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MA Enrollment Explorer / States / Nebraska

Medicare Advantage in Nebraska: enrollment, penetration and market share

136,808 people in Nebraska were enrolled in Medicare Advantage in October 2026. 34.1% of the state's 401,520 eligible Medicare beneficiaries are in Medicare Advantage, −0.2 pts since October 2025. UnitedHealth Group, Inc. is the largest parent organization with 40% of reported enrollment; 14 parent organizations have 11 or more members, and the market's HHI is 2,369 (highly concentrated). Through the 2026 Annual Election Period (December to February), reported MA enrollment in Nebraska changed by +1,098 (+0.8%).

34.1%MA penetration, October 2026
137KMA enrollees
14parent organizations (11+ members)
2,369HHI, highly concentrated
Open Nebraska on the market mapMSSP ACOs in Nebraska

Parent organizations in Nebraska

Parent organizationMembersChangeShareShare change
UnitedHealth Group, Inc.53,248−11,72139.6%−9.6 pts
Blue Cross Blue Shield of Nebraska28,130+7,75920.9%+5.5 pts
CVS Health Corporation16,063+28311.9%+0.01 pts
Humana Inc.14,517+2,82410.8%+1.9 pts
Medica Holding Company12,265−4269.1%−0.5 pts
Centene Corporation5,168+6003.8%+0.4 pts
Devoted Health, Inc.2,581new1.9%+1.9 pts
Highmark Health935−390.7%−0.04 pts
Molina Healthcare, Inc.627+2710.5%+0.2 pts
Sanford Health611+1610.5%+0.1 pts
Immanuel158−170.1%−0.01 pts
Elevance Health, Inc.52+20under 0.1%+0.01 pts
Blue Cross Blue Shield of Michigan Mutual Ins. Co.340under 0.1%−0.00 pts
Health Care Service Corporation31+13under 0.1%+0.01 pts

Change and share change are since October 2025. Shares are of reported enrollment in the CMS State/County/Contract file.

Counties

CountyMA enrolleesPenetrationLeading parent
Douglas County46,21945.0%UnitedHealth Group, Inc. 48%
Lancaster County21,19634.9%UnitedHealth Group, Inc. 40%
Sarpy County13,01338.3%UnitedHealth Group, Inc. 46%
Hall County4,55138.9%UnitedHealth Group, Inc. 42%
Buffalo County3,18332.0%UnitedHealth Group, Inc. 38%
Dodge County3,18036.7%UnitedHealth Group, Inc. 38%
Scotts Bluff County3,14335.6%Medica Holding Company 45%
Madison County3,02738.1%Blue Cross Blue Shield of Nebraska 28%
Cass County2,28036.1%UnitedHealth Group, Inc. 44%
Adams County2,27031.4%UnitedHealth Group, Inc. 39%
Platte County2,10728.4%Medica Holding Company 69%
Washington County2,00239.5%UnitedHealth Group, Inc. 47%
Gage County1,99033.4%UnitedHealth Group, Inc. 43%
Saunders County1,77534.6%UnitedHealth Group, Inc. 38%
Dakota County1,63043.3%CVS Health Corporation 63%
Otoe County1,28030.9%UnitedHealth Group, Inc. 47%
Seward County1,14128.4%Blue Cross Blue Shield of Nebraska 40%
Dawson County98120.9%Blue Cross Blue Shield of Nebraska 47%
Saline County97433.9%UnitedHealth Group, Inc. 40%
Knox County81833.9%Blue Cross Blue Shield of Nebraska 40%
York County78022.8%UnitedHealth Group, Inc. 41%
Lincoln County7578.9%Blue Cross Blue Shield of Nebraska 35%
Cedar County68130.8%Blue Cross Blue Shield of Nebraska 45%
Hamilton County67427.4%Blue Cross Blue Shield of Nebraska 32%
Jefferson County65732.1%UnitedHealth Group, Inc. 40%
Burt County62531.5%UnitedHealth Group, Inc. 46%
Custer County60321.5%UnitedHealth Group, Inc. 41%
Merrick County56127.7%UnitedHealth Group, Inc. 43%
Cheyenne County53420.7%Medica Holding Company 41%
Boone County51935.1%Medica Holding Company 43%
Butler County50625.1%UnitedHealth Group, Inc. 26%
Howard County49930.4%UnitedHealth Group, Inc. 29%
Pierce County49529.4%Blue Cross Blue Shield of Nebraska 36%
Holt County49017.6%Medica Holding Company 49%
Dixon County47737.5%CVS Health Corporation 53%
Wayne County47027.6%Blue Cross Blue Shield of Nebraska 32%
Phelps County45920.2%Blue Cross Blue Shield of Nebraska 31%
Cuming County45219.3%UnitedHealth Group, Inc. 31%
Colfax County44324.7%Medica Holding Company 35%
Kearney County44232.1%UnitedHealth Group, Inc. 34%
Clay County40825.5%UnitedHealth Group, Inc. 34%
Antelope County40123.0%Blue Cross Blue Shield of Nebraska 34%
Fillmore County39924.5%Medica Holding Company 49%
Stanton County39232.1%Blue Cross Blue Shield of Nebraska 37%
Nemaha County39122.9%UnitedHealth Group, Inc. 30%
Keith County33714.1%Blue Cross Blue Shield of Nebraska 66%
Valley County33730.2%Medica Holding Company 46%
Dawes County33217.1%Medica Holding Company 76%
Box Butte County30411.1%Medica Holding Company 66%
Polk County29420.8%UnitedHealth Group, Inc. 35%
Thurston County29427.9%UnitedHealth Group, Inc. 55%
Webster County28430.7%UnitedHealth Group, Inc. 44%
Thayer County28219.7%UnitedHealth Group, Inc. 42%
Richardson County27912.1%UnitedHealth Group, Inc. 64%
Furnas County26919.4%Blue Cross Blue Shield of Nebraska 30%
Johnson County26929.6%UnitedHealth Group, Inc. 33%
Sherman County26930.0%UnitedHealth Group, Inc. 41%
Morrill County26826.5%Medica Holding Company 51%
Franklin County24028.0%Blue Cross Blue Shield of Nebraska 27%
Kimball County24022.6%Medica Holding Company 38%
Nance County22231.6%Medica Holding Company 46%
Red Willow County2218.1%Blue Cross Blue Shield of Nebraska 87%
Nuckolls County21716.2%UnitedHealth Group, Inc. 56%
Harlan County20521.7%Blue Cross Blue Shield of Nebraska 33%
Pawnee County18428.0%UnitedHealth Group, Inc. 39%
Sheridan County16211.4%Medica Holding Company 100%
Greeley County15725.7%UnitedHealth Group, Inc. 32%
Garfield County12626.0%Medica Holding Company 70%
Hitchcock County10913.2%Blue Cross Blue Shield of Nebraska 77%
Frontier County10816.2%Medica Holding Company 48%
Boyd County10215.5%Medica Holding Company 75%
Gosper County9616.7%Blue Cross Blue Shield of Nebraska 100%
Rock County8118.6%Medica Holding Company 100%
Garden County7611.5%Blue Cross Blue Shield of Nebraska 100%
Dundy County6712.8%Blue Cross Blue Shield of Nebraska 76%
Deuel County6611.0%Blue Cross Blue Shield of Nebraska 100%
Perkins County577.6%Blue Cross Blue Shield of Nebraska 100%
Sioux County5619.2%Medica Holding Company 58%
Brown County526.7%Medica Holding Company 74%
Chase County505.4%Blue Cross Blue Shield of Nebraska 100%
Banner County3411.5%Medica Holding Company 100%
Wheeler County3317.5%Medica Holding Company 100%
Loup County3216.0%Blue Cross Blue Shield of Nebraska 100%
Cherry County302.2%UnitedHealth Group, Inc. 100%
Thomas County2813.8%Blue Cross Blue Shield of Nebraska 100%
Blaine County2116.0%Blue Cross Blue Shield of Nebraska 100%
Keya Paha County175.8%Medica Holding Company 100%
Logan County158.4%
Hooker County114.3%
Arthur County0n/a
Grant County0n/a
Hayes County0n/a
McPherson County0n/a