Top Medicare Part D Companies in Nebraska for 2027

A standalone Part D plan adds prescription drug coverage to Original Medicare. For 2027, five companies sell these plans in Nebraska, two plans are leaving the state, and the standard deductible and out-of-pocket cap both go up. This list ranks the companies on public CMS data. It does not rank plans, because the plan that fits you depends on your drug list.

How did we rank Nebraska's Part D companies?

We started with the CMS CY2027 Landscape file and counted how many standalone Part D plans each company offers in Nebraska, and whether it offers both a basic and an enhanced plan. A basic plan matches the standard Part D benefit or its equivalent. An enhanced plan adds coverage beyond the standard, and usually costs more. No company paid to be listed, and being listed is not an endorsement.

When companies tied, we looked at how long each has sold Part D plans in Nebraska, using CMS landscape files back to 2016, and then at how widely it also offers Medicare Advantage with drug coverage. That last point matters if you might move between Original Medicare and Medicare Advantage and want to stay with a company you know.

We did not use premiums, deductibles, formularies or Star Ratings. Those belong to individual plans, they change every year, and how they work out depends on your prescriptions.

Which companies sell standalone Part D plans in Nebraska for 2027?

All five companies sell their plans in every Nebraska county, because standalone plans are offered by region. Nebraska is in PDP Region 25 with Iowa, Minnesota, Montana, North Dakota, South Dakota and Wyoming.

Source: CMS landscape files, CY2016 to CY2027.

About 197,863 Nebraskans were in a standalone Part D plan in June 2026, according to CMS enrollment data. That is about half of everyone on Medicare in the state, because Nebraska's Medicare Advantage share (34.2%) is far below the national average.

What changed in Nebraska's Part D market for 2027?

Fewer plans, higher standard costs and the end of a federal premium subsidy are the 2027 story. Here is what CMS and KFF report:

• Two plans leave Nebraska. CVS's SilverScript Choice and HCSC's HealthSpring Extra Rx are not offered in 2027. CVS has no standalone Part D plan in Nebraska for 2027.
• The standard deductible rises to $700, from $615 in 2026.
• The out-of-pocket cap rises to $2,400, from $2,100. After you hit it, covered drugs cost $0 for the rest of the year.
• The Part D Premium Stabilization Demonstration ended after 2026. It had held down premium increases for standalone plans.
• Premium spread. The lowest standalone premium in Nebraska for 2027 is $5.30 a month, and CMS says every Nebraska Part D enrollee can find a plan with a lower premium than they paid in 2026.
• Every plan has a premium. KFF reports that nationally, every standalone plan will charge a monthly premium in 2027 to people who don't get Extra Help.

Our news story on Part D changes for 2027 walks through the numbers, and the Part D out-of-pocket cap explains what counts toward the $2,400.

Why does the plan matter more than the company?

Each plan has its own formulary (the list of drugs it covers), its own tiers and its own preferred pharmacies. The same company can sell two plans that treat your prescriptions very differently. So the company name is a starting point, and your drug list decides.

What to compare for each plan:

1. Is every one of your drugs on the formulary? Check the exact drug and dose.
2. What tier is each drug on? Tiers set your copay or coinsurance.
3. Does the deductible apply to your drugs? Some plans skip the deductible on lower tiers.
4. Is your pharmacy preferred? Preferred pharmacies usually cost less.
5. What is the estimated total yearly cost? Premiums plus what you pay at the counter.

If you take a costly drug, the Medicare Prescription Payment Plan lets you spread your out-of-pocket costs over the year. It doesn't lower the total, but it can smooth out a big January bill. Insulin is capped at $35 for a month's supply under every Part D plan.

How do you check a Part D plan's 2027 Star Rating?

CMS gives each drug plan a Star Rating from 1 to 5, based on things like member experience, complaints and drug safety measures. The 2027 ratings post on Medicare.gov on or around October 8, 2026.

To look one up, enter your ZIP code and drugs in the Medicare.gov Plan Finder, then open a plan to see its overall rating and the measures behind it. A 5-star plan can be joined once between December 8 and November 30. See Medicare Star Ratings explained for what the scores do and don't measure.

What if you get Extra Help or have Medicaid?

Extra Help (the Part D Low-Income Subsidy) lowers your premium, deductible and copays. In 2027, people with Extra Help pay no more than $5.80 for a generic and $14.40 for a brand-name drug. CMS says 16.70% of Nebraskans in standalone plans get Extra Help.

If you have Extra Help or Medicaid, you can change standalone Part D plans once a month, with the change starting the first of the next month. People in a Medicare Savings Program qualify for Extra Help automatically. See Extra Help for the 2026 income and resource limits and how to apply through Social Security.

Where can you get unbiased help comparing drug plans?

The Medicare.gov Plan Finder compares every Nebraska plan on your own drug list at no cost. 1-800-MEDICARE (1-800-633-4227) is available 24 hours a day, 7 days a week (TTY 1-877-486-2048).

Nebraska SHIP (formerly SHIIP), part of the Nebraska Department of Insurance, offers unbiased one-on-one counseling at 1-800-234-7119. In Lincoln, Aging Partners' certified SHIP counselors can run a drug comparison too. See SHIP and other local help.

If you'd rather sit down with a licensed agent and go through your medications one by one, talk to me. I'm independent, this list is not a list of companies I represent, and my help costs you nothing. For Lincoln specifics, see Part D in Lincoln.