Medicare Advantage HMO plans in North Dakota

Of the North Dakota HMO plans with a published premium, 67% charge $0 a month. A $0 premium does not mean the plan is free: you still pay your Part B premium to Medicare, plus copays and coinsurance as you use care. The number that actually caps a bad year is the in-network out-of-pocket maximum, which averages $6,772 across these plans.

None of the HMO plans in North Dakota carries a CMS star rating yet. CMS rates a contract rather than an individual plan, so every plan a carrier files under the same contract shares one score. A contract that is too new or has too little data is not rated at all, which is different from rating badly.

There are 3 HMO plans from 1 carrier, sold across 19 counties. Availability is set by county, so the plans you can actually join depend on where you live — the full list is rarely available in any one place. 3 of them are Special Needs Plans with extra eligibility rules (see below).

3 of the 3 HMO plans here bundle Part D drug coverage into the plan. That is the usual arrangement for Medicare Advantage and there is no separate drug premium for it — the plan premium covers both. If you join a Medicare Advantage plan without drug coverage, you generally cannot add a standalone Part D plan alongside it.

3 of the 3 HMO plans in North Dakota are Special Needs Plans. SNPs limit enrollment to people who also have Medicaid, live in a nursing home or similar institution, or have a qualifying chronic condition. They often carry richer benefits for that group, but if you do not meet the criteria you cannot join one — so the real number of plans open to you may be lower than the total.