Nebraska · FIPS 31095

Jefferson County, NE — ACA coverage

Marketplace plans, premium tax credit eligibility, and Medicaid options for residents of Jefferson County, Nebraska. Updated 2026-06-08.

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Jefferson County coverage highlights

Est. marketplace enrollees
1,470
2025 plan year — Nebraska total 136,684 ÷ 93 counties.
Premium tax credit
100–400%+ FPL
Benchmark Silver premium capped at 0%–8.5% of household income. Sourcei
Medicaid expansion
Adopted
Adults up to 138% FPL eligible. Sourcei
CHIP (Kids Connection)
218% FPL
Pregnancy Medicaid to 199% FPL. Sourcei
Carriers on marketplace
5
Statewide issuer count — county availability may vary. Sourcei
Medicare 5★ MA-PD (2026)
Not in county
No CMS 5-star MA-PD contract serves this county. Sourcei

Enrollee count is an estimate derived by evenly distributing the state's CMS plan-select total across counties; actual county enrollment varies with population.

How the Jefferson County estimate is calculated

Methodology: ACA Beacon does not have county-level enrollment dashboards for every U.S. county. To give you a directional sense of marketplace activity in Jefferson County, we take the most recent state-wide Open Enrollment Period (OEP) plan-selection total reported by CMSi (or the state-based marketplace) and divide it evenly by the number of counties in Nebraska.

Formula used here: 136,684 total state signupsi ÷ 93 Nebraska countiesi = ~1,470 estimated enrollees for Jefferson County.

Uncertainty & limitations: Counties vary widely in population, income, and insurer participation. Urban counties typically enroll far more residents than rural ones. This number is a simple average, not a forecast or official CMS county report. Use it as a rough indicator of statewide penetration, not a precise local count.

Last updated 2026-06-08. Data source: CMS OEP state-level plan-selection reports.

ACA marketplace in Jefferson County

Residents of Jefferson County shop and enroll in ACA marketplace plans at www.healthcare.gov. Plans are rated by county, so available carriers and prices in Jefferson may differ from elsewhere in Nebraska.

Carriers currently selling in Nebraska include: Ambetter Health, Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company, UnitedHealthcare. The final 2027 carrier list for Jefferson County is confirmed when Nebraska filings finalize in summer 2026.

Premium tax credit eligibility

Premium tax credits (APTC) cap your monthly premium for a benchmark Silver plan at a percentage of household income — currently 0% at 150% FPL up to 8.5% at 400%+ FPL while Inflation Reduction Act enhancements remain in effect. Cost-sharing reduction (CSR) Silver plans further reduce deductibles for households under 250% FPL.

Use our free subsidy calculator or see the full Nebraska subsidy & income tables.

Medicaid & CHIP in Jefferson County

Jefferson County residents may qualify for Medicaid up to 138% of the Federal Poverty Level under Nebraska's adopted ACA Medicaid expansion.

Kids Connection covers children up to 218% FPL; pregnancy Medicaid covers up to 199% FPL. Apply year-round at dhhs.ne.gov/Pages/Medicaid-Eligibility.aspx · 1-855-632-7633.

Open Enrollment & SEP

2026 OEP in Nebraska: November 1, 2026December 15, 2026. Missed it? You may still enroll within 60 days of a qualifying life event (job loss, marriage, birth, move, income change). See Nebraska OEP & SEP details.

Other Nebraska counties

Sources

The information contained on this website is for educational purposes only. We are not responsible for missing or inaccurate information. Please consult a licensed insurance broker in your state and area for insurance advice. Please consult a CPA for tax or legal advice.

The information contained on this website is for educational purposes only. We are not responsible for missing or inaccurate information. Please consult a licensed insurance broker in your state and area for insurance advice. Please consult a CPA for tax or legal advice.