How To Find the Best Health Insurance in Nebraska

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By comparing plans from different carriers, you can find a Nebraska health insurance plan that best fits your needs and budget. Comparing costs is crucial to obtaining the most affordable coverage possible, as health insurance in the "Cornhusker" State can be more costly than the national average.

Keep reading to learn more about Nebraska health insurance, including the most affordable plans, the cost in some of the state's largest cities and the different kinds of health coverage available.

Key Takeaways

  • The average monthly cost of a benchmark Marketplace health plan is $600 in Nebraska, higher than the national average of $497.
  • Nebraska doesn’t levy any penalties or fines for not having health insurance coverage.
  • Ambetter generally offers the cheapest monthly premiums in the silver tier for Nebraskans, although other insurers may offer better rates or coverage depending on your location and other factors.
  • Open enrollment in Nebraska lasts from November 1 to January 15, with coverage starting on January 1 if you make a plan selection by December 15.
  • Nebraska’s Medicaid programs, including CHIP, offer low-cost or no-cost health insurance to qualifying individuals who meet specific income requirements or other qualifications for their respective programs.

Is Health Insurance Required in Nebraska?

Nebraska is not a state that penalizes residents who do not have health insurance, essentially making it optional.[1] Previously, American taxpayers who didn't sign up for a health insurance plan that covered minimum essential health benefits were hit with a federal tax penalty under the Affordable Care Act (ACA), but this penalty has since been reduced to $0 as of 2018.[2]

Nebraska Health Insurance Rankings

The Commonwealth Fund ranked Nebraska somewhat above average, placing 21st out of 51 in a state-by-state analysis that took a holistic look at the health care systems in each U.S. state and Washington, D.C. The state’s lowest rank (32) was in racial and ethnic health equality and its highest rank (10) was in avoidable hospital use and cost. When considering all metrics, the state ranked third among seven Plains states, which include Kansas, South Dakota and North Dakota.[3]

Below is an overview of Nebraska’s national rank in each of the dimensions analyzed by the Commonwealth Fund:[3]

Dimension

National Rank

Reproductive & Women’s Health

24

Access & Affordability

22

Prevention & Treatment

11

Avoidable Hospital Use & Cost

10

Healthy Lives

12

Income Disparity

21

Racial & Ethnic Health Equity

32

How Much Does Health Insurance Cost in Nebraska?

NE Monthly Premium for Cheapest Plan by Metal Tier

Marketplace benchmark plans in Nebraska cost $600 per month on average, more expensive than the nationwide average of $497 per month. On average, Nebraska residents pay a monthly premium of $465 for the lowest-cost bronze plan available in the state, $595 for the lowest-cost silver plan and $590 for the lowest-cost gold plan.[4]

Average Cost Benchmark Premium by State 2025

Cheapest Health Insurance Options in Nebraska

Bronze-tier health insurance plans from the HealthCare.gov Marketplace usually offer the lowest monthly premiums. Bronze plans are typically better for those who are healthy and don't anticipate requiring much medical care because they usually have lower premiums in exchange for higher deductibles, copays and coinsurance.[5]

However, you might want to consider a gold or platinum plan if you expect to use health services frequently throughout the year. These plans can save you on out-of-pocket medical expenses but usually have higher monthly premiums.

health insurance tiers

Selecting a health maintenance organization (HMO) plan could result in further savings because these plans typically have lower monthly payments than preferred provider organization (PPO) plans and some other plan types. HMOs may not be able to meet everyone's needs, though, and typically offer fewer benefits than PPOs. For example, non-emergency out-of-network care is frequently not covered by HMOs, and a primary care physician's referral may be necessary to see a specialist.

What Is the Average Cost of Health Insurance in Nebraska by City?

Below, we’ll review the median monthly rates across all metal tiers for health care coverage plans for 30-year-olds making $40,000 per year in five major cities in Nebraska. The below quotes do not consider any premium tax credits.[6]

City, ZIP Code

Quote

Omaha, 68104

$555.91

Lincoln, 68516

$554.86

Bellevue, 68123

$555.91

Grand Island, 68801

$601.85

Kearney, 68845

$601.85

NE Median Monthly Rates in Major Cities

Which Health Insurance Companies Are the Most Affordable in Nebraska?

Ambetter offers Nebraska's most affordable health insurance plans in the silver tiers. Other insurance companies may offer better rates, depending on your income level, where you live and other factors. Below is an overview of Silver plan quotes from Nebraska health insurers for 40-year-old individuals before premium tax credits.[7]

Health Insurance Company

Cost Range

Ambetter

$539 to $729

Blue Cross Blue Shield

$587 to $856

Medica

$596 to $921

Oscar

$612 to $778

When Is Open Enrollment for Health Insurance in Nebraska?

During the open enrollment period (November 1 to January 15), residents of Nebraska can sign up for a health insurance plan through the federal Marketplace website. If you select your health insurance plan by December 15, your coverage will begin on January 1 — if you enroll afterward, it will begin on February 1.[8][9]

Certain qualifying life events may trigger a special enrollment period, which could allow you to enroll outside of the regular enrollment window. Events such as relocating to a different ZIP code, getting married, starting a family or losing employer-sponsored major medical coverage usually initiate enrollment periods that can extend 60 days before or after the event.[10]

What Types of Health Insurance Are Available in Nebraska?

Some of the major types of medical insurance you can purchase in Nebraska include the following:

How To Get Health Insurance in Nebraska

Comparing health insurance quotes from three to five providers can help you weigh your options and land a plan with ideal rates for your needs. However, searching for insurance providers one by one can be time-consuming and tedious.

Using an insurance marketplace like SmartFinancial can accelerate the process. After you fill out a quick questionnaire, we can match you with a licensed insurance agent who can help you find affordable health plans that fit your needs. Click here to receive a free quote for a Nebraska health insurance plan!

Get a Free Nebraska Health Insurance Quote Today!

FAQs

Is health insurance expensive in Nebraska?

Yes, on average, the cost of Nebraska’s Marketplace plans is significantly higher than the national average, with benchmark plans costing $103 more monthly in 2025.[4]

Is Medicare available in Nebraska?

Yes, you can enroll in Original Medicare or Medicare Advantage plans in Nebraska if you meet the eligibility requirements.

Have health insurance rates gone up in Nebraska?

Yes, the average benchmark premium in Nebraska slightly increased by $5 per month between 2022 and 2025. That said, the average cost has actually decreased by $111 since 2020.[4]

What happens if I don’t sign up for health insurance in Nebraska?

There is no tax penalty if you do not have health insurance in Nebraska. That said, if you are uninsured, you will have to pay for your medical bills out of pocket and cannot enroll until open enrollment next year unless you qualify for a special enrollment period.[8]

Is there access to free health care in Nebraska?

Nebraska offers Medicaid services through its Heritage Health program, which includes CHIP, offering no-cost or low-cost health care for eligible low-income residents, pregnant persons, children under 19 and other qualifying residents.[11]

Sources

  1. KFF. “I'm Uninsured. Am I Required To Get Health Insurance?”” Accessed Nov. 6, 2024.
  2. HealthCare.gov. “Exemptions From the Fee for Not Having Coverage.” Accessed Nov. 6, 2024.
  3. Commonwealth Fund. “2023 Scorecard on State Health System Performance: Nebraska,” Page 1. Accessed Nov. 6, 2024.
  4. KFF. “Average Marketplace Premiums by Metal Tier, 2018-2025.” Accessed Nov. 6, 2024.
  5. HealthCare.gov. “Bronze Health Plan - Glossary.” Accessed Nov. 6, 2024.
  6. Healthcare.gov. “Health Insurance Plans & Prices.” Accessed Nov. 6, 2024.
  7. ValuePenguin. “Best Cheap Health Insurance in Nebraska.” Accessed Nov. 6, 2024.
  8. Enroll Nebraska. “Enroll Nebraska.”Accessed Nov. 6, 2024.
  9. HealthCare.gov. “Mark Your Calendar With Key Open Enrollment Dates.” Accessed Nov. 6, 2024.
  10. HealthCare.gov. “Special Enrollment Period (SEP).” Accessed Nov. 6, 2024.
  11. Nebraska Department of Health and Human Services. “Medicaid Eligibility.” Accessed Nov. 6, 2024.

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