North Dakota health plan · 2026

Sanford Small Group Simplicity $2700 · 89364ND0130003

Sanford Health offers this marketplace plan (Plan ID 89364ND0130003). Use the modules below to compare premiums, coverage structure, provider access, and formulary context against alternative options in the same market.

Issuer: Sanford Health
Telehealth Data pending HSA eligible Check with issuer Dental Not listed Vision Not listed
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2026 cost summary

Key premiums & cost sharing

Rates mirror the latest CMS import (Tue, 10 Mar 2026 06:40 GMT). Personalize costs with your ZIP, age, and subsidies in the plan finder.

Monthly premium

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Before subsidies

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Deductible

N/A

N/A

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Max out-of-pocket

N/A

N/A

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Office visits

Primary care See benefits
Specialist See benefits

Drug tiers

Generic See drug coverage
Preferred brand See drug coverage

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Issuer profile See benefits
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Enrollment guidance

Stay on top of 2026 ACA deadlines

Open Enrollment window

Marketplace enrollment for 2026 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.

Premium snapshot

Plan identifiers & filings

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.

Plan ID 89364ND0130003
Coverage year 2026
State North Dakota
Issuer Sanford Health
Formulary document Download formulary
Marketing materials View marketing kit
Last plan update Mon, 25 Aug 2025 00:00 GMT
Last HealthPorta import Tue, 10 Mar 2026 06:40 GMT

Network stats

Provider access snapshot

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 Dakota 203
PCPs in North Dakota N/A
Telehealth support Data pending
Nationwide providers 57109
203 doctors statewide

Provider network(s)

  • NETWORK
Providers North Dakota All US states
All 203 57109
PCP N/A 271
Allergy N/A 4
OB/GYN N/A 11
Dentists N/A 4

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 2,591
NON-PREFERRED-BRAND 1,456
MEDICAL-BENEFIT 1,168
NON-PREFERRED-BRAND-SPECIALTY 538
GENERIC-SPECIALTY 85
Prior authorization Drugs
Required 944
Not Required 4,894
Step therapy Drugs
Required 111
Not Required 5,727
Quantity limits Drugs
Has Limit 1,600
No Limit 4,238

Customer highlights

What stands out for members

  • Issuer: Sanford Health · Plan ID 89364ND0130003 · 2026 filing.
  • Download the latest formulary directly from the issuer here.
  • Review marketing brochures and SBC PDFs via the issuer marketing repository.
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Copay & coinsurance

Pharmacy cost sharing by tier

Drug tier Pharmacy type Copay amount Copay option Coinsurance rate Coinsurance option Mail order

Questions & answers

Frequently asked questions

How do I choose the right ACA plan in North Dakota?

Sanford Small Group Simplicity $2700 (89364ND0130003) is a marketplace plan from Sanford Health in North Dakota for the 2026 coverage year.

Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.

Does Sanford Small Group Simplicity $2700 support telehealth or virtual urgent care?

The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.

Is Sanford Small Group Simplicity $2700 HSA-eligible and does it include dental or vision coverage?

HSA eligibility is not published; check the Summary of Benefits or ask the issuer.

Dental coverage is not listed for this plan.

Vision coverage is not listed for this plan.

Does Sanford Small Group Simplicity $2700 support mail-order prescriptions?

Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.

How do I enroll in or manage payments for Sanford Small Group Simplicity $2700?

Use the issuer portal https://www.sanfordhealthplan.com/shoppers to pay premiums or start enrollment, then return to HealthPorta for benefit comparisons.

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.
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