Marketplace issuer snapshot

Medica Health Plans coverage profile

Review marketplace plan availability, current source quality, formulary footprint, and linked HealthPorta plan coverage for Medica Health Plans.

Plans tracked: 54 State: North Dakota Coverage exceptions: 27
Plans tracked 54
Formularies 54
Latest refresh Tue, 10 Mar 2026 06:40 GMT
HealthPorta issuer coverage analytics

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This issuer view combines plan availability, drug coverage footprint, and source-quality context so teams can review current marketplace status quickly.

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Issuer coverage metrics

Marketplace coverage snapshot

Plans tracked 54
State served

North Dakota

Latest source refresh Tue, 10 Mar 2026 06:40 GMT
Coverage exceptions 27

Drug coverage overview

192,726 drugs tracked across 54 formularies

Prior authorization requirements
Status Drugs
Required 0
Not Required 192,726

Plan roster

Marketplace plans from Medica Health Plans

Plan ID Plan name Year Network Last update
73751ND0120041 Altru Prime by Medica Bronze $0 Copay PCP Visits 2026 PREFERREDTIER Oct 15, 2025
73751ND0120029 Altru Prime by Medica Bronze Share 2026 PREFERREDTIER Oct 15, 2025
73751ND0120073 Altru Prime by Medica Expanded Bronze Standard 2026 PREFERRED Oct 15, 2025
73751ND0120045 Altru Prime by Medica Gold $0 Copay PCP Visits 2026 PREFERREDTIER Oct 15, 2025
73751ND0120074 Altru Prime by Medica Gold Share 2026 PREFERRED Oct 15, 2025
73751ND0120055 Altru Prime by Medica Gold Standard 2026 PREFERREDTIER Oct 15, 2025
73751ND0120047 Altru Prime by Medica Silver $0 Copay PCP Visits 2026 PREFERREDTIER Oct 15, 2025
73751ND0120076 Altru Prime by Medica Silver Share 2026 PREFERRED Oct 15, 2025
73751ND0120057 Altru Prime by Medica Silver Standard 2026 PREFERREDTIER Oct 15, 2025
73751ND0140041 Essentia Choice Care with Medica Bronze $0 Copay PCP Visits 2026 PREFERRED Oct 15, 2025
73751ND0140029 Essentia Choice Care with Medica Bronze Share 2026 STANDARDTIER Oct 15, 2025
73751ND0140073 Essentia Choice Care with Medica Expanded Bronze Standard 2026 STANDARDTIER Oct 15, 2025
73751ND0140045 Essentia Choice Care with Medica Gold $0 Copay PCP Visits 2026 STANDARDTIER Oct 15, 2025
73751ND0140074 Essentia Choice Care with Medica Gold Share 2026 PREFERRED Oct 15, 2025
73751ND0140055 Essentia Choice Care with Medica Gold Standard 2026 PREFERREDTIER Oct 15, 2025
73751ND0140047 Essentia Choice Care with Medica Silver $0 Copay PCP Visits 2026 STANDARDTIER Oct 15, 2025
73751ND0140076 Essentia Choice Care with Medica Silver Share 2026 PREFERRED Oct 15, 2025
73751ND0140057 Essentia Choice Care with Medica Silver Standard 2026 STANDARDTIER Oct 15, 2025
73751ND0130041 Medica Individual Choice Bronze $0 Copay PCP Visits 2026 STANDARDTIER Oct 15, 2025
73751ND0130029 Medica Individual Choice Bronze Share 2026 PREFERRED Oct 15, 2025
73751ND0130073 Medica Individual Choice Expanded Bronze Standard 2026 STANDARDTIER Oct 15, 2025
73751ND0130045 Medica Individual Choice Gold $0 Copay PCP Visits 2026 PREFERRED Oct 15, 2025
73751ND0130074 Medica Individual Choice Gold Share 2026 STANDARDTIER Oct 15, 2025
73751ND0130055 Medica Individual Choice Gold Standard 2026 STANDARDTIER Oct 15, 2025
73751ND0130047 Medica Individual Choice Silver $0 Copay PCP Visits 2026 STANDARDTIER Oct 15, 2025
73751ND0130076 Medica Individual Choice Silver Share 2026 STANDARDTIER Oct 15, 2025
73751ND0130057 Medica Individual Choice Silver Standard 2026 STANDARDTIER Oct 15, 2025
73751ND0120041 Altru Prime by Medica Bronze $0 Copay PCP Visits 2025 NDN003 Jan 11, 2025
73751ND0120029 Altru Prime by Medica Bronze Share 2025 NDN003 Jan 11, 2025
73751ND0120073 Altru Prime by Medica Expanded Bronze Standard 2025 NDN003 Jan 11, 2025
73751ND0120045 Altru Prime by Medica Gold $0 Copay PCP Visits 2025 NDN003 Jan 11, 2025
73751ND0120074 Altru Prime by Medica Gold Share 2025 NDN003 Jan 11, 2025
73751ND0120055 Altru Prime by Medica Gold Standard 2025 NDN003 Jan 11, 2025
73751ND0120047 Altru Prime by Medica Silver $0 Copay PCP Visits 2025 NDN003 Jan 11, 2025
73751ND0120076 Altru Prime by Medica Silver Share 2025 NDN003 Jan 11, 2025
73751ND0120057 Altru Prime by Medica Silver Standard 2025 NDN003 Jan 11, 2025
73751ND0140041 Essentia Choice Care with Medica Bronze $0 Copay PCP Visits 2025 NDN005 Jan 11, 2025
73751ND0140029 Essentia Choice Care with Medica Bronze Share 2025 NDN005 Jan 11, 2025
73751ND0140073 Essentia Choice Care with Medica Expanded Bronze Standard 2025 NDN005 Jan 11, 2025
73751ND0140045 Essentia Choice Care with Medica Gold $0 Copay PCP Visits 2025 NDN005 Jan 11, 2025
73751ND0140074 Essentia Choice Care with Medica Gold Share 2025 NDN005 Jan 11, 2025
73751ND0140055 Essentia Choice Care with Medica Gold Standard 2025 NDN005 Jan 11, 2025
73751ND0140047 Essentia Choice Care with Medica Silver $0 Copay PCP Visits 2025 NDN005 Jan 11, 2025
73751ND0140076 Essentia Choice Care with Medica Silver Share 2025 NDN005 Jan 11, 2025
73751ND0140057 Essentia Choice Care with Medica Silver Standard 2025 NDN005 Jan 11, 2025
73751ND0130041 Medica Individual Choice Bronze $0 Copay PCP Visits 2025 NDN004 Jan 11, 2025
73751ND0130029 Medica Individual Choice Bronze Share 2025 NDN004 Jan 11, 2025
73751ND0130073 Medica Individual Choice Expanded Bronze Standard 2025 NDN004 Jan 11, 2025
73751ND0130045 Medica Individual Choice Gold $0 Copay PCP Visits 2025 NDN004 Jan 11, 2025
73751ND0130074 Medica Individual Choice Gold Share 2025 NDN004 Jan 11, 2025
73751ND0130055 Medica Individual Choice Gold Standard 2025 NDN004 Jan 11, 2025
73751ND0130047 Medica Individual Choice Silver $0 Copay PCP Visits 2025 NDN004 Jan 11, 2025
73751ND0130076 Medica Individual Choice Silver Share 2025 NDN004 Jan 11, 2025
73751ND0130057 Medica Individual Choice Silver Standard 2025 NDN004 Jan 11, 2025

Data notes

Source notes and references

Note: This dashboard reflects recurring imports from CMS marketplace source files. Figures may lag issuer submissions or change when upstream source files are revised.

Source: CMS.gov and the HealthPorta Healthcare MRF API.