Find 2018 Medicare Plans in Nebraska - NE Medicare Insurance Overview

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Nebraska Medicare Insurance

Medicare in Nebraska

Medicare offers healthcare coverage to Nebraska residents age 65 or older, or to those Nebraska residents that suffer from certain medical disabilities. In 2016, 299,000 people are enrolled in Medicare in Nebraska, accounting for 15.9% of the population in Nebraska. In 2009 about $9,138 was spent per Medicare enrollee in Nebraska, approximately 11.84% lower than the national average of $10,365. Between 2015 to 2030 the number of seniors in Nebraska is expected to rise by an estimated 38.48% according to calculations based off of the 2000 Census. Therefore the number of individuals enrolled in Medicare in the state is also projected to grow.

Local Medicare Resources

Like other states Medicare beneficiaries and caregivers that live in Nebraska can receive free, one-on-one, and unbiased counseling from the Nebraska Senior’s Health Insurance Information Program (SHIIP). Another program called the Nebraska Senior Medicare Patrol (SMP) aims to empower individuals to recognize, prevent, and report instances of Medicare billing errors, fraud, and/or waste.

Types of Medicare Coverage

When you are eligible for Medicare you may sign up for Original Medicare (Part A & Part B), which cover hospital services and medical services, respectively, or you may enroll in a Medicare Advantage Plan (Medicare Part C). If you sign up for Original Medicare you also have the option to purchase a separate or stand alone prescription drug plan (Part D). Medicare Advantage and Medicare Part D insurance plans are sold by private insurance companies that have a contract with Medicare. Original Medicare offers its beneficiaries flexibility in choosing their providers and you are not limited to a network. However, there is no limit on out-of-pocket medical expenses and you must always pay 20% coinsurance for medical service costs. For most Medicare beneficiaries, Part A is already paid through paycheck deductions during their working years (or their spouse's) but most Medicare beneficiaries pay premiums for Part B unless they qualify for financial assistance. Many Medicare beneficiaries will elect to enroll in a Medicare Advantage plan that includes prescription drug coverage (MAPD) or purchase a stand alone prescription drug plan to go with their Original Medicare coverage. Medicare Advantage plans require you to stay in network but some plans will also cover out-of-network care at a higher cost. Most Medicare Advantage plans also include additional health benefits such as vision, dental, or hearing coverage and you have the option to purchase a Medicare Advantage plan with prescription drug coverage (MAPD) in almost all states.

Nebraska 2017 Medicare Advantage Plans at a glance

Using CMS data HealthPocket found that:

  • The average total monthly premium for a 2017 Medicare Advantage plan in Nebraska is $34.56, 44.69% less than the national average of $62.48. 34.76% of 2017 Medicare Part C insurance plans in Nebraska have a $0 monthly premium.
  • The maximum possible annual drug deductible in any 2017 Medicare Advantage plan with a drug component is $400, but in Nebraska the average annual drug deductible for Medicare Part C insurance plans with drug components is $302.21. 1.64% of 2017 Medicare Part C insurance plans with a drug component in Nebraska have a $0 annual drug deductible.
  • The average total monthly premium for a 2017 Medicare Advantage plan without a drug component in Nebraska is $24.17. 16.67% of 2017 Medicare Part C insurance plans without a drug component in Nebraska have a $0 monthly premium.
  • The average medical out-of-pocket limit for 2017 Medicare Part C insurance plans in Nebraska is $6,098.75. 1.22% of 2017 Medicare Advantage plans in Nebraska had a medical out-of-pocket limit of $3,400 or less.

To assist seniors in choosing Medicare plans, CMS assigns star ratings to Medicare Part C and Part D plans each year based on preventive care, chronic condition management, customer service, member satisfaction, and drug pricing. Ratings range from 1 star (a poor plan) to 5 stars (an excellent plan).

  • The average overall CMS star rating assigned to Medicare Part C insurance plans in Nebraska was 3.6 stars in 2017.
  • Among Nebraska's 2017 Medicare Advantage plans with CMS star ratings:
    • 11.59% earned a score of 4 or 4.5 stars
    • 79.88% earned a score of 3 or 3.5 stars
    • 8.54% of plans are “Not enough data available” or “Too new to be measured”.

Sources:

Data on Medicare eligibility, enrollment, and spending by state from Kaiser Family Foundation

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Nebraska Medicare Insurance Companies

There are 16 Medicare insurance providers that offer affordable and comprehensive Medicare insurance in Nebraska. Of these, the companies that offer the largest variety of plans to choose from are Humana, UnitedHealthcare, and Aetna. In Nebraska,. The following are all medicare insurance providers in Nebraska:

Humana

8 Plans

Aetna

5 Plans

Blue Cross Blue Shield of Kansas

3 Plans

WellCare

2 Plans

Cigna

2 Plans

MERIT HEALTH INSURANCE COMPANY

1 Plans

2018 Featured Medicare Plans in Nebraska

There are 44 medicare plans in Nebraska. The following are the 10 highest rated medicare plans in Nebraska based on their CMS rating for the plan's overall quality.

Monthly CostPlan NameCMS Rating
from $37Wellmark Blue Cross and Blue Shield - MedicareBlue Rx Standard (PDP)
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from $100Wellmark Blue Cross and Blue Shield - MedicareBlue Rx Premier (PDP)
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from $0Humana - HumanaChoice H5216-086 (PPO) - Cass County
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from $0Humana - Humana Gold Plus H0028-008 (HMO) - Cass County
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from $0Aetna - Coventry Advantra Elite (PPO) - Douglas County
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from $0UnitedHealthcare - AARP MedicareComplete (HMO) - Burt County
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from $17Humana - Humana Gold Plus H5619-072 (HMO) - Cass County
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from $22Medco Medicare - Express Scripts Medicare - Saver (PDP)
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from $28SilverScript - SilverScript Choice (PDP)
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from $36Aetna - Coventry Advantra Platinum (PPO) - Butler County
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See all Medicare plans in Nebraska

Nebraska Featured Medicare Plans for Managing High Blood Pressure

The following are the 5 highest rated medicare plans in Nebraska based on their CMS rating for the plan's ability for controlling high blood pressure.

Monthly CostPlan NameCMS Rating
from $0Aetna - Coventry Advantra Silver (HMO) - Burt County
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from $0Aetna - Coventry Total Care (HMO) - Douglas County
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from $108Humana - HumanaChoice H5216-085 (PPO) - Cass County
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from $36Aetna - Coventry Advantra Platinum (PPO) - Butler County
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from $0Aetna - Coventry Advantra Elite (PPO) - Douglas County
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Nebraska Featured Medicare Plans for Managing Diabetes

The following are the 5 highest rated medicare plans in Nebraska based on their CMS rating for the plan's ability for diabetes care including: eye exam, kidney disease monitoring, blood sugar controlled and cholesterol controlled.

Monthly CostPlan NameCMS Rating
from $0Aetna - Coventry Advantra Silver (HMO) - Burt County
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from $0Aetna - Coventry Total Care (HMO) - Douglas County
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from $108Humana - HumanaChoice H5216-085 (PPO) - Cass County
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from $0Humana - HumanaChoice H5216-086 (PPO) - Cass County
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from $36Aetna - Coventry Advantra Platinum (PPO) - Butler County
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Nebraska Featured Medicare Plans for Managing Rheumatoid Arthritis

The following are the 5 highest rated medicare plans in Nebraska based on their CMS rating for the plan's ability for rheumatoid arthritis management.

Monthly CostPlan NameCMS Rating
from $36Aetna - Coventry Advantra Platinum (PPO) - Butler County
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from $0UnitedHealthcare - AARP MedicareComplete (HMO) - Burt County
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from $0Aetna - Coventry Advantra Elite (PPO) - Douglas County
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from $0Humana - Humana Gold Plus H0028-008 (HMO) - Cass County
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from $97Humana - Humana Gold Choice H2944-004 (PFFS) - Adams County
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Nebraska Featured Medicare Plans for Managing Osteoporosis

The following are the 5 highest rated medicare plans in Nebraska based on their CMS rating for the plan's ability for osteoporosis management.

Monthly CostPlan NameCMS Rating
from $0Aetna - Coventry Advantra Silver (HMO) - Burt County
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from $0Aetna - Coventry Total Care (HMO) - Douglas County
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from $108Humana - HumanaChoice H5216-085 (PPO) - Cass County
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from $36Aetna - Coventry Advantra Platinum (PPO) - Butler County
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from $17Humana - Humana Gold Plus H5619-072 (HMO) - Cass County
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Most Popular Medicare Doctors in Nebraska

The following are the most popular medicare doctors in Nebraska based on the provider utilization and payment data published by the U.S. Department of Health & Human Services.

NameSpecialtyLocation
SurgeryLINCOLN, NE
Thoracic Surgery (Cardiothoracic Vascular Surgery)LINCOLN, NE
RadiologyGRAND ISLAND, NE
Internal MedicineLINCOLN, NE
SurgeryLINCOLN, NE
RadiologyOMAHA, NE
Thoracic Surgery (Cardiothoracic Vascular Surgery)OMAHA, NE
Orthopaedic SurgeryKEARNEY, NE
Neurological SurgeryLINCOLN, NE
Thoracic Surgery (Cardiothoracic Vascular Surgery)LINCOLN, NE
See all doctors accepting Medicare in Nebraska

Browse Medicare Plans by Cities

  1. Omaha, NE
  2. Lincoln, NE
  3. Bellevue, NE
  4. Grand Island, NE
  5. Kearney, NE
  6. Fremont, NE
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