Obamacare 2021 Rates for Burleigh County

Obamacare > Rates > North Dakota > Burleigh County

Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Burleigh County, ND.

The health insurance rates listed below are for calendar year 2021.

For information on subsidies to make your coverage affordable, you must take one of the following actions:

  • Contact a licensed health insurance agent
  • Complete an application at Healthcare.gov
  • Contact the provider directly

Obamacare Providers, 24 Plans and 2021 Rates for Burleigh County, North Dakota

Below, you’ll find a summary of the 24 plans for Burleigh County, North Dakota and rates for each of these providers. This chart is designed to give you a preview of your health insurance options.

You may also be interested in:

Obamacare Rates and Providers for Other Years

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Blue Cross Blue Shield of North Dakota

Local: 1-844-363-8457 | Toll Free: 1-844-363-8457

Toc - Plan #1 Blue Cross Blue Shield of North Dakota
Silver

(PPO) BlueCare 70 Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-363-8457

Annual Out of Pocket Expenses:

Individual Family
$5,000 $10,000 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$423,88
$481,10
$541,72
$757,05
$1 150,41
$748,15
$805,37
$865,99
$1 081,32
$1 072,42
$1 129,64
$1 190,26
$1 405,59
$1 396,69
$1 453,91
$1 514,53
$1 729,86
$324,27
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$847,76
$962,20
$1 083,44
$1 514,10
$2 300,82
$1 172,03
$1 286,47
$1 407,71
$1 838,37
$1 496,30
$1 610,74
$1 731,98
$2 162,64
$1 820,57
$1 935,01
$2 056,25
$2 486,91
$324,27
Toc - Plan #2 Blue Cross Blue Shield of North Dakota
Gold

(PPO) BlueCare 70 Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-363-8457

Annual Out of Pocket Expenses:

Individual Family
$2,000 $4,000 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$376,22
$427,01
$480,81
$671,93
$1 021,06
$664,03
$714,82
$768,62
$959,74
$951,84
$1 002,63
$1 056,43
$1 247,55
$1 239,65
$1 290,44
$1 344,24
$1 535,36
$287,81
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$752,44
$854,02
$961,62
$1 343,86
$2 042,12
$1 040,25
$1 141,83
$1 249,43
$1 631,67
$1 328,06
$1 429,64
$1 537,24
$1 919,48
$1 615,87
$1 717,45
$1 825,05
$2 207,29
$287,81
Toc - Plan #3 Blue Cross Blue Shield of North Dakota
Silver

(PPO) BlueDirect 80 Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-363-8457

Annual Out of Pocket Expenses:

Individual Family
$3,000 $6,000 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$431,38
$489,62
$551,30
$770,44
$1 170,77
$761,39
$819,63
$881,31
$1 100,45
$1 091,40
$1 149,64
$1 211,32
$1 430,46
$1 421,41
$1 479,65
$1 541,33
$1 760,47
$330,01
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$862,76
$979,24
$1 102,60
$1 540,88
$2 341,54
$1 192,77
$1 309,25
$1 432,61
$1 870,89
$1 522,78
$1 639,26
$1 762,62
$2 200,90
$1 852,79
$1 969,27
$2 092,63
$2 530,91
$330,01
Toc - Plan #4 Blue Cross Blue Shield of North Dakota
Expanded Bronze

(PPO) BlueDirect 100 Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-363-8457

Annual Out of Pocket Expenses:

Individual Family
$6,900 $13,800 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$266,82
$302,84
$341,00
$476,54
$724,15
$470,94
$506,96
$545,12
$680,66
$675,06
$711,08
$749,24
$884,78
$879,18
$915,20
$953,36
$1 088,90
$204,12
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$533,64
$605,68
$682,00
$953,08
$1 448,30
$737,76
$809,80
$886,12
$1 157,20
$941,88
$1 013,92
$1 090,24
$1 361,32
$1 146,00
$1 218,04
$1 294,36
$1 565,44
$204,12
Toc - Plan #5 Blue Cross Blue Shield of North Dakota
Catastrophic

(PPO) BlueEssential 100

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-363-8457

Annual Out of Pocket Expenses:

Individual Family
$8,550 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$151,96
$172,47
$194,20
$271,40
$412,42
$268,21
$288,72
$310,45
$387,65
$384,46
$404,97
$426,70
$503,90
$500,71
$521,22
$542,95
$620,15
$116,25
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$303,92
$344,94
$388,40
$542,80
$824,84
$420,17
$461,19
$504,65
$659,05
$536,42
$577,44
$620,90
$775,30
$652,67
$693,69
$737,15
$891,55
$116,25
Toc - Plan #6 Blue Cross Blue Shield of North Dakota
Gold

(PPO) BlueDirect 90 Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-363-8457

Annual Out of Pocket Expenses:

Individual Family
$2,500 $5,000 Annual Deductible
$4,000 $8,000 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$379,75
$431,02
$485,32
$678,23
$1 030,64
$670,26
$721,53
$775,83
$968,74
$960,77
$1 012,04
$1 066,34
$1 259,25
$1 251,28
$1 302,55
$1 356,85
$1 549,76
$290,51
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$759,50
$862,04
$970,64
$1 356,46
$2 061,28
$1 050,01
$1 152,55
$1 261,15
$1 646,97
$1 340,52
$1 443,06
$1 551,66
$1 937,48
$1 631,03
$1 733,57
$1 842,17
$2 227,99
$290,51
Toc - Plan #7 Blue Cross Blue Shield of North Dakota
Expanded Bronze

(PPO) SimplyBlue 60

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-363-8457

Annual Out of Pocket Expenses:

Individual Family
$6,800 $13,600 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$248,71
$282,29
$317,85
$444,20
$675,00
$438,97
$472,55
$508,11
$634,46
$629,23
$662,81
$698,37
$824,72
$819,49
$853,07
$888,63
$1 014,98
$190,26
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$497,42
$564,58
$635,70
$888,40
$1 350,00
$687,68
$754,84
$825,96
$1 078,66
$877,94
$945,10
$1 016,22
$1 268,92
$1 068,20
$1 135,36
$1 206,48
$1 459,18
$190,26
Toc - Plan #8 Blue Cross Blue Shield of North Dakota
Gold

(PPO) BluePrime 70 Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-844-363-8457

Annual Out of Pocket Expenses:

Individual Family
$500 $1,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$377,64
$428,62
$482,62
$674,47
$1 024,91
$666,53
$717,51
$771,51
$963,36
$955,42
$1 006,40
$1 060,40
$1 252,25
$1 244,31
$1 295,29
$1 349,29
$1 541,14
$288,89
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$755,28
$857,24
$965,24
$1 348,94
$2 049,82
$1 044,17
$1 146,13
$1 254,13
$1 637,83
$1 333,06
$1 435,02
$1 543,02
$1 926,72
$1 621,95
$1 723,91
$1 831,91
$2 215,61
$288,89

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Sanford Health Plan

Local: 1-605-328-6800 | Toll Free: 1-800-752-5863 | TTY: 1-877-652-1844

Toc - Plan #9 Sanford Health Plan
Expanded Bronze

(HMO) Sanford TRUE $6,000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-752-5863

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 Annual Deductible
$8,400 $16,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$181,77
$206,31
$232,30
$324,64
$493,32
$320,82
$345,36
$371,35
$463,69
$459,87
$484,41
$510,40
$602,74
$598,92
$623,46
$649,45
$741,79
$139,05
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$363,54
$412,62
$464,60
$649,28
$986,64
$502,59
$551,67
$603,65
$788,33
$641,64
$690,72
$742,70
$927,38
$780,69
$829,77
$881,75
$1 066,43
$139,05
Toc - Plan #10 Sanford Health Plan
Silver

(HMO) Sanford TRUE $3,500

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-752-5863

Annual Out of Pocket Expenses:

Individual Family
$3,500 $7,000 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$335,54
$380,84
$428,82
$599,27
$910,66
$592,23
$637,53
$685,51
$855,96
$848,92
$894,22
$942,20
$1 112,65
$1 105,61
$1 150,91
$1 198,89
$1 369,34
$256,69
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$671,08
$761,68
$857,64
$1 198,54
$1 821,32
$927,77
$1 018,37
$1 114,33
$1 455,23
$1 184,46
$1 275,06
$1 371,02
$1 711,92
$1 441,15
$1 531,75
$1 627,71
$1 968,61
$256,69
Toc - Plan #11 Sanford Health Plan
Expanded Bronze

(HMO) Sanford TRUE $6,900 HSA/HDHP

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-752-5863

Annual Out of Pocket Expenses:

Individual Family
$6,900 $13,800 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$188,90
$214,40
$241,41
$337,38
$512,67
$333,41
$358,91
$385,92
$481,89
$477,92
$503,42
$530,43
$626,40
$622,43
$647,93
$674,94
$770,91
$144,51
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$377,80
$428,80
$482,82
$674,76
$1 025,34
$522,31
$573,31
$627,33
$819,27
$666,82
$717,82
$771,84
$963,78
$811,33
$862,33
$916,35
$1 108,29
$144,51
Toc - Plan #12 Sanford Health Plan
Catastrophic

(HMO) Sanford TRUE $8,550

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-752-5863

Annual Out of Pocket Expenses:

Individual Family
$8,550 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$120,13
$136,35
$153,53
$214,55
$326,03
$212,03
$228,25
$245,43
$306,45
$303,93
$320,15
$337,33
$398,35
$395,83
$412,05
$429,23
$490,25
$91,90
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$240,26
$272,70
$307,06
$429,10
$652,06
$332,16
$364,60
$398,96
$521,00
$424,06
$456,50
$490,86
$612,90
$515,96
$548,40
$582,76
$704,80
$91,90
Toc - Plan #13 Sanford Health Plan
Silver

(HMO) Sanford TRUE $4,750

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-752-5863

Annual Out of Pocket Expenses:

Individual Family
$4,750 $9,500 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$321,58
$364,99
$410,98
$574,34
$872,77
$567,59
$611,00
$656,99
$820,35
$813,60
$857,01
$903,00
$1 066,36
$1 059,61
$1 103,02
$1 149,01
$1 312,37
$246,01
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$643,16
$729,98
$821,96
$1 148,68
$1 745,54
$889,17
$975,99
$1 067,97
$1 394,69
$1 135,18
$1 222,00
$1 313,98
$1 640,70
$1 381,19
$1 468,01
$1 559,99
$1 886,71
$246,01
Toc - Plan #14 Sanford Health Plan
Silver

(HMO) Sanford TRUE $2,800

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-752-5863

Annual Out of Pocket Expenses:

Individual Family
$2,800 $5,600 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$336,05
$381,42
$429,47
$600,19
$912,04
$593,13
$638,50
$686,55
$857,27
$850,21
$895,58
$943,63
$1 114,35
$1 107,29
$1 152,66
$1 200,71
$1 371,43
$257,08
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$672,10
$762,84
$858,94
$1 200,38
$1 824,08
$929,18
$1 019,92
$1 116,02
$1 457,46
$1 186,26
$1 277,00
$1 373,10
$1 714,54
$1 443,34
$1 534,08
$1 630,18
$1 971,62
$257,08
Toc - Plan #15 Sanford Health Plan
Gold

(HMO) Sanford TRUE $1,750

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-752-5863

Annual Out of Pocket Expenses:

Individual Family
$1,750 $3,500 Annual Deductible
$6,250 $12,500 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$293,48
$333,10
$375,07
$524,16
$796,50
$517,99
$557,61
$599,58
$748,67
$742,50
$782,12
$824,09
$973,18
$967,01
$1 006,63
$1 048,60
$1 197,69
$224,51
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$586,96
$666,20
$750,14
$1 048,32
$1 593,00
$811,47
$890,71
$974,65
$1 272,83
$1 035,98
$1 115,22
$1 199,16
$1 497,34
$1 260,49
$1 339,73
$1 423,67
$1 721,85
$224,51
Toc - Plan #16 Sanford Health Plan
Expanded Bronze

(HMO) Sanford TRUE $7,000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-752-5863

Annual Out of Pocket Expenses:

Individual Family
$7,000 $14,000 Annual Deductible
$8,400 $16,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$179,94
$204,23
$229,96
$321,37
$488,36
$317,59
$341,88
$367,61
$459,02
$455,24
$479,53
$505,26
$596,67
$592,89
$617,18
$642,91
$734,32
$137,65
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$359,88
$408,46
$459,92
$642,74
$976,72
$497,53
$546,11
$597,57
$780,39
$635,18
$683,76
$735,22
$918,04
$772,83
$821,41
$872,87
$1 055,69
$137,65
Toc - Plan #17 Sanford Health Plan
Gold

(PPO) Sanford Simplicity $1,750

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-752-5863

Annual Out of Pocket Expenses:

Individual Family
$1,750 $3,500 Annual Deductible
$6,250 $12,500 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$369,85
$419,78
$472,67
$660,55
$1 003,77
$652,79
$702,72
$755,61
$943,49
$935,73
$985,66
$1 038,55
$1 226,43
$1 218,67
$1 268,60
$1 321,49
$1 509,37
$282,94
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$739,70
$839,56
$945,34
$1 321,10
$2 007,54
$1 022,64
$1 122,50
$1 228,28
$1 604,04
$1 305,58
$1 405,44
$1 511,22
$1 886,98
$1 588,52
$1 688,38
$1 794,16
$2 169,92
$282,94
Toc - Plan #18 Sanford Health Plan
Silver

(PPO) Sanford Simplicity $2,800

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-752-5863

Annual Out of Pocket Expenses:

Individual Family
$2,800 $5,600 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$420,14
$476,86
$536,94
$750,37
$1 140,26
$741,55
$798,27
$858,35
$1 071,78
$1 062,96
$1 119,68
$1 179,76
$1 393,19
$1 384,37
$1 441,09
$1 501,17
$1 714,60
$321,41
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$840,28
$953,72
$1 073,88
$1 500,74
$2 280,52
$1 161,69
$1 275,13
$1 395,29
$1 822,15
$1 483,10
$1 596,54
$1 716,70
$2 143,56
$1 804,51
$1 917,95
$2 038,11
$2 464,97
$321,41
Toc - Plan #19 Sanford Health Plan
Silver

(PPO) Sanford Simplicity $3,500

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-752-5863

Annual Out of Pocket Expenses:

Individual Family
$3,500 $7,000 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$419,10
$475,68
$535,61
$748,51
$1 137,44
$739,71
$796,29
$856,22
$1 069,12
$1 060,32
$1 116,90
$1 176,83
$1 389,73
$1 380,93
$1 437,51
$1 497,44
$1 710,34
$320,61
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$838,20
$951,36
$1 071,22
$1 497,02
$2 274,88
$1 158,81
$1 271,97
$1 391,83
$1 817,63
$1 479,42
$1 592,58
$1 712,44
$2 138,24
$1 800,03
$1 913,19
$2 033,05
$2 458,85
$320,61
Toc - Plan #20 Sanford Health Plan
Silver

(PPO) Sanford Simplicity $4,750

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-752-5863

Annual Out of Pocket Expenses:

Individual Family
$4,750 $9,500 Annual Deductible
$8,150 $16,300 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$401,04
$455,18
$512,53
$716,26
$1 088,42
$707,84
$761,98
$819,33
$1 023,06
$1 014,64
$1 068,78
$1 126,13
$1 329,86
$1 321,44
$1 375,58
$1 432,93
$1 636,66
$306,80
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$802,08
$910,36
$1 025,06
$1 432,52
$2 176,84
$1 108,88
$1 217,16
$1 331,86
$1 739,32
$1 415,68
$1 523,96
$1 638,66
$2 046,12
$1 722,48
$1 830,76
$1 945,46
$2 352,92
$306,80
Toc - Plan #21 Sanford Health Plan
Expanded Bronze

(PPO) Sanford Simplicity $6,900 HSA/HDHP

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-752-5863

Annual Out of Pocket Expenses:

Individual Family
$6,900 $13,800 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$245,68
$278,85
$313,98
$438,78
$666,78
$433,63
$466,80
$501,93
$626,73
$621,58
$654,75
$689,88
$814,68
$809,53
$842,70
$877,83
$1 002,63
$187,95
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$491,36
$557,70
$627,96
$877,56
$1 333,56
$679,31
$745,65
$815,91
$1 065,51
$867,26
$933,60
$1 003,86
$1 253,46
$1 055,21
$1 121,55
$1 191,81
$1 441,41
$187,95
Toc - Plan #22 Sanford Health Plan
Expanded Bronze

(PPO) Sanford Simplicity $6,000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-752-5863

Annual Out of Pocket Expenses:

Individual Family
$6,000 $12,000 Annual Deductible
$8,400 $16,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$230,88
$262,05
$295,06
$412,35
$626,61
$407,50
$438,67
$471,68
$588,97
$584,12
$615,29
$648,30
$765,59
$760,74
$791,91
$824,92
$942,21
$176,62
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$461,76
$524,10
$590,12
$824,70
$1 253,22
$638,38
$700,72
$766,74
$1 001,32
$815,00
$877,34
$943,36
$1 177,94
$991,62
$1 053,96
$1 119,98
$1 354,56
$176,62
Toc - Plan #23 Sanford Health Plan
Expanded Bronze

(PPO) Sanford Simplicity $7,000

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-752-5863

Annual Out of Pocket Expenses:

Individual Family
$7,000 $14,000 Annual Deductible
$8,400 $16,800 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$228,92
$259,82
$292,56
$408,85
$621,29
$404,04
$434,94
$467,68
$583,97
$579,16
$610,06
$642,80
$759,09
$754,28
$785,18
$817,92
$934,21
$175,12
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$457,84
$519,64
$585,12
$817,70
$1 242,58
$632,96
$694,76
$760,24
$992,82
$808,08
$869,88
$935,36
$1 167,94
$983,20
$1 045,00
$1 110,48
$1 343,06
$175,12
Toc - Plan #24 Sanford Health Plan
Catastrophic

(PPO) Sanford Simplicity $8,550

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-800-752-5863

Annual Out of Pocket Expenses:

Individual Family
$8,550 $17,100 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$151,77
$172,26
$193,96
$271,06
$411,90
$267,87
$288,36
$310,06
$387,16
$383,97
$404,46
$426,16
$503,26
$500,07
$520,56
$542,26
$619,36
$116,10
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$303,54
$344,52
$387,92
$542,12
$823,80
$419,64
$460,62
$504,02
$658,22
$535,74
$576,72
$620,12
$774,32
$651,84
$692,82
$736,22
$890,42
$116,10

‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Burleigh County here.

Burleigh County is in “Rating Area 1” of North Dakota.

Currently, there are 24 plans offered in Rating Area 1.

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