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Sanford Health Plan


North Dakota Medicaid Expansion

Welcome to Sanford Health Plan! This webpage is dedicated to North Dakota’s Medicaid Expansion Program. Sanford Health Plan has been chosen by the North Dakota Department of Human Services to provide certain North Dakota residents health insurance benefits. The North Dakota Department of Human Services decides who is eligible for this program. 

For detailed information on the North Dakota Medicaid Expansion Program, or how to apply for coverage visit the North Dakota Department of Human Services website.  
 
To find a doctor, hospital or clinic in your Sanford Health plan network click here and select your network as “North Dakota Medicaid Expansion”
 
To find a pharmacy in your network, click here.

To see a list of covered drugs, view the Formulary by clicking here.
 
The Member Services Department is available whenever you have a question or concern about your Medicaid benefits or services. Member Service staff can answer your questions, help you find a doctor, and help you understand your benefits.

Business hours are Monday through Friday from 8 a.m. to 5 p.m.

Department Questions about... Email Phone Number
North Dakota
Department
of Human Services
Eligibility
Household income
How to apply for coverage

dhsmed@nd.gov

Website

(701) 328-2321

Toll-free:
(877)-543-7669

ND Relay TTY:
(800) 366-6888 
Sanford Health Plan
Member Services
Benefits
Claims
How to find a doctor
How to file a complaint
How to order ID cards
memberservices@sanfordhealth.org
(855) 305-5060
 
TTY:
(877) 652-1844
 
Sanford Health Plan
Pharmacy and
Prescription Drugs
Questions about which
drugs are covered
um@sanfordhealth.org
(855) 276-7214
Select option 1
Sanford Health Plan
Medical Management
Prior-approval of
health care services 
um@sanfordhealth.org
(855) 276-7214
Select option 2



The system will calculate the estimated rates based on the information you have provided. Your premium may change if there's a change to the date coverage starts or a change to the ages or number of individuals enrolling for coverage or you agree to a plan modification or the rates change. Final rates are subject to eligibility review.

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Tell Us About Yourself

Insurance terms are confusing. Let us help make sense of it all.

Purchasing through Sanford Health Plan or the Marketplace, let us explain the differences

The annual open enrollment period for 2014 has ended. Effective April 1, 2014 and onward individual health insurance policies can only be sold if you have a qualifying event, also known as a special enrollment period, which can be things such as having a baby, loss of coverage, marriage etc. If you are shopping for health insurance due to a special enrollment feel free to proceed with our Plan Picker and our application will capture the necessary information in regards to your effective date of coverage.

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Insurance terms are confusing. Let us help make sense of it all.

Purchasing through Sanford Health Plan or the Marketplace, let us explain the differences

Click here to search our provider directory. If your doctor does not display, they most likely are not a participating provider with Sanford Health Plan. Feel free to continue the Plan Picker tool if you are still interested in what options Sanford Health Plan has to offer. If not, we appreciate you using our Plan Picker!

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