Patient Advocacy Without the Call Center
The data layer behind our Nebraska guide and all 48 city pages, in one place: CMS enrollment, Census demographics, and federal shortage designations, county by county.
Coverage data 2025. Plan networks change - we confirm exactly what your plan covers before any work begins.
Counties covered by our city pages (38 counties, 341,763 beneficiaries). Each county links to its anchor city page.
| County | Medicare beneficiaries | Medicare Advantage share | Dual-eligible | Residents 65+ | Shortage designations |
|---|---|---|---|---|---|
| Douglas County | 100,488 | 44.8% | 13,689 | 80,517 | 4 |
| Lancaster County | 59,305 | 34.6% | 6,821 | 48,205 | 3 |
| Sarpy County | 32,379 | 38% | 2,393 | 24,234 | 0 |
| Hall County | 11,554 | 38.7% | 1,534 | 9,636 | 2 |
| Buffalo County | 9,693 | 33.1% | 914 | 8,045 | 1 |
| Scotts Bluff County | 8,749 | 33.2% | 1,289 | 7,342 | 2 |
| Dodge County | 8,544 | 36.4% | 939 | 7,067 | 1 |
| Lincoln County | 8,278 | 11.5% | 1,031 | 7,002 | 1 |
| Madison County | 7,811 | 37.8% | 976 | 6,043 | 3 |
| Platte County | 7,194 | 28% | 596 | 6,128 | 1 |
| Adams County | 7,170 | 33.2% | 1,012 | 5,731 | 0 |
| Cass County | 6,088 | 35.1% | 402 | 4,942 | 2 |
| Gage County | 5,739 | 34.4% | 775 | 4,735 | 2 |
| Saunders County | 5,035 | 34.2% | 392 | 4,149 | 1 |
| Washington County | 4,765 | 41.3% | 350 | 3,964 | 0 |
| Dawson County | 4,633 | 20.6% | 577 | 3,944 | 3 |
| Otoe County | 3,806 | 31.6% | 364 | 3,285 | 2 |
| Seward County | 3,805 | 28.6% | 253 | 3,132 | 0 |
| Dakota County | 3,569 | 45.4% | 503 | 2,767 | 1 |
| York County | 3,366 | 22.3% | 356 | 2,864 | 0 |
| Saline County | 2,863 | 32.7% | 283 | 2,274 | 0 |
| Custer County | 2,785 | 22.3% | 256 | 2,347 | 2 |
| Holt County | 2,740 | 18.5% | 291 | 2,266 | 4 |
| Box Butte County | 2,740 | 10.6% | 322 | 2,174 | 1 |
| Red Willow County | 2,674 | 8.6% | 256 | 2,225 | 2 |
| Cheyenne County | 2,491 | 17% | 301 | 2,025 | 2 |
| Keith County | 2,344 | 17.4% | 223 | 2,272 | 2 |
| Richardson County | 2,274 | 11.6% | 309 | 1,904 | 3 |
| Hamilton County | 2,264 | 29.2% | 165 | 1,934 | 0 |
| Phelps County | 2,229 | 21.2% | 240 | 1,851 | 2 |
| Cuming County | 2,152 | 21% | 175 | 1,910 | 2 |
| Jefferson County | 2,016 | 31.6% | 257 | 1,765 | 1 |
| Merrick County | 1,921 | 28% | 201 | 1,635 | 1 |
| Dawes County | 1,850 | 15.8% | 215 | 1,594 | 2 |
| Colfax County | 1,835 | 23.2% | 142 | 1,422 | 5 |
| Nemaha County | 1,623 | 22.5% | 188 | 1,448 | 1 |
| Wayne County | 1,601 | 27.9% | 108 | 1,595 | 1 |
| Cherry County | 1,390 | 2.4% | 130 | 1,202 | 2 |
Statewide, 34% of beneficiaries chose Medicare Advantage in 2025. Counties above that line see more prior authorizations and more denials worth appealing; counties below it lean on Medigap rights, which in Nebraska follow the federal rule at 65 (one guaranteed six-month window, no birthday rule, no year-round switching) and, since January 1, 2025 under LB 852, add a guaranteed under-65 disability right to at least Plan A at up to 150% of the age-65 rate (ESRD excluded). About 8.9% of Nebraska seniors live below the poverty line, the group most likely to qualify for unclaimed help: Extra Help and the Medicare Savings Programs. For the full rundown, sources included, see our Nebraska patient advocacy hub.
One dedicated advocate for the bills, appeals, appointments, and paperwork, serving every Nebraska county virtually, usually at $0 with Medicare.
Or start from your city: every Nebraska city we serve.
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Read moreSources: CMS Medicare Monthly Enrollment (2025); US Census Bureau ACS 2023 5-year; CMS Care Compare Timely & Effective Care (median ER minutes, period ending 09/30/2025); HRSA Health Professional Shortage Area designation file. Data retrieved 2026-09-09. Understood Care is an independent private advocacy service, not a government agency.