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Nebraska Medicaid

Nebraska Medicaid (Heritage Health)

Expansion adopted (2020) 12-month postpartum

Nebraska Medicaid (Heritage Health) covers pregnant women up to 194% of the federal poverty line, roughly $50,090 annual income for a family of three in 2025. The state adopted Medicaid expansion in 2020.

On maternal health specifically: Nebraska Medicaid (Heritage Health) has extended postpartum Medicaid coverage to 12 months (effective 2022-04-01), and does not cover doula services through Medicaid.

Nebraska voters adopted expansion through Initiative 427 in November 2018 with 53% of the vote. Coverage began October 2020 after a prolonged implementation fight over work requirements that was ultimately dropped.

Ways to apply for Nebraska Medicaid (Heritage Health)

These are the channels Nebraska names on its own Medicaid pages. Use whichever is easiest.

Online
Apply online

iserve.nebraska.gov

In person
At a local agency office. Find an office
HealthCare.gov
You can also apply at HealthCare.gov any time of year. If anyone in your household looks eligible for Medicaid, it sends your information to Nebraska's agency.
Decision time
Federal rules give the state up to 45 days to decide, or 90 days if you apply based on a disability (42 CFR 435.912).

Read on the state's own pages, October 13, 2026.

Key facts at a glance

  • Pregnant women eligible up to 194% FPL ($50,090 for a family of three in 2025).
  • Children 0-5 eligible up to 218% FPL ($56,290 for a family of three).
  • Expansion adults eligible up to 138% FPL ($35,630 for a family of three).
  • Postpartum Medicaid extended to 12 months (effective 2022-04-01).

For Black families

Roughly 32,000 Black residents are enrolled in Nebraska Medicaid (Heritage Health), per the most recent CMS T-MSIS analytic file. The number understates true eligibility: every state has Black eligibles who aren't currently enrolled, usually because of the administrative-churn rates that rose sharply during the 2023 unwinding.

Nebraska voters adopted expansion through Initiative 427 in November 2018 with 53% of the vote. Coverage began October 2020 after a prolonged implementation fight over work requirements that was ultimately dropped.

For enrollment help: look for your state's Navigator program (federally funded under the ACA), a Federally Qualified Health Center in your county (every FQHC has certified application counselors on staff), or one of the named community organizations below. Our FQHC directory filters to this state at /clinics/ne/.

Data sources

Data refreshed:

If you have Medicaid, the coverage on this page is the route to use first: it costs you nothing and it is what these programs exist for. If you are not covered yet, there is still a free option. Our directory of free and charitable clinics lists centers by state. The option below is self-pay and is not billed to Medicaid. It is here for readers who are between coverage or who prefer to pay out of pocket:

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