Medicare plan changes in North Dakota for 2027
Across 53 counties in North Dakota, the 2027 CMS file lists 154 county listings of Medicare Advantage plans with drug coverage, compared with 267 in 2026. By our count, 21 counties have none in 2027, including counties that do not appear in the CMS file at all.
Before you choose a plan
Compare plans for your ZIP code, drugs and doctors on the official Medicare Plan Finder, or call 1-800-MEDICARE (1-800-633-4227). Free, unbiased counselling is available from your State Health Insurance Assistance Program at shiphelp.org.
By county
| County | 2026 plans | 2027 plans | Change | Companies leaving |
|---|---|---|---|---|
| Adams County | 2 | 0 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Barnes County | 9 | 6 | -3 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Benson County | 5 | 0 | -5 | Blue Cross Blue Shield of Michigan Mutual Ins. Co., UnitedHealth Group, Inc. |
| Billings County | 2 | 0 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Bottineau County | 2 | 0 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Bowman County | 2 | 0 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Burke County | 2 | 0 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Burleigh County | 12 | 10 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Cass County | 9 | 7 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Cavalier County | 2 | 0 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Dickey County | 4 | 3 | -1 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Divide County | 2 | 0 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Dunn County | 2 | 0 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Eddy County | 4 | 3 | -1 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Emmons County | 4 | 3 | -1 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Foster County | 4 | 3 | -1 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Golden Valley County | 2 | 0 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Grand Forks County | 12 | 8 | -4 | Blue Cross Blue Shield of Michigan Mutual Ins. Co., UnitedHealth Group, Inc. |
| Grant County | 4 | 3 | -1 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Griggs County | 6 | 5 | -1 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Hettinger County | 2 | 0 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Kidder County | 7 | 5 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| LaMoure County | 4 | 3 | -1 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Logan County | 4 | 3 | -1 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| McHenry County | 5 | 2 | -3 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| McIntosh County | 4 | 3 | -1 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| McKenzie County | 2 | 0 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| McLean County | 9 | 7 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Mercer County | 9 | 5 | -4 | Blue Cross Blue Shield of Michigan Mutual Ins. Co., UnitedHealth Group, Inc. |
| Morton County | 12 | 8 | -4 | Blue Cross Blue Shield of Michigan Mutual Ins. Co., UnitedHealth Group, Inc. |
| Mountrail County | 5 | 0 | -5 | Blue Cross Blue Shield of Michigan Mutual Ins. Co., UnitedHealth Group, Inc. |
| Nelson County | 6 | 5 | -1 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Oliver County | 9 | 5 | -4 | Blue Cross Blue Shield of Michigan Mutual Ins. Co., UnitedHealth Group, Inc. |
| Pembina County | 5 | 2 | -3 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Pierce County | 2 | 0 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Ramsey County | 7 | 2 | -5 | Blue Cross Blue Shield of Michigan Mutual Ins. Co., UnitedHealth Group, Inc. |
| Ransom County | 9 | 7 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Renville County | 2 | 0 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Richland County | 9 | 5 | -4 | Blue Cross Blue Shield of Michigan Mutual Ins. Co., UnitedHealth Group, Inc. |
| Rolette County | 2 | 0 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Sargent County | 4 | 3 | -1 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Sheridan County | 4 | 3 | -1 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Sioux County | 4 | 3 | -1 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Slope County | 2 | 0 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Stark County | 2 | 0 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Steele County | 6 | 5 | -1 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Stutsman County | 12 | 10 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Towner County | 2 | 0 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Traill County | 9 | 7 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Walsh County | 9 | 7 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Ward County | 2 | 0 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Wells County | 4 | 3 | -1 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
| Williams County | 2 | 0 | -2 | Blue Cross Blue Shield of Michigan Mutual Ins. Co. |
Stand-alone Part D drug plans in North Dakota for 2027
9 plans in 2027, compared with 11 in 2026. Lowest monthly drug plan premium: $5.30 (2026: $4.70).
| Plan | Company | Monthly premium | Deductible | Star rating |
|---|---|---|---|---|
| Wellcare Value Script (PDP) | Wellcare | $5.30 | $700 | Not Applicable |
| AARP Medicare Rx Saver from UHC (PDP) | UnitedHealthcare | $10.30 | $700 | Not Applicable |
| Wellcare Classic (PDP) | Wellcare | $16.30 | $700 | Not Applicable |
| Humana Basic Rx Plan (PDP) | Humana | $18.30 | $700 | Not Applicable |
| Humana Value Rx Plan (PDP) | Humana | $33.30 | $687 | Not Applicable |
| HealthSpring Assurance Rx (PDP) | HealthSpring | $117.10 | $700 | Not Applicable |
| Humana Premier Rx Plan (PDP) | Humana | $123.00 | $350 | Not Applicable |
| MedicareBlue Rx Standard (PDP) | MedicareBlue Rx | $179.10 | $700 | Not Applicable |
| AARP Medicare Rx Preferred from UHC (PDP) | UnitedHealthcare | $222.90 | $300 | Not Applicable |
Sources
- Centers for Medicare & Medicaid Services, CY2027 Medicare Advantage and Part D Landscape file (data last updated 18 October 2026)
- Centers for Medicare & Medicaid Services, CY2026 Medicare Advantage and Part D Landscape file (September 2026 release)
- US Census Bureau, 2024 Gazetteer Files, counties
Checked 29 October 2026. Plans and premiums can change before 1 January 2027. Confirm any plan on Medicare.gov before you enrol.