In short
- Hall County has 18 standard Medicare Advantage plans with drug coverage for 2027, up from 17, plus 9 standalone Part D plans sold statewide.
- UnitedHealthcare's remaining Hall County plan has no drug coverage, and Medicare does not let you add a standalone Part D plan to it.
- Hall County drug costs face the same federal 2027 limits as everywhere: a deductible of up to $700 (from $615) and a $2,400 cap (from $2,100).
- VA drug coverage counts as creditable, so veterans using the Grand Island VA can delay Part D without a penalty while they have it.
- The $50-a-month GLP-1 Bridge for weight loss drugs, extended through 2027, requires Part D coverage.
For some Grand Island households, the biggest 2027 Medicare decision is about prescriptions, not doctors. UnitedHealthcare's Hall County plans with drug coverage end, two standalone plans leave the state, and the federal deductible and cap both go up. This page covers drug coverage from a Grand Island address. For how Part D works in general, read the statewide Part D guide.
What are Grand Island's drug coverage options for 2027?
You can add one of 9 standalone Part D plans to Original Medicare, or get drug coverage inside a Medicare Advantage plan. The standalone plans are the same in Grand Island as in Omaha or Scottsbluff, because CMS offers them by region. The Advantage options are county by county.
| Drug coverage for a Hall County address | 2026 | 2027 |
|---|---|---|
| Standalone Part D plans (statewide) | 11 from 6 companies | 9 from 5 companies |
| Hall County Advantage plans with drug coverage | 17 of 20 | 18 of 21 |
The Hall County count rises slightly because Aetna returns with six plans that include drugs, which more than offsets UnitedHealthcare's exit. The Advantage plans with drugs for 2027 come from Aetna, Blue Cross and Blue Shield of Nebraska, Devoted Health, Medica, MyAdvocate and Wellcare. Premiums, pharmacy networks, formularies and the plans themselves vary by county and change every year.
What should UnitedHealthcare members in Hall County do about drug coverage?
Choose a plan that includes it, before December 7, 2026. For 2027, UnitedHealthcare's one remaining standard plan in Hall County is a no-drug HMO-POS. Under Medicare's rules, a standalone drug plan cannot be added to an HMO or PPO that leaves drugs out.
So, outside its special needs plans for people with Medicaid, staying with UnitedHealthcare in Hall County generally means going without Part D, unless you have VA or other creditable drug coverage. Your choices are another company's Advantage plan with drug coverage, or Original Medicare with a standalone Part D plan and, if you want one, a Medigap policy. The Grand Island Medicare Advantage page compares the remaining companies.
How do the 2027 Part D numbers change a Grand Island budget?
You may pay more early in the year and up to $300 more over the whole year. The yearly out-of-pocket cap rises to $2,400 from $2,100, and the maximum deductible to $700 from $615. After the deductible you generally pay 25% until you reach the cap, and then nothing more for covered drugs that year.
A few federal protections soften the hit:
- Insulin costs no more than $35 for a month's supply, with no deductible.
- The Medicare Prescription Payment Plan spreads your drug costs into monthly bills instead of a big January pharmacy total. See the payment plan guide.
- The GLP-1 Bridge charges $50 a month for certain weight loss drugs for people who qualify, through December 31, 2027. It requires Part D coverage, which is one more reason a plan without drugs can backfire.
To see which costs count toward the $2,400, read the out-of-pocket cap explainer.
How do veterans using the Grand Island VA handle Part D?
Many can delay it. Medicare lists VA coverage as creditable prescription drug coverage, so a veteran who gets prescriptions through the VA can skip Part D without a late penalty while that coverage lasts. For Hall County veterans, that often means the Grand Island VA Medical Center on North Broadwell Avenue.
Two cautions. If you join a Medicare Advantage plan without drug coverage, you cannot add Part D later without switching plans during an allowed window. And if you want to fill prescriptions from non-VA doctors at a local pharmacy, a Part D plan may still be worth it. The Medicare for veterans guide covers how the two programs fit.
Which pharmacy questions matter in Hall County?
Ask three before you enroll. Is my pharmacy in the plan's 2027 network? Is it preferred or standard? And what does mail order cost for my maintenance medications? The same store might be preferred on one plan and standard on the next, and the copay changes with it.
If you fill prescriptions in Lincoln, Omaha or Kearney when you travel there for specialists, check those pharmacies too. Bill runs your medication list against the plans available at your Hall County address, by phone or video, and can show you the yearly total at each pharmacy you use. Read more about why he starts there in medications first.
Where can Grand Island residents get help with drug costs?
Extra Help is the first place to look. The federal program cuts Part D costs for people with income up to $23,940 and resources up to $18,090 in 2026 ($32,460 and $36,100 for couples), and in 2027 it holds copays to no more than $5.80 for a generic and $14.40 for a brand-name drug. Social Security takes the applications. Medicare Savings Programs, which also qualify you for Extra Help, go through Nebraska DHHS at iServe Nebraska.
For hands-on help with forms, Midland Area Agency on Aging (402-463-4565 or 800-955-9714) runs Nebraska SHIP (formerly SHIIP) counseling for Hall County out of Hastings. SHIP also takes calls statewide at 1-800-234-7119, and 1-800-MEDICARE (1-800-633-4227) is staffed 24 hours a day, 7 days a week (TTY 1-877-486-2048). When your medication list is ready, talk to Bill.
Frequently asked questions
There are 9 standalone Part D plans from five companies, the same 9 offered everywhere in Nebraska, according to CMS. Hall County residents can also get drug coverage through 18 of the county's 21 standard Medicare Advantage plans. SilverScript Choice and HealthSpring Extra Rx drop out of Nebraska for 2027. Plans, premiums and pharmacy networks change every year.
CMS's 2027 files show no UnitedHealthcare plan with drug coverage in Hall County. Its only standard Hall County plan for 2027 has no Part D, and Medicare does not allow a separate drug plan alongside an HMO without drugs. Read your notice, then choose a plan with drug coverage, or Original Medicare plus a standalone Part D plan, between October 15 and December 7, 2026.
Usually, yes, while they have VA drug coverage. Medicare lists VA coverage as creditable prescription drug coverage, so you will not owe a late penalty for delaying Part D while you have it. If you lose VA coverage or decide to add Part D later, you will need a valid enrollment window. Keep records of your VA coverage in case a drug plan asks.
Possibly. The Medicare GLP-1 Bridge charges $50 a month for Wegovy, Zepbound KwikPen or Foundayo prescribed for weight management, and it runs through December 31, 2027. You must have Part D coverage through a standalone plan or a Medicare Advantage plan with drugs, meet body mass index and health requirements, and have your prescriber submit a prior approval form. The $50 does not count toward your deductible or cap.
Extra Help applications go to Social Security; a single person could qualify in 2026 with up to $23,940 in income and $18,090 in resources. For help with forms and choices, call Midland Area Agency on Aging in Hastings, the area's Nebraska SHIP partner, at 402-463-4565, or the statewide SHIP line at 1-800-234-7119. Medicare Savings Program applications go through Nebraska DHHS at iServe Nebraska.
Sources
- CMS: CY 2027 Medicare Advantage and Part D landscape files (opens in a new tab)
- CMS: 2027 Medicare Advantage and Part D state fact sheets (opens in a new tab)
- CMS: CY 2027 Rate Announcement (Part D parameters) (opens in a new tab)
- Medicare & You 2027 handbook (opens in a new tab)
- Medicare.gov: Medicare GLP-1 Bridge (opens in a new tab)
- CMS: GLP-1 Bridge and BALANCE Model status for 2027 (opens in a new tab)
- Medicare.gov: Help with drug costs (Extra Help) (opens in a new tab)
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. 1-800-MEDICARE (1-800-633-4227) is available 24 hours a day, 7 days a week. TTY users can call 1-877-486-2048.







