Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Blue Cross and Blue Shield of Nebraska MA Secure is not offered in 2027
H8181Contract003Plan
PPO · served 76 counties in Nebraska in 2026
Run by Sapphire Edge, Inc. (contract H8181), sold as Blue Cross and Blue Shield of Nebraska, owned by Blue Cross Blue Shield of Nebraska
CMS crosswalk: not offered in 2027
Blue Cross and Blue Shield of Nebraska MA Secure (H8181-003) is not offered in 2027: the CMS plan crosswalk of October 1, 2026 lists it as terminated, so its coverage ends December 31, 2026. The plan's $300 eyewear allowance and $460 over-the-counter allowance end with it; other plans sold in its counties may offer them (each county page lists the 2027 plans). 2,682 people were enrolled in it in September 2026. They can choose another plan during open enrollment, October 15 to December 7, 2026, to have no gap (or by the end of February, with coverage from the first of the next month); anyone who does not join another plan before it ends moves to Original Medicare, without a drug plan unless they join one (members with Extra Help or full Medicaid are enrolled in one by Medicare).
What do members lose for 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | $91 | not offered | plan ends |
| In-network out-of-pocket limit | $2,500 | not offered | plan ends |
| Eyewear, yearly limit | $300 a year | not offered | plan ends |
| Over-the-counter items, yearly | $460 a year | not offered | plan ends |
| Counties served | 76 | none | plan ends |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026.
What can members do, and by when?
- October 15 to December 7, 2026
- Open enrollment: join another Medicare Advantage plan, or Original Medicare with a drug plan. Coverage starts January 1, 2027.
- December 8, 2026 to the end of February 2027
- A special enrollment period because the plan is leaving: you can still join a plan, but coverage starts the first day of the month after you join, so choose by December 31 to have no gap.
- If you do nothing
- You are enrolled in Original Medicare when the plan ends, without a drug plan unless you join one; if you have Extra Help or full Medicaid, Medicare enrolls you in a drug plan automatically.
- Without a drug plan
- Going 63 days or more in a row without drug coverage can mean a late enrollment penalty if you join a drug plan later; joining by the end of February keeps a January and February gap under 63 days, waiting longer does not.
- If you choose Original Medicare
- You have a guaranteed right to buy Medigap Plan A, B, C, D, F, G, K or L sold in your state by any insurance company; if you were new to Medicare on or after January 1, 2020, Plans D and G take the place of C and F. Apply from 60 days before to 63 days after the plan ends; the policy starts once your Medicare Advantage coverage ends. Other Medigap plans are not covered by this right.
- If you have Medicaid or Extra Help
- You can switch to a different drug plan, or leave a Medicare Advantage plan for Original Medicare with a drug plan, once a calendar month; the change starts the first day of the next month.
Source: Medicare.gov, “Special enrollment periods”, “When can I buy a Medigap policy?” and “Help with drug costs” (read Oct. 7, 2026).
Where did its members live?
Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.
| County | Members, Sept. 2026 |
|---|---|
| Douglas, NE | 414 |
| Hall, NE | 281 |
| Lancaster, NE | 242 |
| Buffalo, NE | 239 |
| Madison, NE | 169 |
| Adams, NE | 160 |
| Sarpy, NE | 125 |
| Boone, NE | 107 |
| Custer, NE | 52 |
| Dodge, NE | 46 |
| Cedar, NE | 37 |
| Dawson, NE | 36 |
| Pierce, NE | 33 |
| Gage, NE | 30 |
| Keith, NE | 30 |
| Otoe, NE | 30 |
| Saunders, NE | 28 |
| Seward, NE | 28 |
| Stanton, NE | 28 |
| Merrick, NE | 26 |
| Perkins, NE | 26 |
| Phelps, NE | 26 |
| Washington, NE | 25 |
| Franklin, NE | 24 |
| Hamilton, NE | 22 |
| Howard, NE | 21 |
| Wayne, NE | 21 |
| Kearney, NE | 20 |
| Nance, NE | 20 |
| Cass, NE | 19 |
| Furnas, NE | 17 |
| Garden, NE | 17 |
| Holt, NE | 16 |
| Clay, NE | 14 |
| Saline, NE | 14 |
| Sherman, NE | 14 |
| Valley, NE | 14 |
| Knox, NE | 13 |
| Webster, NE | 13 |
| Antelope, NE | 12 |
| Lincoln, NE | 12 |
| Cuming, NE | 11 |
| Platte, NE | 11 |
| Arthur, NE | fewer than 11 |
| Blaine, NE | fewer than 11 |
| Burt, NE | fewer than 11 |
| Butler, NE | fewer than 11 |
| Chase, NE | fewer than 11 |
| Colfax, NE | fewer than 11 |
| Deuel, NE | fewer than 11 |
| Dundy, NE | fewer than 11 |
| Fillmore, NE | fewer than 11 |
| Frontier, NE | fewer than 11 |
| Garfield, NE | fewer than 11 |
| Gosper, NE | fewer than 11 |
| Grant, NE | fewer than 11 |
| Greeley, NE | fewer than 11 |
| Harlan, NE | fewer than 11 |
| Hayes, NE | fewer than 11 |
| Hitchcock, NE | fewer than 11 |
| Hooker, NE | fewer than 11 |
| Jefferson, NE | fewer than 11 |
| Johnson, NE | fewer than 11 |
| Logan, NE | fewer than 11 |
| Loup, NE | fewer than 11 |
| McPherson, NE | fewer than 11 |
| Nemaha, NE | fewer than 11 |
| Nuckolls, NE | fewer than 11 |
| Pawnee, NE | fewer than 11 |
| Polk, NE | fewer than 11 |
| Red Willow, NE | fewer than 11 |
| Thayer, NE | fewer than 11 |
| Thomas, NE | fewer than 11 |
| Thurston, NE | fewer than 11 |
| Wheeler, NE | fewer than 11 |
| York, NE | fewer than 11 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Douglas, NEThe plans you can join instead
- Blue Cross and Blue Shield of Nebraska plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans