dec 7, 2026. For Medicare help, visit our sister site OLYRON Medicare or Medicare.gov.
Dates checked Oct 15, 2026. Sources: HealthCare.gov: dates and deadlines; CMS statement, Jul 27, 2026.
More in this state
Other coverage in North Dakota.
- Health sharingMember-funded medical cost sharing — not insurance.
- Short-term plansTemporary coverage to bridge a gap — limited benefits.
- MedicareOriginal Medicare, Advantage, and Medigap for 65+ and eligible.
- MedicaidFree or low-cost coverage based on income and household.
- DentalStandalone and bundled dental coverage options.
- VisionEye exams, glasses, and contacts coverage.
- TelehealthVirtual primary and urgent care memberships.
Questions
Good questions, short answers.
When is Open Enrollment in North Dakota?
North Dakota uses HealthCare.gov. Open Enrollment for 2027 coverage runs Nov 1, 2026 to Jan 15, 2027. Enroll by Dec 15, 2026 for coverage that starts January 1. A qualifying life event (a move, a new baby, losing other coverage) opens a Special Enrollment Period at other times of year.
Are North Dakota Marketplace plans subsidized?
Yes — premium tax credits are available based on your income and household size, and many enrollees pay under $100/month.
Do I use HealthCare.gov or a state site in North Dakota?
North Dakota residents primarily enroll through HealthCare.gov. Start there for plan shopping and subsidy estimates.
Sources
- HealthCare.gov — the official ACA Health Insurance Marketplace · reviewed 2026-01-15
- CMS Center for Consumer Information & Insurance Oversight (marketplace types) · reviewed 2026-01-15
- OLYRON HealthMatch editorial methodology — how we source and rate options · reviewed 2026-01-15
Before the rush
Ready to see plans in North Dakota?
A licensed advisor can walk through the options where you live. Free, no obligation.
- Free
- No obligation
- About 2 minutes