A Tale of Two States: Insurance Premiums in Border Counties of Nebraska and Iowa

Nebraska’s decision not to participate in Medicaid expansion has contributed to higher health insurance premiums compared to Iowa. Nebraska’s decision not to expand Medicaid changed its health insurance marketplace pool. That resulted in higher health insurance premiums for most Nebraskans. When age and health plan level are combined, the annual cost difference can be significant. For example, a hypothetical 60 year old Nebraska couple would pay nearly $500 more annually for a Bronze plan.

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