HeartlandBlue Silver HSA 5500 NEtwork Blue w/ Adult Vision
Silver · EPO · Blue Cross and Blue Shield of Nebraska · Nebraska
At age 40 it costs $1,150.47 a month before any subsidy.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $5,500 | $6,000 | 50% Coinsurance after deductible | 20% Coinsurance after deductible |
| up to 150% of the federal poverty level | $0 | $1,200 | 20% | 20% |
| 150% to 200% | $1,750 | $1,900 | 30% Coinsurance after deductible | 20% Coinsurance after deductible |
| 200% to 250% | $3,000 | $5,000 | 50% Coinsurance after deductible | 20% Coinsurance after deductible |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 29678NE1590015 |
|---|---|
| Insurer | Blue Cross and Blue Shield of Nebraska |
| Metal level | Silver |
| Plan type | EPO |
| Deductible (individual) | $5,500 |
| Deductible (family) | $11,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $6,000 |
| Family maximum | $12,000 |
| Primary care visit | 50% Coinsurance after deductible |
| Specialist visit | 50% Coinsurance after deductible |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | 20% Coinsurance after deductible |
| Preferred brand drugs | 50% Coinsurance after deductible |
| Specialty drugs | 60% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | Yes |
| Share of premium buying essential health benefits | 99.39% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-888-592-8960 · TTY 1-800-821-4791 |
Where it is sold, and what it costs there
33 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Antelope County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Blaine County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Boone County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Boyd County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Butler County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Clay County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Colfax County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Cuming County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Custer County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Dawson County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Franklin County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Furnas County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Garfield County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Gosper County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Greeley County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Hamilton County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Harlan County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Holt County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Howard County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Keya Paha County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Loup County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Madison County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Merrick County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Nance County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Nuckolls County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Platte County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Polk County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Rock County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Sherman County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Stanton County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Valley County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Webster County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
| Wheeler County | $900.21 | $1,021.74 | $1,150.47 | $1,607.77 | $2,443.17 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.