Marketplace health plans in Nelson County

Name: Marketplace health plans in Nelson County, ND: all 31
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/publicdomain/label/1.0/

31 plans sold in Nelson County, North Dakota, from 3 insurers, priced at age 30.

What people in Nelson County actually paid

The prices below are the sticker price. Most people do not pay it. In 2026, the average plan in Nelson County listed at $652 a month and the average person paid $203 after the advance premium tax credit.

Across the 53 North Dakota counties CMS published, the averages are $628 and $228; across the country, $829 and $183. Those are our averages of the county figures; every other number here is CMS’s own.

32 of the 226 people who enrolled here — 14.2% — paid $10 a month or less.

What you pay depends on your income and your household, and only HealthCare.gov can work it out for you. These are the county's published averages, not a quote.

Premiums at age 30: 21 27 30 40 50 60

Plan	Metal	Type	Premium at 30	Deductible	Max out of pocket
BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible Blue Cross Blue Shield of North Dakota	Catastrophic	PPO	$331.99	$10,600	$10,600
Sanford Individual Simplicity $10,600 Sanford Health Plan	Catastrophic	PPO	$370.23	$10,600	$10,600
BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) Blue Cross Blue Shield of North Dakota	Expanded Bronze	PPO	$385.45	$6,000	$10,150
Altru Prime by Medica Bronze Share Medica	Expanded Bronze	HMO	$387.31	$8,000	$10,600
BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan) Blue Cross Blue Shield of North Dakota	Expanded Bronze	PPO	$399.43	$7,500	$10,000
BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List) Blue Cross Blue Shield of North Dakota	Expanded Bronze	PPO	$409.12	$8,000	$8,000
Sanford Individual Simplicity Standardized $7,500 Sanford Health Plan	Expanded Bronze	PPO	$414.17	$7,500	$10,000
Sanford Individual Simplicity $6,500 Sanford Health Plan	Expanded Bronze	PPO	$421.07	$6,500	$9,750
Altru Prime by Medica Bronze $0 Copay PCP Visits Medica	Expanded Bronze	HMO	$422.65	$7,500	$10,600
Altru Prime by Medica Expanded Bronze Standard Medica	Expanded Bronze	HMO	$430.17	$7,500	$10,000
Sanford Individual Simplicity $7,200 HSA Qualified Sanford Health Plan	Expanded Bronze	PPO	$433.69	$7,200	$7,200
DakotaBlue Altru Gold ($5 Value Based Drug List) Blue Cross Blue Shield of North Dakota	Gold	PPO	$486.72	$2,000	$8,000
DakotaBlue Altru Silver ($5 Value Based Drug List) Blue Cross Blue Shield of North Dakota	Silver	PPO	$536.28	$3,500	$9,500
Medica Individual Choice Expanded Bronze Standard Medica	Expanded Bronze	HMO	$544.13	$7,500	$10,000
Sanford Individual Simplicity $3,500 Sanford Health Plan	Silver	PPO	$557.97	$3,500	$9,750
BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) Blue Cross Blue Shield of North Dakota	Gold	PPO	$561.36	$2,600	$4,300
Sanford Individual Simplicity Standardized $6,000 Sanford Health Plan	Silver	PPO	$567.76	$6,000	$8,900
BlueValue Gold $30 PCP Copay (Standardized plan) Blue Cross Blue Shield of North Dakota	Gold	PPO	$585.46	$2,000	$8,200
Sanford Individual Simplicity $4,750 Sanford Health Plan	Silver	PPO	$587.10	$4,750	$9,750
Altru Prime by Medica Silver $0 Copay PCP Visits Medica	Silver	HMO	$587.91	$3,500	$10,450
Sanford Individual Simplicity Standardized $2,000 Sanford Health Plan	Gold	PPO	$589.18	$2,000	$8,200
Altru Prime by Medica Gold $0 Copay PCP Visits Medica	Gold	HMO	$593.23	$1,500	$8,800
Altru Prime by Medica Silver Share Medica	Silver	HMO	$604.11	$3,525	$8,850
Altru Prime by Medica Gold Share Medica	Gold	HMO	$606.13	$2,500	$5,900
Altru Prime by Medica Silver Standard Medica	Silver	HMO	$607.35	$6,000	$8,900
BlueValue Silver $40 PCP Copay (Standardized plan) Blue Cross Blue Shield of North Dakota	Silver	PPO	$610.79	$6,000	$8,900
Sanford Individual Simplicity $1,750 Sanford Health Plan	Gold	PPO	$610.81	$1,750	$9,000
Altru Prime by Medica Gold Standard Medica	Gold	HMO	$620.62	$2,000	$8,200
BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) Blue Cross Blue Shield of North Dakota	Silver	PPO	$649.19	$3,500	$7,500
Medica Individual Choice Silver Standard Medica	Silver	HMO	$768.25	$6,000	$8,900
Medica Individual Choice Gold Standard Medica	Gold	HMO	$785.03	$2,000	$8,200

Counties next to this one

Nelson County is in Rating Area 4 of North Dakota. A rating area is the group of counties an insurer must price together, so a plan sold in two of them carries the same price in each. 12 other counties share it and are listed first; the rest are the largest in North Dakota.

County	Plans	Insurers	Cheapest at 40	Average paid after credit
Emmons County same rating area	37	3	$346.01	$272
McIntosh County same rating area	37	3	$346.01	$265
McLean County same rating area	37	3	$346.01	$289
Mercer County same rating area	37	3	$346.01	$359
Oliver County same rating area	37	3	$346.01	$320
Traill County same rating area	37	3	$346.01	$236
Benson County same rating area	31	3	$373.82	$197
Eddy County same rating area	31	3	$373.82	$231
Griggs County same rating area	31	3	$373.82	$228
Ramsey County same rating area	31	3	$373.82	$250
Ransom County same rating area	31	3	$373.82	$175
Richland County same rating area	31	3	$373.82	$243

Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.

Get told when this changes

When next year’s premiums are posted for Nelson County, or an insurer arrives or leaves.

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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. What people actually paid comes from the CMS open-enrollment county public use file for 2026. CMS landscape file as loaded 17 September 2026. The state and national averages are our arithmetic over CMS’s county figures; nothing else on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.