Health insurance in Sarpy County, Nebraska
5 insurers sell 81 marketplace plans here, and 5.4% 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 Sarpy County with 81 plans between them, about 16 plans each. It gained 2 since the previous plan year, up from 3.
Comparatively few people go uncovered
5.4% of Sarpy County's 177,825 under-65 residents have no health coverage — 9,578 people. That is below the Nebraska rate of 8.2%, and puts Sarpy County in the bottom 10% of the 1,817 counties on this site (1766th).
How much the marketplace is used
8,004 Sarpy County residents selected a marketplace plan for 2026: 45 per thousand under-65 residents, 1695th of 1,817. That is under the 78 per thousand typical of published counties. 1,055 of them — 13% — were new rather than renewing.
Sarpy County against Nebraska
Sarpy County is the smallest of the 3 Nebraska counties we publish a page for. Its uninsured rate runs 2.8 points lower than Nebraska overall and it carries the same 5 insurers as every other county in the state. Marketplace use is well under the Nebraska rate.
| Sarpy County | Nebraska | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 5.4% | 8.2% | 9.9% |
| Insurers selling | 5 | 5–5 | 4 |
| Plans offered | 81 | — | 57 |
| Selections per 1,000 | 45 | 79 | 78 |
| New rather than renewing | 13% | 12% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Johnson County (Texas) | 178,018 | 19.6% | 6 | 86 |
| Lake County (Ohio) | 178,657 | 6.3% | 7 | 105 |
| Minnehaha County (South Dakota) | 175,330 | 9.4% | 2 | 41 |
Lake County has 7 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.