Medicaid in North Dakota
Looking for Medicaid eligibility in North Dakota? Here is how this coverage lane works specifically for North Dakota residents, what it costs, and how to get it.
North Dakota expanded Medicaid under the ACA, so adults with income up to 138% of the Federal Poverty Level may qualify regardless of whether they have children.
Medicaid in North Dakota provides free or very low-cost comprehensive coverage for those who qualify, and you can apply year-round — there is no enrollment window.
If you do not qualify for Medicaid in North Dakota, a subsidized Marketplace plan through HealthCare.gov is usually the next best option.
North Dakota expanded Medicaid under the ACA, so adults with income up to about 138% of the Federal Poverty Level may qualify for comprehensive coverage year-round.
Medicaid rules in North Dakota still depend on household size, income, and category (for example pregnancy or disability). An application through HealthCare.gov or the state Medicaid agency is the reliable way to confirm.
Given North Dakota's approximate 7.0% uninsured rate, an annual eligibility check is worthwhile whenever wages, hours, or household composition change.
Next step
Ready to see plans available in North Dakota?
A licensed advisor can walk through the options where you live. Free, no obligation.
- Free
- Licensed advisor
- About 2 minutes
- No obligation
Frequently asked questions
- Who qualifies for Medicaid in North Dakota?
- Adults with income up to about 138% of the Federal Poverty Level, plus children, pregnant women, and others who meet income rules.
- Can I apply for Medicaid any time in North Dakota?
- Yes — unlike Marketplace plans, Medicaid enrollment is open year-round for those who qualify.
- Did North Dakota expand Medicaid?
- Yes. North Dakota adopted ACA Medicaid expansion, which generally opens coverage to more low-income adults.
Sources
- Medicaid.gov — federal Medicaid program information · reviewed 2026-01-15
- KFF (Kaiser Family Foundation) — health policy research · reviewed 2026-01-15
- OLYRON HealthMatch editorial methodology — how we source and rate options · reviewed 2026-01-15