Nebraska · Douglas County

Health insurance plans in Douglas County, Nebraska (2026)

I pulled every 2026 marketplace plan sold in Douglas County, Nebraska out of the official CMS plan file. There are 81 plans from five carriers, and a 40 year old in Douglas pays $642 a month at full price for the benchmark silver plan. That is $40 less than in Lancaster County, the other Nebraska county I track. Across all 79 counties and parishes I track in 24 states, 31 have a lower benchmark. Below are the carriers, the plan counts, the full prices before subsidy, and what I think the numbers mean if you live in Omaha, Elkhorn, Bennington, Valley or anywhere else in the county.

Who sells marketplace plans in Douglas County

Douglas County and Lancaster County, the two Nebraska counties I track, have the same number of carriers, five each. Across all 79 counties and parishes I track in 24 states, 30 have more carriers than Douglas. The biggest lineup in Douglas belongs to Medica with 21 plans, about 26 percent of everything on offer.

CarrierPlansBronzeSilverGoldNetwork types
Medica21777EPO 21
Blue Cross and Blue Shield of Nebraska20686EPO 20
Ambetter Health16646EPO 16
UnitedHealthcare14464EPO 14
OscarOscar Insurance Company10442EPO 10

Douglas plan counts from the CMS 2026 landscape file (county FIPS 31055, Rating Area 1). Bronze includes expanded bronze, and companies CMS lists under more than one legal issuer are grouped with the legal names underneath.

What it costs in Douglas County before any subsidy

These are the full monthly prices, before any premium tax credit, for the cheapest Douglas plan at each metal level. I show the sticker price because it is what your subsidy is subtracted from, and most people who enroll in Douglas pay less, often a lot less.

Monthly premium, full priceAge 21Age 40Age 60Couple, both 40Couple 40 + 2 kids
Lowest bronze$386$494$1,049$988$1,579
Lowest silver$501$640$1,359$1,280$2,047
Benchmark silver (second lowest)$502$642$1,363$1,284$2,052
Lowest gold$536$685$1,454$1,370$2,190

Benchmark silver is the second lowest of the 29 silver premiums listed for Douglas. The last column is two adults aged 40 plus two children.

What these numbers mean if you live in Douglas County

Douglas County is one of 32 of the 79 counties and parishes on my list where the metal levels are priced in the order you would expect. The cheapest gold at 40 is $685, which is $43 above the benchmark silver and $45 above the cheapest silver. In Douglas the extra gold premium pays for a lower deductible rather than coming free.

In Douglas County the benchmark is $148 above the cheapest bronze at age 40, and 21 of the other 78 counties and parishes I track have a narrower one. That gap decides whether bronze can be free, because your subsidy is the $642 benchmark minus what the government expects you to pay from your income. A 40 year old in Douglas whose expected share is $148 a month or less would pay nothing for the cheapest bronze. At 60 the Douglas gap grows to $314 and at 21 it shrinks to $116, which is why older enrollees are the ones most likely to find a $0 plan.

Compared with nearby Lancaster County, the Douglas benchmark is $40 lower at 40 and the cheapest bronze is $23 lower. The same five carriers sell in Douglas and Lancaster, so if you move or work across the line your choice of company does not change, only the price.

Douglas plans by metal level, network and deductible

Metal levelPlans$0 deductibleDeductible range
Bronze10$10,600 to $10,600
Expanded Bronze265$0 to $7,750
Silver292$0 to $6,500
Gold254$0 to $2,500
Total8111

There is not a single PPO on the 2026 marketplace in Douglas County. All 81 plans are EPO plans. Outside emergencies, the 81 EPO plans in Douglas generally pay nothing out of network, so the network list matters more than the premium. 11 plans in Douglas have a $0 medical deductible (5 expanded bronze, 4 gold and 2 silver). The 5 bronze ones among them still have out of pocket maximums of $10,500 to $10,600, so a $0 deductible does not mean a small bill.

Every Douglas price on this page is before subsidies, and most enrollees pay less. For a 40 year old in Douglas the premium tax credit is measured against the $642 benchmark. Estimate your own subsidy, or send me your ZIP and I will run the Douglas numbers for you.

2027 plans for Douglas County

These are the 2026 plans and prices for Douglas County. The 2027 plans and prices are published around November 1, 2026, and I will update this page with the new Douglas numbers then. Open enrollment for 2027 coverage in Nebraska runs from November 1, 2026 to January 15, 2027, and December 15 is the last day to pick a plan that starts January 1.

Questions about Douglas County coverage

How many health insurance companies sell marketplace plans in Douglas County, Nebraska?

For 2026, five carriers sell individual marketplace plans in Douglas County: Medica, Blue Cross and Blue Shield of Nebraska, Ambetter Health, UnitedHealthcare and Oscar. Together they offer 81 plans across the metal levels, according to the CMS plan landscape file.

What is the cheapest health insurance in Douglas County?

At full price before any subsidy, the cheapest bronze plan in Douglas County is $386 a month for a 21 year old, $494 at 40 and $1,049 at 60. In Douglas a couple both aged 40 pays $988 for the cheapest bronze, and two 40 year olds with two children pay $1,579. No catastrophic plan is sold in Douglas for 2026. Most people in Douglas who qualify for a premium tax credit pay less than these prices.

What is the benchmark silver plan premium in Douglas County for 2026?

The second lowest cost silver plan, the benchmark your subsidy is calculated from, is $642 a month for a 40 year old in Douglas County before subsidies. In Douglas it is $502 at age 21 and $1,363 at age 60, and the lowest silver plan is $640 at 40.

Is any insurance company leaving Douglas County for 2027?

None of the five carriers selling in Douglas County in 2026 has announced it is leaving Nebraska for 2027, as far as I have been able to confirm. Smaller changes can still happen, so read your renewal notice. The 2027 carrier lineup and prices for Douglas are published around November 1, 2026, and I will update this page then.

Can I get a PPO plan in Douglas County?

Not on the 2026 marketplace. All 81 plans in Douglas County are EPO plans. 11 of them have a $0 medical deductible, and the cheapest gold plan for a 40 year old in Douglas is $685 a month before subsidies.

More for Douglas County residents

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