2026 data Public-data reference. official source

Burke, North Dakota Health Insurance

Open-data reference.

19 ACA plans from 2 issuers — Plan year 2026

Burke, North Dakota offers 19 ACA marketplace plans from 2 issuers for plan year 2026. Silver plans start at $495/mo (age 27, before subsidies). Use the tables below to compare premiums, deductibles, and issuers across all metal tiers.

$540
Avg Silver Premium/mo
$515
Benchmark Premium/mo
+19.7%
Year-over-Year Change
$5,342
Avg Deductible

What the Numbers Say About Burke

Burke, North Dakota has 19 ACA marketplace plans offered by 2 issuers for plan year 2026. The average Silver-tier premium comes in at $540/mo for a 27-year-old non-tobacco user, with the lowest Silver at $495 and the highest at $599.

The benchmark (second-lowest Silver) premium is $515/mo, the figure the IRS uses to calculate your Advance Premium Tax Credit. Enrollees whose expected income-based contribution falls below this amount receive a subsidy for the difference. Across all plans, the average annual deductible is $5,342 and the average out-of-pocket maximum is $8,858 — numbers that matter more than the sticker premium once you actually use care. Year-over-year, average premiums in Burke shifted by +19.7%, a signal of how local issuer pricing and risk-pool dynamics are trending.

Issuer count is one of the strongest predictors of affordability: with 2 issuers active in Burke, consumers have some competitive choice, though narrower than the most competitive counties. This page is informational only and is not insurance, medical, or tax advice — verify your eligibility, network coverage, and final pricing at HealthCare.gov before enrolling. Source: CMS Marketplace PUF, plan year 2026.

Premiums by Metal Level

Silver

6 plans
$540/mo avg
$495 — $599

Gold

5 plans
$523/mo avg
$449 — $564

Catastrophic plan available: avg $324/mo (2 plans) — only for individuals under 30 or with a hardship exemption.

Benchmark Premium & Subsidies

The benchmark premium (2nd-lowest Silver plan) in Burke is $515/mo for a 27-year-old. This is the amount used to calculate your premium tax credit. If your expected contribution (based on income) is less than the benchmark, you receive a subsidy for the difference. The higher the benchmark, the larger the potential subsidy.

ACA plans available

19

Plan year

Issuers in market

2

Some competition

Benchmark Silver

$515 /mo

Sets your subsidy ceiling

Avg deductible

$5,342

Across all metal tiers

Burke ACA plans by premium and deductible

Each marker is the Burke average for one metal tier (and the local Bronze low / Silver high extremes where data is available). The dashed line marks the federal out-of-pocket-maximum ceiling.

Source: CMS Marketplace PUF for Burke, plan year 2026. Bronze = catastrophic-only zone (high deductible). Gold/Platinum = premium-heavy zone (low deductible).

No data to plot
Source: CMS Marketplace PUF for Burke, plan year 2026. Bronze = catastrophic-only zone (high deductible). Gold/Platinum = premium-heavy zone (low deductible).

Issuers in Burke

Issuer Plans Avg Premium (Age 27)
Blue Cross Blue Shield of North Dakota 10 $458/mo
Sanford Health Plan 9 $467/mo

All Plans in Burke

Plan Name Metal Type Premium (27) Premium (40) Deductible OOP Max
BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible
Blue Cross Blue Shield of North Dakota
Catastrophic PPO $306.54 $373.82 $10,600 $10,600
Sanford Individual Simplicity $10,600
Sanford Health Plan
Catastrophic PPO $341.84 $416.87 $10,600 $10,600
BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List)
Blue Cross Blue Shield of North Dakota
Expanded Bronze PPO $355.90 $434.01 $6,000 $10,150
BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan)
Blue Cross Blue Shield of North Dakota
Expanded Bronze PPO $368.81 $449.75 $7,500 $10,000
BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List)
Blue Cross Blue Shield of North Dakota
Expanded Bronze PPO $377.76 $460.67 $8,000 $8,000
Sanford Individual Simplicity Standardized $7,500
Sanford Health Plan
Expanded Bronze PPO $382.43 $466.36 $7,500 $10,000
Sanford Individual Simplicity $6,500
Sanford Health Plan
Expanded Bronze PPO $388.80 $474.12 $6,500 $9,750
Sanford Individual Simplicity $7,200 HSA Qualified
Sanford Health Plan
Expanded Bronze PPO $400.45 $488.33 $7,200 $7,200
DakotaBlue Trinity Silver ($5 Value Based Drug List)
Blue Cross Blue Shield of North Dakota
Silver PPO $495.17 $603.84 $3,500 $9,500
Sanford Individual Simplicity $3,500
Sanford Health Plan
Silver PPO $515.20 $628.26 $3,500 $9,750
Sanford Individual Simplicity Standardized $6,000
Sanford Health Plan
Silver PPO $524.24 $639.29 $6,000 $8,900
Sanford Individual Simplicity $4,750
Sanford Health Plan
Silver PPO $542.10 $661.07 $4,750 $9,750
BlueValue Silver $40 PCP Copay (Standardized plan)
Blue Cross Blue Shield of North Dakota
Silver PPO $563.97 $687.74 $6,000 $8,900
BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List)
Blue Cross Blue Shield of North Dakota
Silver PPO $599.42 $730.98 $3,500 $7,500
DakotaBlue Trinity Gold ($5 Value Based Drug List)
Blue Cross Blue Shield of North Dakota
Gold PPO $449.41 $548.04 $2,000 $8,000
BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List)
Blue Cross Blue Shield of North Dakota
Gold PPO $518.33 $632.09 $2,600 $4,300
BlueValue Gold $30 PCP Copay (Standardized plan)
Blue Cross Blue Shield of North Dakota
Gold PPO $540.58 $659.22 $2,000 $8,200
Sanford Individual Simplicity Standardized $2,000
Sanford Health Plan
Gold PPO $544.02 $663.41 $2,000 $8,200
Sanford Individual Simplicity $1,750
Sanford Health Plan
Gold PPO $563.99 $687.76 $1,750 $9,000

Silver Premium Trend (2022-2026)

Year Avg Premium Min Max Plans Issuers
2022 $438/mo $426 $447 5 2
2023 $444/mo $425 $492 7 2
2024 $440/mo $391 $467 8 2
2025 $500/mo $454 $541 6 2
2026 $540/mo $495 $599 6 2

Health Insurance Guides

Related Health & Cost Data

Frequently Asked Questions

How many ACA plans are available in Burke, ND?

There are 19 ACA marketplace plans available in Burke from 2 insurance issuers for plan year 2026.

What is the cheapest health insurance plan in Burke?

Silver plans in Burke start at $495/mo (age 27). Actual premiums vary by age and may be reduced by premium tax credits.

What is the benchmark premium for Burke?

The benchmark (second-lowest Silver) premium in Burke is $515/mo for a 27-year-old. This amount determines how much premium tax credit subsidy you may be eligible for.

How have premiums changed in Burke?

Average premiums in Burke changed by +19.7% year-over-year. Premium trends are tracked from 2022 to 2026 across all metal levels.

What is the average deductible and out-of-pocket maximum in Burke?

The average annual deductible across all plans in Burke is $5,342, and the average out-of-pocket maximum is $8,858. Bronze plans generally have higher deductibles but lower premiums, while Gold and Platinum plans have lower deductibles but higher monthly costs.

Which insurance companies offer plans in Burke?

There are 2 insurance issuers offering ACA marketplace plans in Burke, including Blue Cross Blue Shield of North Dakota, Sanford Health Plan. Competition among issuers affects plan variety and pricing. More issuers generally mean more choices and potentially lower premiums.

Disclaimer: This page is for informational purposes only and does not constitute insurance or financial advice. Premiums shown are for a 27-year-old non-tobacco user unless otherwise noted. Your actual premium depends on age, location, tobacco use, and subsidy eligibility. Visit HealthCare.gov for official enrollment. Source: CMS Marketplace PUF, PY2026.

All federal data sources used on this page

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Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainHealthPlan Editorial

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