Sanford Health offers this marketplace plan (Plan ID 89364ND0090016). Use the modules below to compare premiums, coverage structure, provider access, and formulary context against alternative options in the same market.
Marketplace enrollment for 2024 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in North Dakota). Submit changes before the deadline to avoid a coverage gap.
Enroll by Dec 15 for Jan 1 starts.
Finalize plan switches before the window closes.
Special Enrollment Periods
You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).
Report the event within 60 days.
Keep documentation handy for Healthcare.gov or your state exchange.
CSR & subsidy reminders
Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.
Enter accurate income to maximize Advanced Premium Tax Credits.
Silver-tier CSR plans lower deductibles for households ≤250% FPL.
Thinking about switching?
Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.
Match provider networks so ongoing care isn’t disrupted.
Confirm prescriptions stay on-formulary or budget for tier changes.
Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.
Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 10 Mar 2026 06:40 GMT).
All providers in North DakotaN/A
PCPs in North DakotaN/A
Telehealth supportData pending
Nationwide providersN/A
N/A doctors statewideN/A PCPsN/A OB/GYN
Provider network(s)
['SHPTRUE']
Providers
North Dakota
All US states
All
N/A
N/A
PCP
N/A
N/A
Allergy
N/A
N/A
OB/GYN
N/A
N/A
Dentists
N/A
N/A
Drug coverage overview
5,838 drugs tracked
Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.
Tier
Covered drugs
GENERIC
2,590
NON-PREFERRED-BRAND
1,456
MEDICAL-BENEFIT
1,169
NON-PREFERRED-BRAND-SPECIALTY
537
GENERIC-SPECIALTY
86
Prior authorization
Drugs
Required
944
Not Required
4,894
Step therapy
Drugs
Required
111
Not Required
5,727
Quantity limits
Drugs
Has Limit
1,599
No Limit
4,239
Customer highlights
What stands out for members
Issuer: Sanford Health · Plan ID 89364ND0090016 · 2024 filing.
Download the latest formulary directly from the issuer here.
Disclaimer: Based on the Tue, 10 Mar 2026 06:40 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
