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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 eligible North Dakota residents with health insurance benefits. The North Dakota Medical Services decides who is eligible to enroll in this program. Note that the Medicaid Expansion Program through Sanford Health Plan is different from traditional Medicaid services provided by the state of North Dakota.

For detailed information on the North Dakota Medicaid Expansion Program, or to apply for coverage, visit the North Dakota Medical Services website or call (800) 755-2604 (toll-free).  
 
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 Expansion benefits or services. Member Services can answer your questions, help you find a doctor, and help you understand your benefits. Member Services can also help you with filing an appeal. We offer free translation if you speak another language. If you are currently enrolled you can view your account online at www.sanfordhealthplan.com/myhealthplan.

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

 

Department Questions about... Email Phone Number

North Dakota 
Department of
Human Services
Medical Service
Division

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
Toll-free:
(855) 305-5060
 
TTY/TDD:
(877) 652-1844
 
Sanford Health Plan
Pharmacy and
Prescription Drugs
Questions about which
drugs are covered
um@sanfordhealth.org
Toll-free:
(855) 276-7214
Select option 1
Sanford Health Plan
Utilization
Management
Prior-approval of
health care services 
um@sanfordhealth.org
Toll-free:
(855) 276-7214
Select option 2

 

 

Help in another language:

 

Spanish (Español): Para obtener asistencia en Español, llame al (800) 892-0675 (toll-free)
Tagalog (Tagalog): Kung kailangan ninyo ang tulong sa Tagalog tumawag sa (800) 892-0675 (toll-free)
Chinese (??): ????????????????? (800) 892-0675 (toll-free)
Navajo (Dine): Dinek'ehgo shika at'ohwol ninisingo, kwiijigo holne' (800) 892-0675 (toll-free)

 

Plan Picker

Looking for 2014 rates and plans? Contact Sanford Health Plan at (800) 251-5316.

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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

Thank you for your interest in Sanford Health Plan. Please stop back between November 15, 2014 - February 15, 2015 to apply for coverage.

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

Sanford Health Plan offers two different provider network products in your area. Select what option that best fits your needs.

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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