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Nebraska Marketplace intelligence

ACA Marketplace in Adams County, Nebraska: 2026 plan data

Quick answer · plan year 2026 data

In Adams County, Nebraska, 5 insurers offered 72 individual-market medical plans for plan year 2026 (1 Bronze, 23 Expanded Bronze, 22 Gold, 26 Silver). The benchmark plan (second-lowest-cost silver) was $757 a month for a 40-year-old before tax credits, and the lowest-cost bronze (Bronze or Expanded Bronze tier) was $583. CMS counted 2,125 plan selections in Adams County.

Insurers in the 2026 data: Ambetter Health, Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company, UnitedHealthcare.

These are plan-year 2026 figures from CMS, not a 2027 plan list or a personal quote. What you pay depends on your age, household income and the plan you choose.

Use verified 2026 CMS county evidence as a local benchmark when comparing Marketplace coverage. Historical averages are context, not a personal quote or current plan list.

2,125

2026 Marketplace plan selections reported by CMS.

CMS suppressed

The county-level APTC recipient count is suppressed in the 2026 public file; we do not estimate it.

$853 → $211

Average monthly premium and average after APTC among the CMS county measures.

Local premium benchmark

How the CMS averages compare

These county averages describe 2026 Marketplace selections; they are not a personal quote.

Average premium$853
Average after APTC$211

$642 lower on average among the reported measures (75% difference).

What this means when comparing coverage

CMS reports the county plan-selection and premium averages shown above, but suppresses the county APTC recipient count and average APTC in this public file. CoveragePath does not infer or backfill suppressed values. These historical county measures are not a quote or guarantee of eligibility, savings, plan availability, or provider network.

Check ACA eligibility factors · Understand Marketplace savings · Nebraska ACA overview

Your next step

Turn the county benchmark into a personal coverage decision.

County averages cannot tell you what you qualify for. Check your household eligibility factors first, then review Marketplace savings and get personal help if you want someone to walk through the options with you.

Local evidence

What stands out in Adams County's 2026 ACA Marketplace data?

CMS reports 2,125 plan selections in Adams County. That ranks #11 of 93 Nebraska counties in this CoveragePath CMS dataset by Marketplace selections. This is enrollment context, not an estimate of how many county residents are eligible.

CMS suppresses one or more county APTC fields here, so CoveragePath does not estimate the missing financial-assistance values.

For separate population context, the 2024 ACS uninsured estimate is 5.8%. ACS population insurance statistics and ACA Marketplace eligibility are different measures.

Local marketplace facts

What is available in Adams County?

Plan selections by age
Under 35: 42.3% · 35-54: 33.6% · 55-64: 23.0% · 65+: 1.2% Source: CMS 2026 Open Enrollment Period County-Level Public Use File (2026-oep-county-level-public-use-file.zip, sha256 020e6531b06497f0)
Benchmark (second-lowest-cost) silver, monthly, age 40, before tax credits
$757 Source: CMS QHP Landscape PUF, plan year 2026, individual market medical (individual_market_medical.zip, sha256 4ae312a4e2fc9b41)
New, returning and auto-renewed consumers
10.1% new to the Marketplace, 89.9% returning; 620 (29.2% of all) were automatically re-enrolled Source: CMS 2026 Open Enrollment Period County-Level Public Use File (2026-oep-county-level-public-use-file.zip, sha256 020e6531b06497f0)
Insurers offering Marketplace plans
Ambetter Health, Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company, UnitedHealthcare Source: CMS QHP Landscape PUF, plan year 2026, individual market medical (individual_market_medical.zip, sha256 4ae312a4e2fc9b41)
Federally funded Navigator organization for this area
Health Center Association of Nebraska (HCAN) (virtual only). Listed by CMS as a funded Navigator for this county; a listing is not an endorsement. Services and availability are set by the organization, so confirm with them directly. Source: CMS 2026-2027 Navigator Cooperative Agreement Awardees (budget period Aug 27, 2026 to Aug 26, 2027)
Lowest-cost bronze, monthly, age 40, before tax credits
$583 Source: CMS QHP Landscape PUF, plan year 2026, individual market medical (individual_market_medical.zip, sha256 4ae312a4e2fc9b41)
Plan selections by metal level
Bronze 66.7% · Silver 26.9% · Gold 6.4% · Platinum, catastrophic and other 0.0% (of 2,125 selections) Source: CMS 2026 Open Enrollment Period County-Level Public Use File (2026-oep-county-level-public-use-file.zip, sha256 020e6531b06497f0)
Plans by metal level
Bronze: 1 · Expanded Bronze: 23 · Gold: 22 · Silver: 26 Source: CMS QHP Landscape PUF, plan year 2026, individual market medical (individual_market_medical.zip, sha256 4ae312a4e2fc9b41)

How Adams County compares with Nebraska

Adams County accounts for about 1.7% of the 2026 Marketplace selections in this Nebraska county dataset. These comparisons use the same sourced county inventory shown on this page.

The county average premium is +$53 versus the selection-weighted Nebraska county benchmark of $800.

The county average after APTC is -$6 versus the selection-weighted benchmark of $217.

The ACS county uninsured estimate is -1.4 points versus the population-weighted Nebraska county benchmark of 7.2%.

Method: premium benchmarks are weighted by Marketplace plan selections; the ACS uninsured benchmark is weighted by the ACS county population universe. Suppressed CMS values are not estimated.

Population coverage context

Health coverage context in Adams County

5.8%

ACS estimate for the uninsured share of the Census S2701 population universe.

30,847

People in the ACS health-insurance coverage population universe for this county.

The U.S. Census Bureau's 2024 ACS 5-Year estimate describes population health-insurance coverage in Adams County. It is useful local context, but it does not measure ACA Marketplace eligibility, enrollment, premiums, subsidies, or plan availability. The Marketplace figures above come separately from CMS.

Check the factors that affect ACA eligibility · Compare Nebraska Marketplace context

Population context source: U.S. Census Bureau, 2020-2024 ACS 5-Year Subject Table S2701 · County FIPS 31001

Source: Centers for Medicare & Medicaid Services, 2026 OEP County-Level Public Use File · Verified September 19, 2026 · County FIPS 31001