Health insurance in Douglas County, Nebraska
5 insurers sell 81 marketplace plans here, and 8.8% of under-65 residents have no coverage at all.
Source: CMS Marketplace Open Enrollment Public Use Files and US Census Small Area Health Insurance Estimates, 2026 release.
Who sells here, and how much choice that gives
5 insurers compete in Douglas County with 81 plans between them, about 16 plans each. It gained 2 since the previous plan year, up from 3.
How many people here have no coverage
8.8% of Douglas County's 503,402 under-65 residents have no health coverage — 44,287 people. That is close to the Nebraska rate of 8.2%, and puts Douglas County in the middle half of the 1,817 counties on this site (1280th).
How much the marketplace is used
33,660 Douglas County residents selected a marketplace plan for 2026: 67 per thousand under-65 residents, 1294th of 1,817. That is close to the 78 per thousand typical of published counties. 4,279 of them — 13% — were new rather than renewing.
Douglas County against Nebraska
Douglas County is the largest of the 3 Nebraska counties we publish, by under-65 population. Its uninsured rate runs 0.6 points higher than Nebraska overall and it carries the same 5 insurers as every other county in the state. Marketplace use is close to the Nebraska rate.
| Douglas County | Nebraska | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 8.8% | 8.2% | 9.9% |
| Insurers selling | 5 | 5–5 | 4 |
| Plans offered | 81 | — | 57 |
| Selections per 1,000 | 67 | 79 | 78 |
| New rather than renewing | 13% | 12% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Pasco County (Florida) | 513,364 | 11.6% | 9 | 173 |
| Brevard County (Florida) | 491,895 | 12.2% | 8 | 152 |
| Washington County (Oregon) | 518,692 | 5.5% | 6 | 59 |
| Dane County (Wisconsin) | 487,201 | 4.6% | 3 | 49 |
Pasco County has 9 insurers against this county's 5 — a reminder that the county line, not the state line, is what decides your options.
81 plans is a lot to work through. Start with network type, then the metal tiers. Other Nebraska counties.