North Dakota · 2027 plan year

Medicare Advantage PPO plans in North Dakota

There are 15 Medicare Advantage PPO plans in North Dakota from 4 carriers, averaging 4.07 out of 5 stars across the 15 plans CMS has rated. 33% of those with a published premium charge $0 a month (5 of 15); beyond the premium, what separates them is network, drug coverage and how much you could owe in a bad year.

15
PPO plans
4
Carriers
37
Counties covered
4.1
Average stars
$7,150
Median out-of-pocket max

Across the 15 PPO plans in North Dakota that publish one, the in-network out-of-pocket maximum has a median of $7,150 and tops out at $9,850 — the ceiling on what you pay in a year for covered in-network care. The mean is $6,773, which sits below the median — the spread is not symmetric, so the median is the better guide.

A $0 plan premium is not a free plan. You still pay your Part B premium to Medicare, plus copays and coinsurance as you use care. Star ratings are published by CMS per contract, so every plan a carrier files under the same contract shares one rating — it describes the carrier’s performance, not this specific plan’s benefits. Estimate your real costs.

Most PPO plans in North Dakota rate 4 stars or better.

14 of 15 plans here carry an overall rating of at least 4 stars. Where ratings cluster this high they stop being a useful way to sort plans — network, drug coverage and out-of-pocket limits will separate these more than the star count will.

North Dakota PPO plans rank 14th of 51 on star rating.

Across the 15 rated plans here the average overall rating is 4.07 stars, 14th highest of the 51 states with PPO plans. Ratings apply to the contract, so every plan a carrier files under one contract shares the same score.

Not sure whether Medicare Advantage suits you at all? Medicare Advantage vs Original Medicare covers the trade in plain language.

Highest rated

Top-rated PPO plans in North Dakota

Showing 5 of 15. See all North DakotaMedicare Advantage plans →

Who sells here

PPO plans by carrier

CarrierPlansAvg starsSNPs
MedicaMedica Holding Company54.01
UnitedHealthcareUnitedHealth Group, Inc.54.52
Aetna MedicareCVS Health Corporation33.5—
Align powered by Sanford Health PlanSanford Health24.0—
Other plan types in North Dakota

How PPO compares

All North DakotaMedicare Advantage plans →

Nearby on quality

States with similar PPO star ratings

Common questions

North Dakota Medicare Advantage PPO plans, answered

How much do Medicare Advantage PPO plans cost in North Dakota?
Of the North Dakota PPO plans with a published premium, 33% charge $0 a month. The monthly premium is what you pay the plan for its medical (Part C) and drug (Part D) coverage together. 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, with a median of $7,150 across these plans.
What are the star ratings for North Dakota PPO plans?
The 15 rated PPO plans in North Dakota average 4.07 out of 5 stars, with 14 rating 4 or better. 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.
How many Medicare Advantage PPO plans are available in North Dakota?
There are 15 PPO plans from 4 carriers, sold across 37 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).
Do North Dakota PPO plans include prescription drug coverage?
13 of the 15 PPO plans here bundle Part D drug coverage into the plan. That is the usual arrangement for Medicare Advantage, and you pay one monthly premium to the plan — but that premium has a medical (Part C) part and a drug (Part D) part, and the drug part is often what makes it more than $0. Each plan's page shows both. If you join a Medicare Advantage plan without drug coverage, you generally cannot add a standalone Part D plan alongside it.
What is a Special Needs Plan, and are there any in North Dakota?
3 of the 15 PPO 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.

A $0 premium is not the whole cost.
See what a year really looks like.

Simplivera models your actual annual costs across North Dakota Medicare Advantage plans.

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