Medicare in North Dakota: compare your plan options with a licensed agent

Your guide to Medicare in North Dakota

Last reviewed October 2026 by the licensed team at Amerance Health Insurance Group. Costs shown are 2026 Medicare figures from CMS.

Medicare is a federal program, so Parts A and B work the same way in North Dakota as in every other state. What changes from state to state is which private plans you can choose from, the state rules that apply to Medicare Supplement insurance, and the local programs that can help you pay for coverage. This page covers what's specific to North Dakota.

Your Medicare options in North Dakota

People with Medicare in North Dakota choose between two main paths:

Original Medicare, with a Medicare Supplement and Part D

Original Medicare (Part A for hospital care and Part B for medical care) lets you see any doctor or hospital in the U.S. that accepts Medicare. That's useful if you see specialists across North Dakota or spend part of the year out of state. Because Original Medicare has no yearly out-of-pocket limit, many people add a Medicare Supplement (Medigap) policy to cover deductibles and coinsurance, plus a stand-alone Part D plan for prescriptions.

Medicare Advantage (Part C)

Medicare Advantage plans are offered by private insurance companies approved by Medicare. They bundle hospital, medical and usually drug coverage into one plan, often with dental, vision and hearing benefits and a yearly out-of-pocket maximum. Plans are approved county by county, so what's available in Fargo may differ from what's available in Bismarck or rural North Dakota. Most use provider networks (HMO or PPO), so it's important to confirm your doctors and hospitals before you enroll.

Not sure which path fits you? Read our Medicare Advantage vs. Medicare Supplement comparison.

North Dakota Medicare Supplement (Medigap) rules

North Dakota follows the federal Medigap rules.

• No birthday rule: outside open enrollment and guaranteed issue situations, insurers can ask health questions when you switch Medigap plans.
• Under 65: North Dakota doesn't require insurers to sell Medigap to people under 65. The state high-risk pool (CHAND), which used to be the main option, closed at the end of 2025, so private options for people under 65 are very limited. Everyone gets a full Medigap open enrollment period at 65.

Everywhere in the U.S., your strongest protection is your Medigap Open Enrollment Period: the 6 months starting when you're 65 or older and enrolled in Part B. During that window, insurers in North Dakota must sell you any Medigap plan they offer, at the same price as someone in good health. Plan G and Plan N are common choices for people new to Medicare. Compare what each Medigap plan covers.

Turning 65 in North Dakota

Your Initial Enrollment Period is the 7 months around your 65th birthday: the 3 months before your birthday month, the month itself and the 3 months after. Sign up in the 3 months before your birthday month so your coverage starts on the first day of the month you turn 65. If you already receive Social Security, you'll be enrolled in Parts A and B automatically. Otherwise, apply through Social Security online, by phone at 1-800-772-1213, or at a local Social Security office in North Dakota.

If you're still working, you may be able to delay Part B without a penalty. Our Turning 65 Medicare guide walks through every deadline, or you can take our 2-minute quiz to get a personal game plan.

Help paying for Medicare in North Dakota

• Medicaid (North Dakota Medicaid): North Dakota residents with limited income and resources may qualify for Medicaid in addition to Medicare. Learn more from North Dakota Medicaid.
• Medicare Savings Programs: run through North Dakota's Medicaid agency, these can pay your Part B premium ($202.90 a month in 2026), and in some cases your deductibles and coinsurance.
• Extra Help: a federal program that lowers Part D premiums, deductibles and copays. Apply through Social Security.
• Dual Special Needs Plans (D-SNPs): Medicare Advantage plans for people with both Medicare and Medicaid, which coordinate both sets of benefits.

Free, unbiased Medicare counseling in North Dakota

We do not offer every plan available in your area. For information on all of your options, contact Medicare.gov, 1-800-MEDICARE (1-800-633-4227) or North Dakota SHIC (State Health Insurance Counseling).

2026 Medicare costs in North Dakota

Original Medicare costs are set nationally by CMS and are the same in North Dakota as everywhere else. Medicare Advantage, Medigap and Part D premiums vary by plan and location.

Key Medicare dates for North Dakota residents

• Annual Enrollment Period: October 15 – December 7, 2026, for coverage starting January 1, 2027.
• Medicare Advantage Open Enrollment: January 1 – March 31, 2027, if you're already in a Medicare Advantage plan.
• General Enrollment Period: January 1 – March 31 each year, if you missed signing up for Part A or Part B.
• Moving within or out of North Dakota: if you move out of your plan's service area, you get a Special Enrollment Period to choose a new plan.

North Dakota Medicare FAQs

Medicare help in nearby states

We also help people with Medicare in Minnesota. See all the states we serve.

Sources

• CMS: 2026 Medicare Parts A & B premiums and deductibles
• North Dakota SB 2032 (2025): CHAND high-risk pool wind-down
• North Dakota Insurance Department: Medicare (SHIC)