Nebraska residents shop for ACA health coverage through HealthCare.gov, the federal marketplace, since the state has not established its own exchange.
Nebraska expanded Medicaid after voters approved a ballot initiative, so adults earning up to 138% of the federal poverty level generally qualify for Heritage Health, the state's Medicaid managed care program, rather than needing a subsidized marketplace plan.
Because Nebraska's expansion rolled out with a tiered benefit structure in its early years, residents should check current program details rather than assuming benefits are identical to Medicaid in every other expansion state. Marketplace shoppers in more rural parts of the state should also confirm which hospital networks a plan covers, since choices can be more limited outside Omaha and Lincoln.