Nebraska · Plan year 2027 · Updated October 24, 2026

Nebraska health insurance for 2027

Nebraska residents buy marketplace coverage through HealthCare.gov (the federal marketplace). Open enrollment for 2027 runs November 1, 2026 to January 15, 2027, and a plan picked by December 15, 2026 starts January 1. Nebraska expanded Medicaid, so adults qualify up to $22,025 a year for one person.

Nebraska marketplace facts for 2027
Where to enrollHealthCare.gov
2027 open enrollmentNovember 1, 2026 to January 15, 2027
Last day for Jan 1 coverageDecember 15, 2026
Medicaid expansionYes
State coverage mandateNo
Short-term plansAllowed. A 2024 federal rule limits them to 4 months in total, but federal agencies said in August 2025 they would not enforce it while they rewrite it, so state law sets the limits

What a plan costs in Nebraska

In Holt County, the median-priced county in Nebraska, the benchmark silver plan cost a 40-year-old $785 a month in 2026. Across 93 counties it ran from $642 (Burt, Dodge and 5 other counties) to $834 (Arthur, Banner and 26 other counties). 2027 prices will be different.

A single 40-year-old in Holt earning $39,900 (250% of the poverty line) would get about $497 a month in 2027 credit against that price. At 60 the same plan is priced near $1,668, and the credit grows to about $1,380, because the amount you're expected to pay depends on income, not age.

Medicaid and CHIP limits in Nebraska

Yearly income limits in 2026 dollars. Medicaid checks current monthly income, so divide by 12 for the monthly figure.

Group% of poverty line1 person234
Adults without children138%$22,025$29,863$37,702$45,540
Parents138%$22,025$29,863$37,702$45,540
Pregnancy199%$31,760$43,064$54,367$65,670
Children under 1218%$34,793$47,175$59,558$71,940
Children 1 to 5218%$34,793$47,175$59,558$71,940
Children 6 to 18218%$34,793$47,175$59,558$71,940
CHIP-----

Benchmark and lowest prices by county

Monthly premiums for one 40-year-old non-smoker, before any credit, plan year 2026. Your credit is figured from the benchmark (second-lowest-cost silver) column. Multiply by 2.12 for a 60-year-old and 0.78 for a 21-year-old.

CountyBenchmark silverLowest bronzeLowest silverLowest goldInsurers
Adams$757$583$755$7765
Antelope$785$597$778$7765
Arthur$834$634$826$8255
Banner$834$634$826$8255
Blaine$785$597$778$7765
Boone$785$597$778$7765
Box Butte$834$634$826$8255
Boyd$785$597$778$7765
Brown$834$634$826$8255
Buffalo$757$583$755$7765
Burt$642$494$640$6855
Butler$785$597$778$7765
Cass$701$533$694$6935
Cedar$785$597$778$7765
Chase$834$634$826$8255
Cherry$834$634$826$8255
Cheyenne$834$634$826$8255
Clay$785$597$778$7765
Colfax$785$597$778$7765
Cuming$785$597$778$7765
Custer$785$597$778$7765
Dakota$785$597$778$7765
Dawes$834$634$826$8255
Dawson$785$597$778$7765
Deuel$834$634$826$8255
Dixon$785$597$778$7765
Dodge$642$494$640$6855
Douglas$642$494$640$6855
Dundy$834$634$826$8255
Fillmore$701$533$694$6935
Franklin$785$597$778$7765
Frontier$834$634$826$8255
Furnas$785$597$778$7765
Gage$701$533$694$6935
Garden$834$634$826$8255
Garfield$785$597$778$7765
Gosper$785$597$778$7765
Grant$834$634$826$8255
Greeley$785$597$778$7765
Hall$757$583$755$7765
Hamilton$785$597$778$7765
Harlan$785$597$778$7765
Hayes$834$634$826$8255
Hitchcock$834$634$826$8255
Holt$785$597$778$7765
Hooker$834$634$826$8255
Howard$785$597$778$7765
Jefferson$701$533$694$6935
Johnson$701$533$694$6935
Kearney$757$583$755$7765
Keith$834$634$826$8255
Keya Paha$785$597$778$7765
Kimball$834$634$826$8255
Knox$785$597$778$7765
Lancaster$682$517$681$6935
Lincoln$834$634$826$8255
Logan$834$634$826$8255
Loup$785$597$778$7765
Madison$785$597$778$7765
McPherson$834$634$826$8255
Merrick$785$597$778$7765
Morrill$834$634$826$8255
Nance$785$597$778$7765
Nemaha$701$533$694$6935
Nuckolls$785$597$778$7765
Otoe$701$533$694$6935
Pawnee$701$533$694$6935
Perkins$834$634$826$8255
Phelps$757$583$755$7765
Pierce$785$597$778$7765
Platte$785$597$778$7765
Polk$785$597$778$7765
Red Willow$834$634$826$8255
Richardson$701$533$694$6935
Rock$785$597$778$7765
Saline$701$533$694$6935
Sarpy$642$494$640$6855
Saunders$642$494$640$6855
Scotts Bluff$834$634$826$8255
Seward$701$533$694$6935
Sheridan$834$634$826$8255
Sherman$785$597$778$7765
Sioux$834$634$826$8255
Stanton$785$597$778$7765
Thayer$701$533$694$6935
Thomas$834$634$826$8255
Thurston$642$494$640$6855
Valley$785$597$778$7765
Washington$642$494$640$6855
Wayne$785$597$778$7765
Webster$785$597$778$7765
Wheeler$785$597$778$7765
York$701$533$694$6935

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Sources: HealthCare.gov and CMS state marketplace list (exchange and dates); MACPAC MACStats, February 2026, and state Medicaid agencies (limits); HHS 2026 poverty guidelines; CMS individual market plan file on data.healthcare.gov, plan year 2026; IRS Rev. Proc. 2026-26. All checked October 24, 2026. Methods.

Questions people ask

When is open enrollment in Nebraska for 2027?

HealthCare.gov opens November 1, 2026 and closes January 15, 2027. Pick a plan by December 15, 2026 for coverage that starts January 1.

What is the Medicaid income limit in Nebraska?

Nebraska expanded Medicaid, so adults 19 to 64 qualify up to 138% of the poverty line: $22,025 a year for one person in 2026, checked against monthly income.