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Medicare plans in Nelson County, ND — 2027
What agents look up before working a county: plan count, carriers, $0-premium share, star distribution, MOOP range, the 65+ and 60–64 population, and what changed since last year.
In 2027, Nelson County, North Dakota has 23 Medicare plans (5 Medicare Advantage with drug coverage, 0 without, 9 standalone Part D, 3 Special Needs) from 9 carriers. 3 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $3,750.
What changed vs 2026
- 5 fewer plans than 2026
- Carriers exited: NextBlue of North Dakota
- $0-premium plans down 1
- Average star rating up 0.1
Market snapshot
- Residents 65 and older
- 853
- Residents 60–64, aging in over the next five years
- 272
- Medicare eligibles
- 1,025
- Medicare Advantage penetration
- 24.7%
- Plans per 1,000 residents 65+
- 27
Carriers by number of plans
- Medica — 7 plans
- Aetna Medicare — 3 plans
- Humana — 3 plans
- Align powered by Sanford Health Plan — 2 plans
- Great Plains Medicare Advantage — 2 plans
- UnitedHealthcare — 2 plans
- Wellcare — 2 plans
- HealthSpring — 1 plan
Plans sorted by CMS star rating, then premium
| Plan | Carrier | Category | Plan type | Monthly premium | Drug deductible | Out-of-pocket maximum | Star rating |
|---|---|---|---|---|---|---|---|
| Humana Basic Rx Plan (PDP) (S5884-145-0) | Humana | PDP | PDP | $18.30 | $700 | 4.5 | |
| Humana Value Rx Plan (PDP) (S5884-204-0) | Humana | PDP | PDP | $33.30 | $687 | 4.5 | |
| Humana Premier Rx Plan (PDP) (S5884-171-0) | Humana | PDP | PDP | $123 | $350 | 4.5 | |
| Aetna Medicare Signature Classic Extra (PPO) (H1608-081-0) | Aetna Medicare | MA-PD | PPO | $0 | $400 | $7,150 | 4.0 |
| Aetna Medicare Signature Extra (PPO) (H5521-759-0) | Aetna Medicare | MA-PD | PPO | $0 | $400 | $7,150 | 4.0 |
| Medica Advantage Dual (PPO D-SNP) (H8889-016-0) | Medica | SNP | PPO D-SNP | $24.60 | $700 | $9,850 | 4.0 |
| Align SecureChoice (PPO) (H8385-005-0) | Align powered by Sanford Health Plan | MA-PD | PPO | $60 | $500 | $7,150 | 4.0 |
| Align SecureChoice Gold (PPO) (H8385-006-0) | Align powered by Sanford Health Plan | MA-PD | PPO | $100 | $350 | $6,500 | 4.0 |
| Wellcare Value Script (PDP) (S4802-158-0) | Wellcare | PDP | PDP | $5.30 | $700 | 3.0 | |
| AARP Medicare Rx Saver from UHC (PDP) (S5921-370-0) | UnitedHealthcare | PDP | PDP | $10.30 | $700 | 3.0 |
Showing 10 of 23 plans.
Nearby counties
Agent Tools
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About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2027; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS October 2026.
This page summarizes publicly available CMS data. It is not a plan finder and does not recommend plans. To compare and enroll in plans, use Medicare.gov or talk to a licensed agent. Medicare.gov plan finder.