Alyssa Lane
Nebraska Total Care Inc. is a health insurance provider committed to improving the health of its beneficiaries through focused, compassionate, and coordinated care. It offers Medicaid programs for low-income individuals of all ages, including adults under 65 with incomes up to 138% of the poverty level, and seniors in nursing homes. The state of Nebraska also provides multiple pathways to Medicaid eligibility, such as the Medically Needy Pathway, allowing individuals with high medical expenses to become income-eligible by paying a share of cost. Applications for Nebraska Medicaid can be made online or by phone at any time during the year.
| Characteristics | Values |
|---|---|
| Company Name | Nebraska Total Care Inc. |
| Company Goal | Improve the health of beneficiaries through focused, compassionate, and coordinated care |
| Application Process | Applications can be made online or by phone at any time during the year |
| Online Application | HealthCare.gov or ACCESSNebraska |
| Phone Application | HealthCare.gov call center: 800-318-2596 |
| Other Application Methods | Call (855) 632-7633 or visit a local Public Assistance office |
| Eligibility | Adults under 65 with income up to 138% of the poverty level; seniors with high medical expenses may also be eligible through the Medically Needy Pathway |
| Income Limit for 2025 | $1,255/month for a single Nursing Home Medicaid applicant |
| Asset Limit for 2025 | $4,000 for a single Nursing Home Medicaid applicant |
| Additional Benefits | FindHelp resource tool connects members with local programs offering support for food, shelter, healthcare, money, education, and more |
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What You'll Learn
Eligibility criteria for NE Medicaid
Nebraska Total Care Inc. is a health insurance provider that offers Medicaid and health insurance to individuals in Nebraska. Nebraska Medicaid (Heritage Health for most enrollees) is available to adults under the age of 65 with an income of up to 138% of the poverty level. This includes cash gifts, employment wages, alimony payments, pension payments, Social Security Disability Income, Social Security Income, IRA withdrawals, and stock dividends.
Nebraska Medicaid also provides long-term care programs for seniors aged 65 and above. This includes Institutional/Nursing Home Medicaid, which is an entitlement program provided only in nursing homes, and Medicaid Waivers/Home and Community-Based Services (HCBS), which is not an entitlement program and has limited participant capacity.
To enrol in Nebraska Medicaid, individuals can submit an application at any time during the year. Applications can be made online via HealthCare.gov or by calling the HealthCare.gov call centre at 800-318-2596. Alternatively, individuals can enrol online at ACCESSNebraska or by calling (855) 632-7633. The Do I Qualify screening tool at ACCESSNebraska can help determine eligibility for public programs, including potential benefits beyond Medicaid.
It is important to note that not meeting all the criteria does not necessarily mean ineligibility for Nebraska Medicaid. Individuals can take the Medicaid Eligibility Test to assess their eligibility.
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NE Medicaid application process
Nebraska Total Care Inc. is a health insurance provider committed to improving the health of its beneficiaries through focused, compassionate, and coordinated care. It is a Managed Care Organization and a subsidiary of Centene Corporation. Nebraska Total Care aims to deliver quality healthcare in Nebraska through local, regional, and community-based resources. They also offer a findhelp resource tool that connects members and caregivers with local programs and support for food, shelter, healthcare, money, education, and more.
Nebraska Total Care appears to be a strong option for Medicaid insurance in Nebraska, but it is unclear if it is the 'best' as this is subjective and depends on individual needs and preferences.
The NE Medicaid application process can be started online at HealthCare.gov or by phone via the HealthCare.gov call center at 800-318-2596. Applications can be submitted at any time during the year, and you can also apply online at ACCESSNebraska, by calling (855) 632-7633, or by visiting a local Public Assistance office.
If you appear eligible for Medicaid based on your initial application, HealthCare.gov will send your information to Nebraska Medicaid, and they will contact you to complete the enrollment process. The Do I Qualify screening tool at ACCESSNebraska can help determine which public programs you may be eligible for, and you may be able to enroll in benefits beyond Medicaid.
Nebraska Medicaid (Heritage Health for most enrollees) is available for adults under 65 with an income up to 138% of the poverty level due to Medicaid expansion that took effect in October 2020.
Accessing Healthcare Without Insurance or Medicaid
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NE Medicaid insurance options
Nebraska Total Care Inc. is a Managed Care Organization and subsidiary of Centene Corporation (Centene) that provides Medicaid and health insurance in Nebraska. It aims to improve the health of its beneficiaries through focused, compassionate, and coordinated care. Nebraska Total Care's health insurance programs are committed to transforming the health of the community one individual at a time by delivering quality healthcare in the state of Nebraska through local, regional, and community-based resources.
UnitedHealthcare also offers Nebraska Medicaid Community Plans, including Heritage Health for Nebraska children, families, pregnant women, and adults who meet income requirements. They also offer extra support to adults with special healthcare needs or disabilities. UnitedHealthcare offers Individual and Family ACA plans in Nebraska with Bronze, Silver, and Gold metal levels, each with a range of benefits, including reliable support from customer service experts. Additionally, they provide transportation to WIC appointments, prenatal/parenting classes, Alcoholics Anonymous/Narcotics Anonymous meetings, and door and window alarms to minimize wandering for individuals with disabilities.
Nebraska Medicaid (Heritage Health for most enrollees) is available to adults under 65 with incomes up to 138% of the poverty level due to Medicaid expansion. There is also a Medically Needy Pathway for individuals with income over the Medicaid limit but high medical expenses. This program allows seniors to become income-eligible by paying a "share of cost" or "spenddown" on medical expenses. Nebraska offers three categories of Medicaid long-term care programs with differing financial and medical eligibility requirements, which change annually and vary with marital status.
To apply for Nebraska Medicaid, you can submit an application at any time during the year online at HealthCare.gov or iServe Nebraska, or by phone through the HealthCare.gov call center at 800-318-2596. You can also apply by calling (855) 632-7633 or visiting a local Public Assistance office or your nearest DHHS office. To renew your Medicaid coverage, visit ACCESSNebraska.
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NE Medicaid long-term care programs
In Nebraska, Medicaid is also called the Nebraska Medical Assistance Program. This program covers the cost of long-term care in nursing homes, assisted living residences, and beneficiary homes. The long-term care programs are different from regular Medicaid, which is available for financially limited people of all ages. Nebraska Medicaid Long Term Care applicants and recipients may also want to consider protecting their homes and other assets from estate recovery. States are required by law to collect reimbursement for long-term care after the death of Medicaid recipients. This is done through Medicaid Estate Recovery Programs (MERPs).
Nebraska's Aged, Blind, and Disabled (ABD) Medicaid provides healthcare coverage and long-term care services to financially limited Nebraska residents who are aged (65 and over), blind, or disabled and live in the community. ABD Medicaid beneficiaries can receive long-term care benefits through the Personal Assistance Services (PAS) program and the Program of All-Inclusive Care for the Elderly (PACE). For ABD Medicaid applicants who require long-term care services, the state will administer an assessment of their ability to perform Activities of Daily Living (ADLs) to determine the kind of long-term care benefits the state will cover.
Nebraska Total Care Inc. is a Managed Care Organization and subsidiary of Centene Corporation (Centene) that provides health insurance programs to improve the health of its beneficiaries through focused, compassionate, and coordinated care.
To apply for Medicaid in Nebraska, applicants can submit an application at any time during the year online or by phone. If it looks like the applicant is eligible for Medicaid, HealthCare.gov will send their information to Nebraska Medicaid, which will contact them to complete the enrollment. Applicants can also enroll online at ACCESSNebraska at any time.
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NE Medicaid income and asset limits
Nebraska Total Care Inc. is a health insurance provider committed to improving the health of its beneficiaries through focused, compassionate, and coordinated care. However, it is not immediately clear whether this is a Medicaid insurance provider.
Nebraska Medicaid (Heritage Health for most enrollees) coverage is available for adults under the age of 65 with an income of up to 138% of the poverty level. Each of the three categories of Medicaid long-term care programs has differing financial and medical eligibility requirements. The criteria change annually and vary with marital status, and Nebraska offers multiple pathways towards eligibility.
In 2025, a single Nursing Home Medicaid applicant in Nebraska must meet the following criteria:
- Income under $1,255 per month
- Assets under $4,000
- Require a Nursing Home Level of Care
Nebraska has a 60-month Medicaid Look-Back Period that immediately precedes one's Nursing Home Medicaid or Medicaid Waiver application date. During this period, Medicaid checks to ensure no assets were gifted or transferred under fair market value by the applicant and/or their spouse. If the Look-Back Period has been violated, it is assumed to have been done so to meet Medicaid’s asset limit, and a Penalty Period of Medicaid ineligibility will be established.
It is important to note that not meeting all of the criteria does not mean one is ineligible or cannot become eligible for Medicaid in Nebraska. Seniors who do not meet the income and/or asset limit(s), or are unsure, should strongly consider Medicaid Planning. The Medicaid application process can be complicated and lengthy.
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Frequently asked questions
NE Medicaid Insurance, also known as Nebraska Total Care Inc., is a health insurance program committed to improving the health of its beneficiaries through focused, compassionate, and coordinated care.
NE Medicaid Insurance is available for adults under the age of 65 with an income of up to 138% of the poverty level. There are also specific eligibility criteria for long-term care programs, which include income and asset limits. Additionally, Nebraska has a Share of Cost Program for individuals with income over the Medicaid limit but high medical expenses.
You can submit an application for NE Medicaid Insurance at any time during the year. Applications can be made online through HealthCare.gov or by calling their call center at 800-318-2596. You can also apply by calling (855) 632-7633 or by visiting a local Public Assistance office.
NE Medicaid Insurance provides coverage for a range of healthcare services, including nursing facility care, assisted living services, and non-medical supports for seniors to remain living at home. They also offer resources to help members access local programs and support for food, shelter, healthcare, education, and jobs.
