- May 12026, the day Nebraska became the first state to enforce Medicaid work requirements
- 128,492Nebraskans selected a marketplace plan for 2026, down about 6 percent from 136,684
- $0the fee for working with me in Nebraska, because carriers pay the broker
Nebraska started Medicaid work requirements early
Nebraska voters expanded Medicaid through Initiative 427 in 2018, and coverage began in October 2020 as the Heritage Health Adult program. It covers adults under 65 with household income up to 138 percent of the federal poverty level.
Federal law now requires every expansion state to add a work requirement by January 1, 2027. Nebraska chose not to wait. Starting May 1, 2026, adults in Nebraska's expansion group have to show 80 hours a month of work, school, job training or volunteering, or qualify for an exemption. KFF counted about 72,000 expansion enrollees who could be affected, and the state estimated around 30,000 would be impacted.
The detail almost nobody explains: under the federal law, a person who loses or is denied Medicaid for not meeting the work requirement is not eligible for marketplace premium tax credits either. The marketplace is still open to them, but at full price. So losing Medicaid over paperwork is not a neutral event where you simply move over to a subsidized plan.
If you or someone in your household is on Nebraska Medicaid, the most useful thing you can do is make sure you are reporting your hours or your exemption correctly. If your income is rising and you are moving off Medicaid because you earn more, that is a different situation, and a marketplace subsidy may well be available. Knowing which one you are in is the whole game, and I am happy to help you work it out even when the answer is to stay on Medicaid.
The Nebraska marketplace held up better than most
For 2026, 128,492 Nebraskans selected a marketplace plan, down from a record 136,684 in 2025. That is a decline of about 6 percent, milder than many states saw after the enhanced premium tax credits expired. About 87 percent of Nebraska enrollees still saved money through a subsidy for 2026, and 17 percent paid less than $10 a month.
Nebraska also has a stable lineup. The same five carriers that sold 2026 marketplace plans are filed to return for 2027, which means most Nebraskans are choosing among familiar names rather than being forced to move.
What changes for 2027
No carrier is leaving Nebraska for 2027. The change is price, and it differs by carrier, so renewing without comparing is how people end up paying more than they need to. My page on the Nebraska marketplace for 2027 covers the rate filings.
Open enrollment dates for 2027 coverage in Nebraska
Nebraska does not run its own exchange. It uses the federal marketplace at HealthCare.gov, so Nebraska follows the federal calendar.
- November 1, 2026Open enrollment begins for 2027 coverage
- December 15, 2026Last day to choose a plan that starts January 1, 2027
- January 15, 2027Open enrollment closes
Outside that window you need a qualifying life event. Losing job based coverage, moving, marriage, divorce, a new baby, adoption, or aging off a parent's plan at 26 each open a special enrollment period, usually 60 days. In Nebraska, losing Medicaid can also open a window, but if the reason was not meeting the work requirement, you would not get a premium subsidy on the plan you pick. That is worth understanding before it happens, not after.
Every 2027 change in Nebraska, carrier by carrier →
How to choose a health insurance broker in Nebraska
Anyone can put "broker" on a website. These are the questions that separate the real ones, and you can ask every one of them in a five minute phone call.
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Verify the license before anything else
Ask for the license number and the NPN, then look them up yourself. Nebraska agents can be checked through the Nebraska Department of Insurance company and producer search, and every agent in the country is searchable through the NAIC lookup. An agent who hesitates to give you those numbers has told you everything you need to know. Mine are on this page and on my license page.
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Ask whether they are independent or captive
A captive agent works for one insurance company and can only sell you that company's plans. An independent broker is appointed with many carriers and compares across them. Neither is dishonest, but only one of them can tell you when a competitor has the better plan for you.
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Ask what it costs, and be suspicious of any answer other than nothing
Brokers are paid by the insurance carriers. The premium is identical whether you enroll through a broker, on your own, or directly with the carrier. Nobody should charge you a fee to enroll you in an individual marketplace plan.
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Ask how many carriers they can actually quote
"We shop the whole market" is a slogan until someone puts a number on it. Ask which carriers they are appointed with in Nebraska, and ask them to show you the comparison rather than describe it.
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Ask whether they will still be there in March
Plenty of agents are enthusiastic in December and unreachable in the spring, which is exactly when a claim gets denied or a doctor turns out to be out of network. Ask who you call when something goes wrong. The answer should be a person, not a call center.
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Read the reviews, and look at the dates
A handful of genuine reviews spread over time tells you more than a wall of them that all landed in the same week. Mine are on my Google profile and they arrived one at a time, from clients who agreed to write one.
What working with me looks like
You tell me your ZIP code, who needs coverage, and roughly what you expect to earn this year. I check your subsidy eligibility properly, then compare the plans you qualify for side by side, with the real monthly cost after any subsidy is applied. You pick. I handle the enrollment paperwork, and I stay your point of contact afterward for claims questions, renewals, and life changes.
Most first conversations take about ten minutes. There is no cost and no obligation, and I am not going to pressure you into a plan, because a client who was pushed into the wrong coverage is a client who leaves.
Where I work in Nebraska
Statewide. Most of my work happens over the phone or a video call, so where you are in Nebraska changes nothing about the process.
- Omaha
- Lincoln
- Bellevue
- Grand Island
- Kearney
- Fremont
- Hastings
- Norfolk
- Columbus
- North Platte
- Papillion
- La Vista
- Scottsbluff
- South Sioux City
- Beatrice
- Lexington
- Gering
- York
- Elkhorn
I am also licensed in 30 other states, so if you are moving or splitting time between two states, that usually is not a problem either.
Who I help most in Nebraska
According to the U.S. Census Bureau, 7.1 percent of people in Nebraska had no health insurance in 2024, below the national rate of 8.2 percent.
Individuals and families buying their own coverage, self employed people and 1099 contractors, farm and ranch families, small business owners, people who just lost employer coverage, and early retirees bridging the gap to Medicare. In Nebraska I also help people sort out where they stand between Medicaid and the marketplace, which since May 2026 is a question with higher stakes than it used to be.
Get your Nebraska quote
Tell me your ZIP and who needs coverage, and I will compare every plan you qualify for with your subsidy applied. Free, no pressure, usually same day.
Get my free quote → Or book a callSources
- KFF, A closer look at Nebraska, the first state planning to implement a Medicaid work requirement
- Nebraska Public Media, Nebraska will become first state to implement Medicaid work requirements
- KFF, A closer look at the work requirement provisions in the 2025 federal budget reconciliation law
- healthinsurance.org, Medicaid eligibility and enrollment in Nebraska
- healthinsurance.org, Nebraska health insurance marketplace 2026 guide
- KFF, Marketplace plan selections by state, 2014 to 2026
- U.S. Census Bureau, Health Insurance Coverage by State: 2023 and 2024 (ACSBR-024), Appendix Table 2: Percentage of Uninsured People by State