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    Medicare Advantage · Nebraska · enrollment Oct 2026

    Medicare Advantage in Nebraska: 118,774 members, 9 carriers, UnitedHealth in front.

    UnitedHealth holds 39.4% of Nebraska’s visible Medicare Advantage members, ahead of Blue Cross Blue Shield of Nebraska at 23.5% and Aetna (CVS) at 12.2%. The market grew +1.6% (+1,821 members) from Nov 2025 to Oct 2026 and stepped +0.4% at the 2026 election period. 34.1% of the state's Medicare beneficiaries are in a Medicare Advantage plan.

    Visible members
    118,774
    Oct 2026
    Carriers
    9
    47 plans with members
    MA penetration
    34.1%
    of 401,520 eligible
    Twelve months
    +1.6%
    +1,821 members
    Election step
    +0.4%
    December to January 2026
    Top three
    75.1%
    HHI 2,449, moderately concentrated

    Every carrier with members in Nebraska

    Ranked by visible members in Oct 2026. The twelve-month change runs Nov 2025 to Oct 2026; the election step is the carrier’s own December-to-January change. Counties led counts counties where the carrier has the most visible members and at least one other carrier is visible. UnitedHealth leads 32 of the 66 counties with a lead. At the election period Blue Cross Blue Shield of Nebraska stepped up most (+37.8%) and UnitedHealth stepped down most (−15.7%).

    #CarrierMembersShareTwelve monthsElection stepCounties ledRating$0 premiumPlans
    1UnitedHealth46,845
    39.4%
    		−19.6%−15.7%32 of 663.4594%9
    2Blue Cross Blue Shield of Nebraska27,927
    23.5%
    		+38.4%+37.8%20 of 653.12100%4
    3Aetna (CVS)14,441
    12.2%
    		+4.7%−12.7%3 of 474.0097%6
    4Humana13,381
    11.3%
    		+23.2%+12.7%2 of 244.20100%7
    5Medica Holding Company8,189
    6.9%
    		−8.9%−7.1%8 of 454.00100%4
    6Centene4,466
    3.8%
    		+8.7%+16.9%1 of 212.50100%7
    7Devoted2,415
    2.0%
    		––0 of 10–100%6
    8Molinaends every plan for 2027627
    0.5%
    		+62.9%+14.7%0 of 9––1
    9Sanford Health483
    0.4%
    		+29.1%+13.5%0 of 19–100%3

    Nebraska county by county

    80 counties with visible members, largest first. A county’s leader is the carrier with the most visible members there; a county with one visible carrier shows no leader, because the others are suppressed, not absent. Penetration is Medicare Advantage members as a share of the county’s Medicare beneficiaries.

    CountyVisible membersCarriersLeaderLeader shareMA penetrationDual eligibles
    Douglas42,5069UnitedHealth45.7%45.0%13,803
    Lancaster19,4508UnitedHealth41.5%34.9%6,881
    Sarpy11,7569UnitedHealth43.4%38.3%2,510
    Hall4,3947UnitedHealth41.8%38.9%1,559
    Dodge3,0017UnitedHealth36.8%36.7%945
    Buffalo2,9676UnitedHealth36.1%32.0%907
    Madison2,9098Blue Cross Blue Shield of Nebraska29.4%38.1%963
    Adams2,1697UnitedHealth38.6%31.4%1,041
    Platte1,9986Medica Holding Company71.7%28.4%583
    Cass1,9627UnitedHealth41.9%36.1%407
    Gage1,7455UnitedHealth44.9%33.4%763
    Scotts Bluff1,6222Centene59.7%35.6%1,312
    Washington1,6217UnitedHealth40.6%39.5%374
    Dakota1,5744Aetna (CVS)64.0%43.3%492
    Saunders1,5107UnitedHealth37.4%34.6%401
    Otoe9726UnitedHealth48.0%30.9%368
    Dawson8994Blue Cross Blue Shield of Nebraska50.1%20.9%594
    Seward8065Blue Cross Blue Shield of Nebraska54.8%28.4%256
    Knox7195Blue Cross Blue Shield of Nebraska44.0%33.9%218
    Saline6695UnitedHealth54.6%33.9%271
    Cedar6424Blue Cross Blue Shield of Nebraska46.6%30.8%135
    York5735UnitedHealth52.5%22.8%353
    Hamilton5654Blue Cross Blue Shield of Nebraska37.7%27.4%168
    Lincoln5423Blue Cross Blue Shield of Nebraska46.5%8.9%1,008
    Jefferson5245UnitedHealth43.3%32.1%257
    Custer5234UnitedHealth42.4%21.4%255
    Burt5104UnitedHealth48.2%31.5%215
    Merrick4594UnitedHealth46.4%27.7%197
    Boone4254Medica Holding Company46.6%35.1%91
    Holt4244Medica Holding Company49.8%17.5%280
    Pierce4144Blue Cross Blue Shield of Nebraska40.3%29.4%141
    Dixon4114Aetna (CVS)56.5%37.5%84
    Howard4095UnitedHealth32.0%30.4%135
    Phelps3935Blue Cross Blue Shield of Nebraska35.4%20.2%242
    Wayne3814Blue Cross Blue Shield of Nebraska33.9%27.7%109
    Butler3445Blue Cross Blue Shield of Nebraska33.7%25.1%164
    Kearney3323Medica Holding Company35.5%32.0%127
    Cuming3275UnitedHealth35.2%19.3%172
    Clay3154UnitedHealth36.2%25.5%143
    Stanton3114Blue Cross Blue Shield of Nebraska43.1%32.1%59
    Antelope2863Blue Cross Blue Shield of Nebraska45.8%23.0%131
    Keith2543Blue Cross Blue Shield of Nebraska80.3%14.1%227
    Cheyenne2493Aetna (CVS)43.4%20.7%291
    Valley2454Medica Holding Company50.6%30.2%100
    Nemaha2294UnitedHealth32.8%22.9%182
    Webster2174UnitedHealth48.4%30.7%117
    Colfax2014UnitedHealth42.8%24.6%151
    Thurston2005UnitedHealth67.0%27.9%225
    Furnas1994Blue Cross Blue Shield of Nebraska38.2%19.4%135
    Sherman1983UnitedHealth42.9%30.0%47
    Richardson1832UnitedHealth71.0%12.1%330
    Thayer1714UnitedHealth50.3%19.7%146
    Red Willow1671one visible carrier–8.1%240
    Franklin1554Blue Cross Blue Shield of Nebraska36.1%28.0%77
    Johnson1473UnitedHealth42.9%29.6%79
    Nance1404Medica Holding Company47.1%31.6%105
    Nuckolls1382UnitedHealth57.3%16.2%135
    Fillmore1313UnitedHealth54.2%24.5%123
    Polk1213Blue Cross Blue Shield of Nebraska50.4%20.8%93
    Harlan1074Blue Cross Blue Shield of Nebraska40.2%21.7%78
    Pawnee1053UnitedHealth48.6%28.1%91
    Kimball1043Humana41.3%22.6%106
    Morrill963Humana46.9%26.5%134
    Garfield802Medica Holding Company86.3%26.0%37
    Hitchcock782Blue Cross Blue Shield of Nebraska75.6%13.2%77
    Box Butte671one visible carrier–11.1%312
    Greeley663Medica Holding Company42.4%25.7%44
    Garden571one visible carrier–11.5%55
    Dundy542Blue Cross Blue Shield of Nebraska74.1%12.8%54
    Deuel421one visible carrier–11.0%55
    Gosper401one visible carrier–16.7%35
    Dawes381one visible carrier–17.1%206
    Frontier291one visible carrier–16.2%55
    Perkins261one visible carrier–7.6%48
    Chase181one visible carrier–5.4%67
    Thomas141one visible carrier–13.8%17
    Cherry131one visible carrier–2.3%121
    Brown121one visible carrier–6.7%83
    Sioux121one visible carrier–19.2%18
    Wheeler121one visible carrier–17.5%11

    Nebraska's twelve months

    Visible Medicare Advantage members in Nebraska each month, Nov 2025 to Oct 2026. The December-to-January step is the election period; the rest of the year moves on new eligibles, special enrollment and deaths.

    Nov 2025 · 116,953Oct 2026 · 118,774

    What 2027 does to Nebraska

    The fate assigned to every plan for 2027, joined to the members in it today. A plan that ends sends its members to choose again; a plan dropping counties keeps the plan but not every county, and which counties is not stated.

    Plans that end
    37,528

    members in Nebraska are in plans that end for 2027; Molina ends every plan in the state.

    • Blue Cross Blue Shield of Nebraska19,069
    • Medica Holding Company7,918
    • UnitedHealth5,234
    • Humana2,184
    • Centene2,051
    • Molina · every plan627
    • Sanford Health445
    Plans dropping counties
    74,776

    members are in plans that keep selling in Nebraska but drop at least one county for 2027.

    • UnitedHealth · 5 plans40,863
    • Aetna (CVS) · 6 plans14,441
    • Blue Cross Blue Shield of Nebraska · 1 plans8,858
    • Humana · 4 plans8,614
    • Centene · 2 plans1,729
    • Medica Holding Company · 1 plans271

    The plans on sale in Nebraska for 2027

    Benefit design weighted by each plan’s members today, so a figure is what the market’s members are offered, not a count of plans. The rating is the 2027 overall Star Rating, weighted the same way.

    $0 premium
    96%

    of members are in a plan with no monthly premium

    In-network maximum
    $6,650

    median out-of-pocket maximum, member weighted

    Star Rating
    3.53

    2027 overall, member weighted

    Carrier Command · for Medicare Advantage plans

    The read on every carrier in Nebraska is in Carrier Command.

    A monthly position page for each of the 9 carriers here: risk and rebate against the market, Stars levers, the election-period forecast, county standing and the written read. Launching for Medicare Advantage plans.

    Request early access See Carrier Command

    Other states

    Every state has its own page; the largest carriers have one nationally.

    UnitedHealth in every state · Blue Cross Blue Shield of Nebraska in every state · Aetna (CVS) in every state · All states and carriers

    How these numbers are made

    • Members are visible members: CMS suppresses any plan-county cell of ten or fewer, so small counties undercount. Market share excludes employer group plans.
    • Enrollment is Oct 2026; the twelve months run Nov 2025 to Oct 2026; the election step compares December 2025 with January 2026.
    • Plan fates are the ones assigned for contract year 2027; benefit design is the 2027 filing; the rating is the 2027 overall Star Rating of each carrier's contracts, weighted by members in Nebraska.
    • A carrier is a parent organization; its brands in Nebraska may carry other names. The rank 1st to 9th counts every parent with visible members in 2026.
    • Every figure comes from public CMS data as Livmor reads it, and the page is rebuilt when a new month posts. Livmor Carrier Command, public CMS data.