Medicare Advantage

Omaha's 2027 C-SNP lineup: three Medicare Advantage plans built for a chronic diagnosis

For 2027, Omaha is looking at 39 Medicare Advantage plans: 11 new, 17 gone since 2026, and 12 still here but changed on premium, deductible, plan type or name, 5 of them under a new name. Below, how the lineup shifted in Douglas County and what to compare, with no plan ranked or recommended.

OMAHA — As the fall 2026 Medicare Annual Enrollment Period opens, people in Douglas County who live with a serious chronic illness have a specific kind of Medicare Advantage plan to consider: a Chronic Condition Special Needs Plan, or C-SNP. For 2027, three C-SNPs will be sold in the county, all from the same carrier, and each one is tied to a qualifying diagnosis a doctor has to confirm.

What a C-SNP is

A Chronic Condition Special Needs Plan is a type of Medicare Advantage plan. Like other Advantage plans, it bundles your Part A, Part B, and (in these cases) Part D drug coverage into one plan from a private insurer. What makes a C-SNP different is who it's for: only people living with a specific chronic illness Medicare has approved for this type of plan — conditions such as diabetes, chronic heart failure, or chronic lung disorders, among others on the federal list.

Because every member has the same type of condition, C-SNPs are built around that condition. The drug list, care team support, and covered services are shaped for people managing it over the long term.

How enrollment actually works

You can't just sign yourself up for a C-SNP. Medicare requires a qualifying diagnosis, and the plan has to verify it with your provider. In practice, that means the plan sends a short form your doctor completes confirming the condition. If the provider doesn't confirm it within the window the plan gives, enrollment doesn't go through.

This verification step exists because C-SNPs are a narrower benefit — the plan is only for people who truly have the condition the plan is designed around.

The Special Enrollment Period for a qualifying condition

Most people make Medicare Advantage changes during the Annual Enrollment Period, which this year runs October 15 through December 7, 2026, with new coverage starting January 1, 2027. If you do nothing, your current plan renews for 2027 if it's still offered — read your Annual Notice of Change for what's different.

But C-SNPs come with an extra path in. If you're newly diagnosed with a qualifying chronic condition, you have a Special Enrollment Period that lets you join a C-SNP outside the fall window. You can also switch out of a C-SNP during a Special Enrollment Period if you no longer qualify. Medicare.gov and 1-800-MEDICARE can confirm which SEP applies to your situation.

The three C-SNPs in Douglas County for 2027

Omaha is in Douglas County, where CMS data shows three C-SNPs will be offered in 2027, all from Devoted Health. One is new for next year, one is a renamed version of a 2026 plan, and one carries over. The table below lists every plan.

In alphabetical order by carrier:

• Devoted Health — DEVOTED C-SNP CHOICE ENHANCED 009 NE (PPO C-SNP); renamed from the 2026 DEVOTED C-SNP CHOICE PREMIUM 009 NE plan
• Devoted Health — DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 010 NE (PPO C-SNP); new for 2027
• Devoted Health — DEVOTED C-SNP CHOICE PLUS 006 NE (PPO C-SNP)

For context, Douglas County's full 2027 Medicare Advantage landscape includes 39 plans, with 10 Dual Eligible Special Needs Plans (D-SNPs) and 2 Institutional Special Needs Plans (I-SNPs) alongside the three C-SNPs.

Each plan's premium, deductible, cost sharing, drug list, provider network, and covered extras should be checked directly on the Medicare Plan Finder at medicare.gov or in the plan's own Evidence of Coverage. The plan name itself doesn't tell you which specific chronic condition a C-SNP serves — the insurer and medicare.gov can confirm that before you apply.

What else is changing for 2027

A few program-level numbers to keep in mind as you compare plans:

• The Part D out-of-pocket cap rises to $2,400 in 2027 (up from $2,100 in 2026).
• The Part D maximum deductible rises to $700 in 2027 (up from $615 in 2026).
• The Part B standard premium and deductible for 2027, and the 2027 IRMAA income brackets, have not yet been announced. CMS typically publishes them later in the fall.

The coverage gap ("donut hole") remains eliminated — Part D now has three phases. The optional Medicare Prescription Payment Plan, which spreads drug costs across the year in monthly amounts, is still available.