Health Insurance

Best Cheap Health Insurance in Nebraska 2020

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Nebraskans can find affordable health insurance on the state exchange or through Medicaid, although the state’s expansion of the Medicaid program has yet to take effect.

For the 2020 plan year, the average cost of health insurance for a 40-year-old is $648 per month. This has stayed relatively flat since 2018 when the monthly cost was $653.

We researched all health plans available on the state exchange and found that the Silver 9 offered by Bright Health Insurance Company was the cheapest policy available is almost all of the counties. However, in some areas you may find that the Medica with CHI Health Silver Copay will be the most affordable.

Cheapest health coverage by metal tier

To help you find a policy that fits your needs, we analyzed Nebraska plans by metal tier to find the cheapest health insurance policies. Although the plans listed in the table below may not be available in every county, they can provide a good starting point in comparing the monthly premium and out-of-pocket expenses you can expect from each metal tier.

Metal tierCheapest planDeductibleMaximum out-of-pocketMonthly cost for a 40-year-old
CatastrophicMedica with CHI Health Catastrophic$8,150$8,150$278
BronzeBronze 1$8,150$8,150$455
Expanded BronzeMedica with CHI Health Bronze Copay$7,200$8,150$379
SilverMedica with CHI Health Silver Copay$4,600$8,150$554
GoldMedica with CHI Health Gold Copay$850$7,400$499

Higher tiers of coverage will have lower out-of-pocket costs like deductibles, copays or coinsurance, but at the expense of higher monthly rates. For example, the cheapest Silver policy in Nebraska, Medica with CHI Health Silver Copay, has a monthly premium of $554 for a 40-year-old in Lancaster County with a deductible that's $2,600 less than the Medica with CHI Health Bronze Copay. However, the monthly premium for the Expanded Bronze plan would cost $175 less compared to the Silver plan.

In addition to coverage tiers, age will be an important factor in determining your monthly health insurance premium. Regardless of metal tier, monthly premiums will increase as you get older. As you can see below, a 40-year-old would pay on average 53% less for their health insurance coverage than a 60-year-old in Nebraska.

Average Monthly Cost of Health Insurance Plans by Metal Tier in Nebraska

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Finding your best health insurance coverage in Nebraska

The best health insurance plan in Nebraska for you will depend on the county you live in, as the availability of plans changes by county. And depending on where you live and which plan you choose, the monthly premium will differ.

The monthly premiums for health plans in the Gold tier are typically more expensive than Silver and Bronze premiums. However, they come with significantly cheaper out-of-pocket expenses, like deductibles, copays and coinsurance. Plans in the Silver and Bronze tiers usually offer cheaper monthly premiums but costly out-of-pocket expenses.

If you have steep medical costs or recurring prescriptions, we recommend selecting a plan in a higher metal tier. However, if you're young and healthy and you can afford the higher cost sharing, a plan in a lower metal tier may be best for you.

Gold plans: Best for high expected medical costs

Gold plans are typically best if you use your insurance often because they have the lowest deductibles and copays. But you'll generally pay a higher monthly premium for a Gold plan.

For example, a Gold plan in Nebraska has an average monthly premium of $789 for a 40-year-old, which is $12 higher than the average monthly premium of a Silver plan for a 40-year-old. However, the average deductible you would have to pay on a Gold plan is $3,750 lower than a Silver plan.

Silver plans: Best for those with low income or average medical costs

Silver plans fall between Gold plans and Bronze plans in terms of premiums and out-of-pocket costs. We recommend you consider a Silver health insurance policy if you expect to have moderate health care costs during the year.

However, a Silver plan stands out as a top choice if you are part of a low-income household. Low-income households may qualify for cost-sharing reduction (CSR) subsidies, which lower your out-of-pocket expenses and can be used with Silver plans.

Typical Silver plans cover about 70% of your health care costs while you pay 30%. But with CSR subsidies, you could qualify for a Silver plan that covers up to 94% of your health care costs.

Bronze and Catastrophic plans: Best for young, healthy people

Health plans in the lower metal tiers, Bronze and Catastrophic, provide the cheapest monthly premiums at the expense of having the most expensive cost sharing. Catastrophic plans have the lowest monthly premiums, but you must be under 30 or qualify for an exemption in order to purchase these plans.

Bronze plans are open to everyone, but you'll pay higher out-of-pocket costs if you need medical care. We wouldn't recommend these policies unless you are young and healthy or can afford the higher deductibles, copays and coinsurance in the case of a medical emergency.

Expanded Bronze plans extend the coverage on a typical Bronze plan, which typically covers about 60% of your health care costs. Instead, the Expanded plans cover up to about 65% of your costs.

Health insurance rate changes in Nebraska

Health insurance rates, deductibles and out-of-pocket maximums are determined yearly by insurance providers and then approved by federal regulators.

In 2020, Gold metal tier plans had the largest shift — decreasing by close to 8.5% since 2018. The only plan to increase in cost during the two-year span was Silver metal plans which became more expensive by 1% or $8.

Metal tier2018 Premium2020 Premium% Change
Expanded Bronze$643$591-8.03%
2018 and 2020 premiums are for a 40-year-old adult.

Best cheap health insurance companies in Nebraska

There are currently only two health insurance companies on the state exchange that service Nebraska: Medica Insurance Company and Bright Health Insurance Company. Both companies have a variety of policy offerings but we would recommend beginning your health insurance search by looking at Medica since it has the cheapest rates available in the state.

Cheapest Silver health plan by county

Despite having a single health insurer on the state exchange, Nebraska residents can choose from a variety of plans that differ by county. To help you find the best cheap health insurance policy for you and your family, we identified the most affordable Silver health insurance plans on the Nebraska exchange by county.

The table below features the Silver policy with the lowest-cost monthly premium as well as sample rates for an individual, couple and family of three in your county.

CountyCheapest planAge 40Couple, age 40Couple, age 40 + child
AdamsSilver 9$797$1,593$2,070
AntelopeSilver 9$797$1,593$2,070
ArthurSilver 9$813$1,625$2,112
BannerSilver 9$813$1,625$2,112
BlaineSilver 9$797$1,593$2,070
BooneSilver 9$797$1,593$2,070
Box ButteSilver 9$813$1,625$2,112
BoydSilver 9$797$1,593$2,070
BrownSilver 9$813$1,625$2,112
BuffaloMedica with CHI Health Silver Copay$650$1,300$1,690
BurtMedica with CHI Health Silver Copay$596$1,191$1,548
ButlerMedica with CHI Health Silver Copay$650$1,300$1,690
CassMedica with CHI Health Silver Copay$596$1,191$1,548
CedarSilver 9$797$1,593$2,070
ChaseSilver 9$813$1,625$2,112
CherrySilver 9$813$1,625$2,112
CheyenneSilver 9$813$1,625$2,112
ClaySilver 9$797$1,593$2,070
ColfaxMedica with CHI Health Silver Copay$650$1,300$1,690
CumingMedica with CHI Health Silver Copay$650$1,300$1,690
CusterSilver 9$797$1,593$2,070
DakotaSilver 9$797$1,593$2,070
DawesSilver 9$813$1,625$2,112
DawsonSilver 9$797$1,593$2,070
DeuelSilver 9$813$1,625$2,112
DixonSilver 9$797$1,593$2,070
DodgeSilver 1$578$1,155$1,501
DouglasSilver 1$578$1,155$1,501
DundySilver 9$813$1,625$2,112
FillmoreMedica with CHI Health Silver Copay$554$1,109$1,441
FranklinSilver 9$797$1,593$2,070
FrontierSilver 9$813$1,625$2,112
FurnasSilver 9$797$1,593$2,070
GageSilver 9$675$1,350$1,753
GardenSilver 9$813$1,625$2,112
GarfieldSilver 9$797$1,593$2,070
GosperSilver 9$797$1,593$2,070
GrantSilver 9$813$1,625$2,112
GreeleySilver 9$797$1,593$2,070
HallMedica with CHI Health Silver Copay$650$1,300$1,690
HamiltonSilver 9$797$1,593$2,070
HarlanSilver 9$797$1,593$2,070
HayesSilver 9$813$1,625$2,112
HitchcockSilver 9$813$1,625$2,112
HoltSilver 9$797$1,593$2,070
HookerSilver 9$813$1,625$2,112
HowardSilver 9$797$1,593$2,070
JeffersonSilver 9$675$1,350$1,753
JohnsonMedica with CHI Health Silver Copay$554$1,109$1,441
KearneySilver 9$797$1,593$2,070
KeithSilver 9$813$1,625$2,112
Keya PahaSilver 9$797$1,593$2,070
KimballSilver 9$813$1,625$2,112
KnoxSilver 9$797$1,593$2,070
LancasterMedica with CHI Health Silver Copay$554$1,109$1,441
LincolnSilver 9$813$1,625$2,112
LoganSilver 9$813$1,625$2,112
LoupSilver 9$797$1,593$2,070
MadisonSilver 9$797$1,593$2,070
McphersonSilver 9$813$1,625$2,112
MerrickSilver 9$797$1,593$2,070
MorrillSilver 9$813$1,625$2,112
NanceMedica with CHI Health Silver Copay$650$1,300$1,690
NemahaMedica with CHI Health Silver Copay$554$1,109$1,441
NuckollsMedica with CHI Health Silver Copay$650$1,300$1,690
OtoeMedica with CHI Health Silver Copay$554$1,109$1,441
PawneeMedica with CHI Health Silver Copay$554$1,109$1,441
PerkinsSilver 9$813$1,625$2,112
PhelpsSilver 9$797$1,593$2,070
PierceSilver 9$797$1,593$2,070
PlatteSilver 9$797$1,593$2,070
PolkSilver 9$797$1,593$2,070
Red WillowSilver 9$813$1,625$2,112
RichardsonSilver 9$675$1,350$1,753
RockSilver 9$797$1,593$2,070
SalineMedica with CHI Health Silver Copay$554$1,109$1,441
SarpySilver 1$578$1,155$1,501
SaundersMedica with CHI Health Silver Copay$596$1,191$1,548
Scotts BluffSilver 9$813$1,625$2,112
SewardMedica with CHI Health Silver Copay$554$1,109$1,441
SheridanSilver 9$813$1,625$2,112
ShermanSilver 9$797$1,593$2,070
SiouxSilver 9$813$1,625$2,112
StantonSilver 9$797$1,593$2,070
ThayerMedica with CHI Health Silver Copay$554$1,109$1,441
ThomasSilver 9$813$1,625$2,112
ThurstonSilver 9$739$1,478$1,921
ValleySilver 9$797$1,593$2,070
WashingtonMedica with CHI Health Silver Copay$596$1,191$1,548
WayneSilver 9$797$1,593$2,070
WebsterSilver 9$797$1,593$2,070
WheelerSilver 9$797$1,593$2,070
YorkSilver 9$675$1,350$1,753

Average cost of health insurance by family size in Nebraska

The cost of health insurance for your family in Nebraska will be determined by coverage tier, the number of people covered and their ages. If you add children to your health insurance plan, each child will cost a flat rate for coverage until they are 15. After they turn 15, the monthly rate will increase as they grow older.

For instance, the average monthly health insurance cost for a family of three, assuming two 40-year-old parents and a child on a Silver plan, is $2,018. If you were to add another child to the plan, the monthly premium would increase by $465. So for a family of four, the total monthly premium would be $2,484.

Family SizeAverage monthly cost of health plan
Individual + Child$1,242
Couple Age 40$1,554
Family of three (Adult couple and a child)$2,019
Family of four (Adult couple and two children)$2,484
Family of five (Adult couple and three children)$2,949
Adults are assumed to be 40 years old. Sample rates are based on the average cost for a Silver plan in Nebraska.


Health insurance premiums, deductibles and out-of-pocket maximums were aggregated from data found on the Centers for Medicare & Medicaid Services government website. In database, ValuePenguin was able to use the Public Use Files (PUF) to calculate average values by metal tier, family size and count to better understand the health insurance landscape in Nebraska.

Sterling Price

Sterling Price is a research analyst at ValuePenguin specializing in health and life insurance. He graduated from Syracuse University with a bachelors degree in Finance and Accounting and has previous experience as a licensed life insurance representative.

Editorial Note: The content of this article is based on the author’s opinions and recommendations alone. It has not been previewed, commissioned or otherwise endorsed by any of our network partners.