DakotaBlue Trinity Gold ($5 Value Based Drug List)
Gold · PPO · Blue Cross Blue Shield of North Dakota · North Dakota
At age 40 it costs $548.04 a month before any subsidy.
What CMS publishes about it
| Plan ID | 37160ND2480009 |
|---|---|
| Insurer | Blue Cross Blue Shield of North Dakota |
| Metal level | Gold |
| Plan type | PPO |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,000 |
| Family maximum | $16,000 |
| Primary care visit | No Charge |
| Specialist visit | $25 |
| Emergency room | 30% Coinsurance after deductible |
| Inpatient stay | 30% Coinsurance after deductible |
| Generic drugs | $5 |
| Preferred brand drugs | $50 |
| Specialty drugs | 40% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | Yes |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-844-363-8457 |
Where it is sold, and what it costs there
11 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Bottineau County | $428.83 | $486.72 | $548.04 | $765.89 | $1,163.84 |
| Burke County | $428.83 | $486.72 | $548.04 | $765.89 | $1,163.84 |
| Divide County | $428.83 | $486.72 | $548.04 | $765.89 | $1,163.84 |
| McHenry County | $428.83 | $486.72 | $548.04 | $765.89 | $1,163.84 |
| McKenzie County | $428.83 | $486.72 | $548.04 | $765.89 | $1,163.84 |
| McLean County | $428.83 | $486.72 | $548.04 | $765.89 | $1,163.84 |
| Mountrail County | $428.83 | $486.72 | $548.04 | $765.89 | $1,163.84 |
| Pierce County | $428.83 | $486.72 | $548.04 | $765.89 | $1,163.84 |
| Renville County | $428.83 | $486.72 | $548.04 | $765.89 | $1,163.84 |
| Rolette County | $428.83 | $486.72 | $548.04 | $765.89 | $1,163.84 |
| Ward County | $428.83 | $486.72 | $548.04 | $765.89 | $1,163.84 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.