Medicare 2026
Medicare in Nebraska for 2027: 18 Advantage Plans Leaving, 16 New, and What Else Changes
LINCOLN, Neb. — Nebraskans with Medicare will see a slightly smaller Medicare Advantage menu for 2027, a new Part D out-of-pocket cap, and a Social Security cost-of-living bump in January. The window to make a change for the coming year is Medicare Open Enrollment 2027, which runs October 15 through December 7, 2026. Choices made in that window take effect January 1, 2027.
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Key takeaways
- Nebraska will have 52 Medicare Advantage plans in 2027, down from 54 in 2026, with 18 plans leaving, 16 new, and 12 changing.
- If your plan is not returning, you have a Special Enrollment Period through the end of February 2027 to pick a new plan or return to Original Medicare.
- The Part D out-of-pocket cap drops to $2,400 in 2027, and no Part D plan may charge a deductible higher than $700.
- Compare your options at Medicare.gov or by calling 1-800-MEDICARE before December 7, 2026.
| Fact | Figure | Source |
|---|---|---|
| Part B standard monthly premium (2026) | $202.90 | Medicare.gov |
| Part D out-of-pocket cap (2026) | $2,100 | CMS |
| Part D out-of-pocket cap (2027) | $2,400 | CMS |
| Annual Enrollment Period (for 2027 coverage) | October 15 – December 7, 2026 | Medicare.gov |
| Medicare Advantage Open Enrollment Period | January 1 – March 31 | Medicare.gov |
Area counts are for the county as a whole and are not a recommendation of any plan. Program figures are set nationally.
How many Medicare Advantage plans are offered in Nebraska for 2027?
Nebraska will have 52 Medicare Advantage plans available across its 93 counties in 2027, compared with 54 in 2026. Within that shift, 18 plans are not returning anywhere in the state, 16 plans are new, and 12 are changing in some way — a different premium, drug deductible, plan type or plan name.
Two carrier changes shape the 2027 map. Molina Healthcare of Illinois will not offer a Medicare Advantage plan in Nebraska for 2027. Two carriers are entering the state's Medicare Advantage market for the first time: Iowa Health Advantage and Molina Healthcare of Nebraska. Keep in mind that Medicare Advantage plans are sold county by county, so a plan counted in the statewide total may or may not be offered where you live.
What should Nebraska members do if their Medicare Advantage plan is changing or leaving in 2027?
Every Medicare Advantage and Part D member should have received an Annual Notice of Change (ANOC) from their plan by late September 2026, spelling out what is different for 2027. If a plan is not returning, the insurer also sends a separate non-renewal letter.
Members whose plan is being discontinued qualify for a Special Enrollment Period that runs through the end of February 2027 to join a different Medicare Advantage plan or return to Original Medicare (and add a stand-alone Part D plan). Anyone else can switch during Annual Enrollment 2027, October 15 – December 7, 2026, for a January 1, 2027 start date. Read both notices side by side before deciding — the ANOC is the single best document for seeing what is changing in your current plan.
Which Nebraska counties are seeing the most Medicare Advantage change for 2027?
A handful of Nebraska counties are seeing an outsized share of the plan turnover for 2027. According to the CMS Landscape file:
- Butler County: 26 plans leaving, 4 changing
- Cuming County: 27 plans leaving, 3 changing
- Fillmore County: 24 plans leaving, 6 changing
- Howard County: 26 plans leaving, 4 changing
- Jefferson County: 23 plans leaving, 7 changing
If you live in one of these counties, the odds are higher that your current plan is affected. That makes reading the ANOC and the non-renewal letter especially important, and it makes a fresh look at the Medicare Plan Finder worthwhile even if you have been happy with your coverage.
How many stand-alone Part D drug plans will Nebraska have in 2027?
Nebraska will have 9 stand-alone Part D prescription drug plans in 2027, down from 11 in 2026, offered by 5 insurers. Stand-alone Part D is the route most often paired with Original Medicare or a Medigap policy.
Because the number of plans shifted, check whether your current plan is still being offered in 2027, and look at how your specific medications are treated. Formularies, pharmacy networks and cost-sharing are set plan by plan; the Medicare Plan Finder at Medicare.gov lets you enter your drug list and ZIP code to compare.
How many Medigap insurers are available in Nebraska for 2027?
Medicare.gov currently lists 25 Medigap (Medicare Supplement) insurers for a ZIP code in Nebraska. Medigap works only with Original Medicare, not with Medicare Advantage, and the lettered plans (Plan G, Plan N and so on) are standardized — the benefits of a given letter are the same from one insurer to the next.
Rules about when you can buy a Medigap policy without medical underwriting are set by federal and state law. If you are outside your initial Medigap open enrollment window, acceptance and pricing can depend on health questions. Medicare.gov explains the protections that may apply.
What national Medicare changes take effect in 2027?
Three national Medicare numbers are confirmed for 2027. The Part D out-of-pocket cap moves to $2,400, down from $2,100 in 2026. The maximum Part D deductible any plan may charge is $700. And the Part D base beneficiary premium — the national figure used to calculate the late-enrollment penalty — is $41.33; actual plan premiums are set plan by plan.
On October 14, 2026, the Social Security Administration announced a 3.6 percent cost-of-living adjustment (COLA) for benefits payable beginning January 2027.
The 2027 Part B standard premium and deductible, along with the 2027 IRMAA income-related surcharges, have not yet been announced. CMS typically releases those figures in the fall, usually November. Watch Medicare.gov for the official numbers rather than relying on estimates.
What should Nebraska Medicare beneficiaries do before December 7, 2026?
A short checklist for Annual Enrollment 2027:
- Find your Annual Notice of Change (ANOC) and read the 2027 column.
- If you got a non-renewal letter, mark that you qualify for a Special Enrollment Period through the end of February 2027.
- Make a current list of your medications, pharmacies and regular doctors.
- Run that list through the Medicare Plan Finder at Medicare.gov to compare 2027 options in your county.
- Confirm any new plan starts January 1, 2027, and keep your confirmation number.
Where can Nebraskans get free, unbiased Medicare help?
Two no-cost resources are available to every person with Medicare in Nebraska. Medicare.gov hosts the official Plan Finder, plan documents and enrollment tools. And 1-800-MEDICARE (1-800-633-4227) is staffed 24 hours a day, 7 days a week, with interpreters available.
By the numbers
Medicare Part B premium, 2006–2026
The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.
Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.
Key dates
Medicare enrollment periods at a glance
- Around your 65thInitial Enrollment PeriodA 7-month window around the month you turn 65 — your first chance to sign up.
- October 15 – December 7Annual Enrollment Period (Open Enrollment)Anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan.
- January 1 – March 31Medicare Advantage Open EnrollmentIf you're already in a Medicare Advantage plan, you can make one change.
- January 1 – March 31General Enrollment PeriodFor people who missed their first chance to sign up for Part B.
- VariesSpecial Enrollment PeriodTriggered by life events like moving or losing other coverage.
Dates are set by Medicare and apply nationwide. Confirm your personal windows at Medicare.gov or 1-800-MEDICARE.
Prescription coverage
How Medicare Part D works in 2026
The old coverage gap (“donut hole”) is eliminated as of 2025 (three phases now). There’s now a hard yearly cap of $2,100 on what you pay out of pocket for covered drugs, and you can spread those costs across the year with the Medicare Prescription Payment Plan.
Explore
When can you enroll? An interactive year
Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.
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The parts of Medicare
Good to know
Frequently asked questions
When is Medicare Open Enrollment for 2027 coverage in Nebraska?
What happens if my Medicare Advantage plan is not returning in Nebraska in 2027?
How much is the Part D out-of-pocket cap in 2027?
Has the 2027 Part B premium been announced?
- CMS — MA Landscape Source Files, current and coming plan year (year-over-year comparison)
- CMS — Medicare Part D program rules (medicare.gov)
- CMS — Medicare Supplement Insurance (Medigap) rules (medicare.gov)
- CMS — Medicare enrollment periods (medicare.gov)
For personalized answers, contact Medicare.gov or 1-800-MEDICARE.
Sources and methodology
- Medicare.gov, Medicare costs (Part B premium)
- CMS, Medicare prescription drug coverage (Part D) program rules
- CMS, Medicare Advantage and Part D plan-year announcements
- Medicare.gov, enrollment periods and plan rules
- CMS, Medicare Advantage and Part D Landscape Source Files
- Medicare.gov Medigap policy search
Figures cited in this article
- CMS — Medicare Advantage Landscape Source Files (2026 and 2027): the Nebraska statewide plan counts, carrier entries and exits, and county-level change figures.
- CMS — Medicare Part D program rules (medicare.gov): the 2027 out-of-pocket cap, maximum deductible, and base beneficiary premium.
- CMS — Medicare Supplement Insurance (Medigap) rules (medicare.gov): how Medigap works alongside Original Medicare.
- CMS — Medicare enrollment periods (medicare.gov): the Annual Enrollment dates and the Special Enrollment Period for a non-renewing plan.
- Social Security Administration: the 3.6 percent COLA announced October 14, 2026 for benefits payable in January 2027.
How we put this together: area counts come from the CMS files listed above for the county that contains this city, program figures come from CMS, Medicare.gov and the Social Security Administration, and no plan is ranked or recommended.
By The Medicare Desk · Published . For personalized answers, contact Medicare.gov or 1-800-MEDICARE.
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This page was last updated: October 2026.