Health insurance in Lancaster County, Nebraska
5 insurers sell 84 marketplace plans here, and 7.6% 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 Lancaster County with 84 plans between them, about 17 plans each. It gained 2 since the previous plan year, up from 3.
How many people here have no coverage
7.6% of Lancaster County's 271,012 under-65 residents have no health coverage — 20,609 people. That is close to the Nebraska rate of 8.2%, and puts Lancaster County in the bottom quarter of the 1,817 counties on this site (1471st).
How much the marketplace is used
18,157 Lancaster County residents selected a marketplace plan for 2026: 67 per thousand under-65 residents, 1291st of 1,817. That is close to the 78 per thousand typical of published counties. 2,225 of them — 12% — were new rather than renewing.
Lancaster County against Nebraska
Lancaster County is the 2nd largest of the 3 Nebraska counties we publish. Its uninsured rate tracks the state almost exactly and it carries the same 5 insurers as every other county in the state. Marketplace use is close to the Nebraska rate.
| Lancaster County | Nebraska | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 7.6% | 8.2% | 9.9% |
| Insurers selling | 5 | 5–5 | 4 |
| Plans offered | 84 | — | 57 |
| Selections per 1,000 | 67 | 79 | 78 |
| New rather than renewing | 12% | 12% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Collier County (Florida) | 271,426 | 16.4% | 7 | 131 |
| Lubbock County (Texas) | 272,118 | 16.6% | 5 | 74 |
| Cumberland County (North Carolina) | 273,024 | 8.8% | 4 | 56 |
| Orleans Parish (Louisiana) | 274,370 | 9.0% | 3 | 38 |
Collier County has 7 insurers against this county's 5 — a reminder that the county line, not the state line, is what decides your options.
84 plans is a lot to work through. Start with network type, then the metal tiers. Other Nebraska counties.