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  "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/nd/ransom.jsonld",
  "@type": "schema:Dataset",
  "name": "Atlas Commons research objects — Medicare plans in Ransom, North Dakota (CY2026)",
  "description": "CMS CY2026 Medicare Advantage and Part D plans available in Ransom, North Dakota: plan count (AGGREGATED), premium range (RECORDED from CMS Landscape Files), CMS star ratings (DETERMINATION — CMS-issued institutional quality rating), and epistemic boundary (INTERPRETATION). Premiums are base plan premiums; actual cost depends on Part B premium, IRMAA, and LIS. Star ratings are CMS quality scores. This surface informs; it does not rank or advise. Use medicare.gov/plan-compare to enroll. CC0.",
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  "about": {
    "@type": "schema:Place",
    "name": "Ransom, North Dakota",
    "identifier": "ND-ransom"
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      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/nd/ransom/plan-count",
      "@type": "schema:Claim",
      "name": "22 Medicare plans are available in Ransom, North Dakota for contract year 2026",
      "text": "The CMS CY2026 Medicare Landscape Files record 22 Medicare Advantage and Part D plans available in Ransom, North Dakota. Atlas Commons counted the rows; CMS published the underlying plan×county records, not this county-level total.",
      "claimType": "aggregated_fact",
      "reviewStatus": "current",
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      "epistemicStatus": {
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        "source": "CMS CY2026 Medicare Landscape Files",
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        "value": "22 plans",
        "adjudicator": null
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      "falsifier": "occurred=TRUE: a faithful COUNT/SUM/total over the named record set that introduces NO modeling choice — it IS the case in the record. adjudged=FALSE: Atlas Commons computed the aggregate; CMS CY2026 Medicare Landscape Files published the underlying records, NOT this figure. Re-count it from the named source to verify. Distinct from a median/ratio/index (which picks a population, weighting, denominator, or threshold — a constructed statistic → 'derived', occurred=FALSE) and from an authority-published total (→ 'recorded', adjudged=TRUE)."
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    {
      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/nd/ransom/premium-range",
      "@type": "schema:Claim",
      "name": "Monthly premiums for Medicare plans in Ransom, North Dakota range from $0.00/mo to $334.70/mo (CY2026)",
      "text": "The CMS CY2026 Medicare Landscape Files publish per-plan monthly consolidated premiums for Ransom, North Dakota. Across the 20 plans with a published premium, the range is $0.00/mo to $334.70/mo. These are the plan's base monthly premium — your actual cost depends on income-related adjustments (IRMAA), any applicable Low Income Subsidy (LIS/Extra Help), and your Part B premium. A $0 plan premium does not mean $0 total cost.",
      "claimType": "official_fact",
      "reviewStatus": "current",
      "commercialInfluence": false,
      "epistemicStatus": {
        "occurred": true,
        "supported": true,
        "adjudged": true,
        "operative": true
      },
      "grounding": {
        "groundingType": "SourceCitation",
        "source": "CMS CY2026 Medicare Landscape Files",
        "sourceUrl": "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information",
        "value": "$0.00/mo–$334.70/mo monthly consolidated premium",
        "adjudicator": {
          "name": "CMS CY2026 Medicare Landscape Files",
          "url": "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
        }
      },
      "falsifier": "Verify in the CMS CY2026 Medicare Landscape Files for Ransom, North Dakota. Falsified if the CMS-published per-plan premium figures differ."
    },
    {
      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/nd/ransom/star-ratings",
      "@type": "schema:Claim",
      "name": "CMS assigned star ratings to 20 of 22 Medicare plans in Ransom, North Dakota (CY2026); average overall: 3.7 stars",
      "text": "CMS issued Overall star ratings (1–5 stars) to 20 of 22 Medicare plans in Ransom, North Dakota for CY2026. The unweighted average overall star rating across rated plans is 3.7. Star ratings are CMS quality scores — an institutional determination, not a measured event. A higher rating reflects better performance across CMS quality measures. Ratings cover the contract's overall performance, not this county specifically; a plan may be available in your county with a rating earned across its full service area.",
      "claimType": "regulatory_determination",
      "reviewStatus": "current",
      "commercialInfluence": false,
      "epistemicStatus": {
        "occurred": false,
        "supported": true,
        "adjudged": true,
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      "grounding": {
        "groundingType": "AdjudicativeAct",
        "source": "CMS CY2026 Medicare Landscape Files",
        "sourceUrl": "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information",
        "value": "3.7 avg overall stars (20 rated plans)",
        "adjudicator": {
          "name": "CMS CY2026 Medicare Landscape Files",
          "url": "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
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      },
      "falsifier": "Verify CMS star ratings for these contract IDs at the CMS Medicare Plan Finder or the CMS star ratings dataset. Falsified if the CMS-published ratings for these contracts differ. Note: PDP-only plans and newly contracted plans may not have an overall star rating — the 2 unrated plans in this county are not rated, not unqualified."
    },
    {
      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/nd/ransom/boundary",
      "@type": "schema:Claim",
      "name": "What these Medicare plan figures are — and are NOT — for Ransom, North Dakota (the epistemic boundary)",
      "text": "This page lists Medicare Advantage (MA) and Part D Prescription Drug Plan (PDP) plans available in Ransom, North Dakota for CY2026, with their CMS-published base premiums and CMS star ratings. The premiums shown are the PLAN's base monthly premium — your actual monthly cost depends on the Part B premium (deducted from Social Security for most enrollees), income-related premium adjustments (IRMAA), and any Low Income Subsidy (Extra Help). A star rating is CMS's quality score for the plan's overall performance — a higher rating is generally better, but the \"best\" plan depends on your specific prescriptions, preferred doctors, and budget. This surface informs and compares; it does NOT rank plans, recommend a \"best\" plan, or account for your individual situation. To compare plans with your specific drugs and providers and to enroll, use the official Medicare Plan Finder at medicare.gov/plan-compare. For free, unbiased help, contact your State Health Insurance Assistance Program (SHIP) or call 1-800-MEDICARE (1-800-633-4227).",
      "claimType": "interpretation",
      "reviewStatus": "current",
      "commercialInfluence": false,
      "epistemicStatus": {
        "occurred": false,
        "supported": true,
        "adjudged": false,
        "operative": true
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      "grounding": {
        "groundingType": "Interpretation",
        "source": "Coverage Atlas framing (over the CMS facts above)",
        "sourceUrl": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/nd/ransom",
        "value": "plan list + base premiums + CMS star ratings; NOT net cost or a ranking",
        "adjudicator": null
      },
      "falsifier": "occurred=FALSE (a framing) and adjudged=FALSE (the atlas's reading, not a CMS verdict) — the LOWEST-warrant claim here."
    }
  ],
  "hasPart": [
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      "@type": "schema:ItemList",
      "name": "Medicare plans in Ransom, North Dakota (CY2026) — all RECORDED/DETERMINATION",
      "numberOfItems": 22,
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          "position": 1,
          "item": {
            "contract_plan_id": "H1608_081",
            "plan_name": "Aetna Medicare Signature Extra (PPO)",
            "category": "MA-PD",
            "plan_type": "PPO",
            "organization": "Aetna Medicare",
            "monthly_premium_usd": 0,
            "overall_stars": 3.5,
            "moop_in_network_usd": 4500,
            "snp": "No"
          }
        },
        {
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          "position": 2,
          "item": {
            "contract_plan_id": "H2001_085",
            "plan_name": "UHC Dual Complete ND-S1 (PPO D-SNP)",
            "category": "SNP",
            "plan_type": "PPO D-SNP",
            "organization": "UnitedHealthcare",
            "monthly_premium_usd": 41.5,
            "overall_stars": 4.5,
            "moop_in_network_usd": 9250,
            "snp": "No"
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        {
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          "position": 3,
          "item": {
            "contract_plan_id": "H2001_118",
            "plan_name": "AARP Medicare Advantage from UHC FG-0001 (PPO)",
            "category": "MA-PD",
            "plan_type": "PPO",
            "organization": "UnitedHealthcare",
            "monthly_premium_usd": 41.5,
            "overall_stars": 4.5,
            "moop_in_network_usd": 6500,
            "snp": "No"
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          "position": 4,
          "item": {
            "contract_plan_id": "H2001_119",
            "plan_name": "AARP Medicare Advantage from UHC FG-0002 (PPO)",
            "category": "MA-PD",
            "plan_type": "PPO",
            "organization": "UnitedHealthcare",
            "monthly_premium_usd": 38,
            "overall_stars": 4.5,
            "moop_in_network_usd": 6700,
            "snp": "No"
          }
        },
        {
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          "position": 5,
          "item": {
            "contract_plan_id": "H2001_120",
            "plan_name": "AARP Medicare Advantage from UHC FG-0003 (PPO)",
            "category": "MA-PD",
            "plan_type": "PPO",
            "organization": "UnitedHealthcare",
            "monthly_premium_usd": 95,
            "overall_stars": 4.5,
            "moop_in_network_usd": 6700,
            "snp": "No"
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        },
        {
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          "position": 6,
          "item": {
            "contract_plan_id": "H2001_124",
            "plan_name": "AARP Medicare Advantage Patriot No Rx FG-MA01 (PPO)",
            "category": "MA",
            "plan_type": "PPO",
            "organization": "UnitedHealthcare",
            "monthly_premium_usd": "N/A",
            "overall_stars": 4.5,
            "moop_in_network_usd": 4900,
            "snp": "No"
          }
        },
        {
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          "position": 7,
          "item": {
            "contract_plan_id": "H2450_007",
            "plan_name": "Medica Prime Solution Thrift w/Rx (Cost)",
            "category": "Cost",
            "plan_type": "Cost",
            "organization": "Medica",
            "monthly_premium_usd": 92.8,
            "overall_stars": 3.5,
            "moop_in_network_usd": 6750,
            "snp": "No"
          }
        },
        {
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          "position": 8,
          "item": {
            "contract_plan_id": "H2450_030",
            "plan_name": "Medica Prime Solution Thrift (Cost)",
            "category": "Cost",
            "plan_type": "Cost",
            "organization": "Medica",
            "monthly_premium_usd": "N/A",
            "overall_stars": 3.5,
            "moop_in_network_usd": 6750,
            "snp": "No"
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        {
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          "position": 9,
          "item": {
            "contract_plan_id": "H2450_034",
            "plan_name": "Medica Prime Solution Core (Cost)",
            "category": "Cost",
            "plan_type": "Cost",
            "organization": "Medica",
            "monthly_premium_usd": "N/A",
            "overall_stars": 3.5,
            "moop_in_network_usd": 3750,
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            "contract_plan_id": "H2450_035",
            "plan_name": "Medica Prime Solution Core w/Rx (Cost)",
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            "plan_type": "Cost",
            "organization": "Medica",
            "monthly_premium_usd": 221.7,
            "overall_stars": 3.5,
            "moop_in_network_usd": 3750,
            "snp": "No"
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        {
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          "position": 11,
          "item": {
            "contract_plan_id": "H2450_036",
            "plan_name": "Medica Prime Solution Premier (Cost)",
            "category": "Cost",
            "plan_type": "Cost",
            "organization": "Medica",
            "monthly_premium_usd": "N/A",
            "overall_stars": 3.5,
            "moop_in_network_usd": 3000,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H2450_037",
            "plan_name": "Medica Prime Solution Premier w/Rx (Cost)",
            "category": "Cost",
            "plan_type": "Cost",
            "organization": "Medica",
            "monthly_premium_usd": 334.7,
            "overall_stars": 3.5,
            "moop_in_network_usd": 3000,
            "snp": "No"
          }
        },
        {
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          "position": 13,
          "item": {
            "contract_plan_id": "H2450_044",
            "plan_name": "Medica Prime Solution Standard (Cost)",
            "category": "Cost",
            "plan_type": "Cost",
            "organization": "Medica",
            "monthly_premium_usd": "N/A",
            "overall_stars": 3.5,
            "moop_in_network_usd": 5900,
            "snp": "No"
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        {
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          "item": {
            "contract_plan_id": "H2450_049",
            "plan_name": "Medica Prime Solution Standard w/Rx (Cost)",
            "category": "Cost",
            "plan_type": "Cost",
            "organization": "Medica",
            "monthly_premium_usd": "N/A",
            "overall_stars": 3.5,
            "moop_in_network_usd": 5900,
            "snp": "No"
          }
        },
        {
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          "position": 15,
          "item": {
            "contract_plan_id": "H6202_003",
            "plan_name": "NextBlue Freedom PPO (PPO)",
            "category": "MA",
            "plan_type": "PPO",
            "organization": "NextBlue of North Dakota",
            "monthly_premium_usd": "N/A",
            "overall_stars": 3.5,
            "moop_in_network_usd": 6500,
            "snp": "No"
          }
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        {
          "@type": "schema:ListItem",
          "position": 16,
          "item": {
            "contract_plan_id": "H6202_004",
            "plan_name": "NextBlue Discover PPO (PPO)",
            "category": "MA-PD",
            "plan_type": "PPO",
            "organization": "NextBlue of North Dakota",
            "monthly_premium_usd": 59,
            "overall_stars": 3.5,
            "moop_in_network_usd": 8000,
            "snp": "No"
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        {
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          "position": 17,
          "item": {
            "contract_plan_id": "H6202_005",
            "plan_name": "NextBlue Summit PPO (PPO)",
            "category": "MA-PD",
            "plan_type": "PPO",
            "organization": "NextBlue of North Dakota",
            "monthly_premium_usd": 149,
            "overall_stars": 3.5,
            "moop_in_network_usd": 6750,
            "snp": "No"
          }
        },
        {
          "@type": "schema:ListItem",
          "position": 18,
          "item": {
            "contract_plan_id": "H8385_002",
            "plan_name": "Align ChoiceElite (PPO)",
            "category": "MA-PD",
            "plan_type": "PPO",
            "organization": "Align powered by Sanford Health Plan",
            "monthly_premium_usd": 69,
            "overall_stars": 3.5,
            "moop_in_network_usd": 4000,
            "snp": "No"
          }
        },
        {
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          "position": 19,
          "item": {
            "contract_plan_id": "H8385_004",
            "plan_name": "Align ChoicePlus (PPO)",
            "category": "MA-PD",
            "plan_type": "PPO",
            "organization": "Align powered by Sanford Health Plan",
            "monthly_premium_usd": 0,
            "overall_stars": 3.5,
            "moop_in_network_usd": 4500,
            "snp": "No"
          }
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        {
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          "position": 20,
          "item": {
            "contract_plan_id": "H8967_001",
            "plan_name": "Great Plains Medicare Advantage (HMO I-SNP)",
            "category": "SNP",
            "plan_type": "HMO I-SNP",
            "organization": "Great Plains Medicare Advantage",
            "monthly_premium_usd": 41.5,
            "overall_stars": "Not rated",
            "moop_in_network_usd": 8315,
            "snp": "No"
          }
        },
        {
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          "position": 21,
          "item": {
            "contract_plan_id": "H8967_002",
            "plan_name": "Great Plains Medicare Advantage Gold (HMO I-SNP)",
            "category": "SNP",
            "plan_type": "HMO I-SNP",
            "organization": "Great Plains Medicare Advantage",
            "monthly_premium_usd": 72,
            "overall_stars": "Not rated",
            "moop_in_network_usd": 2750,
            "snp": "No"
          }
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          "position": 22,
          "item": {
            "contract_plan_id": "H9431_014",
            "plan_name": "Aetna Medicare Elite (PPO)",
            "category": "MA-PD",
            "plan_type": "PPO",
            "organization": "Aetna Medicare",
            "monthly_premium_usd": 0,
            "overall_stars": 3,
            "moop_in_network_usd": 5000,
            "snp": "No"
          }
        }
      ]
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