Abortion in Nebraska: Laws, cost, and how to access care

If you’re in Nebraska and need abortion care, you have safe, legal options—but access isn’t easy. There are only 2 abortion clinics in the entire state. State law bans telehealth for medication abortion, requires biased counseling and mandatory waiting periods, and restricts both private and Medicaid insurance coverage. That means most patients must travel long distances and navigate burdensome restrictions to get care.

This guide explains what abortion costs in Nebraska, what state law allows, and where you can find trusted providers in-state—or travel to nearby states like Colorado for virtual care through providers like Hey Jane. Hey Jane is a leading virtual abortion clinic in the U.S., but does not currently serve patients in Nebraska. 

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How much does an abortion cost in Nevada?

The average cost of abortion depends on factors like how far along the pregnancy is, what type of abortion you get, the provider you choose, and related costs like transportation and travel. While Hey Jane does not serve patients in Nebraska, below are the average costs Nebraska providers have reported to the research group ANSIRH.

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Does insurance cover an abortion in Nebraska?

It’s possible, but unlikely. Under Nebraska law, private insurance plans, including insurance plans purchased on the state marketplace, are banned from covering elective abortion care unless the pregnant person purchases a separate, optional rider specifically for abortion services or if the pregnant person’s life is at risk. 

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Does Medicaid cover abortion in Nebraska?

Generally, no. Nebraska’s Medicaid program (Healthy Blue) follows the Hyde Amendment, which restricts the use of federal funds for abortion except:

• When the pregnant person’s life or health are at risk.
• When a fetus has a lethal condition.
• In cases of rape and incest.

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Can I get help paying for an abortion? 

Yes—abortion funds can cover the full or partial cost of treatment as well as travel if you're not able to get care locally. Learn more about abortion funds and how they might be able to help you get the care you need.

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What you need to know about Nebraska abortion laws

Abortion is legal in Nebraska, but there are a number of restrictions. 

In November 2024, Nebraska voters narrowly rejected the Right to Abortion Constitutional Amendment, which would have protected the right to abortion care in the state until fetal viability. The measure failed by a very slim margin (50.99% “No” to 49.01% “Yes”). 

Because the amendment didn’t pass, Nebraska continues to allow abortion only before 12 weeks of pregnancy, with limited exceptions. Abortion seekers also have to navigate additional burdensome requirements, including:

• Delays and extra visits: Patients must attend biased, in-person counseling and wait at least 24 hours before getting care. These requirements can be waived if the pregnant person’s life is at risk.
• Insurance restrictions: Nebraska Medicaid does not cover abortion except in extremely limited circumstances, and restricts private and state marketplace insurance plans in the same way.
• Telehealth ban: Medication abortion is not allowed to be prescribed through virtual providers, meaning services through Hey Jane are not available to patients in Nebraska. 
• Permission for minors: Parental notification and consent are required, though a judge may be able to waive this requirement.

Nebraska’s abortion laws are constantly evolving. Stay up to date on the latest.

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How late can you get an abortion in Nebraska?

Abortion is legal in Nebraska before 12 weeks of pregnancy. After that, abortion is only allowed if:

• The pregnant person is experiencing a medical emergency.
• The pregnancy is a result of rape or incest.

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Who can get an abortion in Nebraska?

Anyone with a uterus can get an abortion in Nebraska before 12 weeks of pregnancy.

Residency is not required, so people from other states can travel to Nebraska for care. Residents may also travel to other states where abortion is less restricted.

College students, military servicemembers, undocumented individuals, and minors all have the right to seek abortion care within these timeframes as well. 

However, parental involvement is required for abortion seekers under 18 years old. If a minor patient cannot get permission for abortion care from their parent(s) and/or guardian(s), they can ask to skip this requirement through a judicial bypass.

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What types of abortion are available in Nebraska?

There are two main types of abortion:

• Medication abortion (the abortion pill): Uses two medications, mifepristone and misoprostol, to end a pregnancy. It’s typically available up to 10 weeks of pregnancy at in-person clinics. Telehealth abortion care, such as through Hey Jane, is banned in Nebraska.
• Procedural abortion (in-clinic): A clinician uses gentle suction to empty the uterus in a quick 5-15 minute procedure. This option is available before 12 weeks of pregnancy in Nebraska with some exceptions.

Both methods are safe, effective, and commonly used in the U.S. The right option for you depends on how far along your pregnancy is, your health history, and your personal preference. You can use our pregnancy calculator to understand how many weeks pregnant you are—as well as learn about your options.

Where can I get an abortion in Nebraska?

Although abortion is legal in Nebraska, access is extremely limited. As of October 2025, there are only 2 abortion clinics in Nebraska—one each in Bellevue and Omaha.

Access is further strained as neighboring states Iowa, Missouri, and South Dakota have stricter abortion laws than Nebraska. This means that patients from those states may also depend on Nebraska’s two clinics. 

If you live outside of Bellevue or Omaha, you may need to travel there—or to a nearby state—to access abortion care. Your options will depend on how far along you are in your pregnancy and the type of abortion you’re looking for.

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If you can travel or are near the border of Nebraska, you may be able to get care through Hey Jane. Hey Jane provides access to abortion pills by mail to 22 states, including nearby Colorado. If you’re physically located anywhere in one of these states, you can start your consultation right away. Once approved, you can have your medications shipped to any convenient in-state address—such as a hotel, Airbnb, friend’s house, PO Box, or FedEx pickup location.

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Beware of fake clinics in Nebraska

When looking for an abortion provider, make sure to use trusted resources like INeedAnA.com or AbortionFinder. That’s because there are fake clinics, (sometimes called crisis pregnancy centers) that may seem like a real clinic but are not—and they try to convince abortion seekers to continue their pregnancy. These fake clinics often use misinformation or scare tactics to prevent people from accessing real abortion care, and are not bound by HIPAA to keep medical information private. (Horrible, we know!)

Nebraska has at least 23 fake abortion clinics—this means there are more than 11 times as many fake clinics as there are real ones. Because fake clinics often change names or aren’t consistently tracked, different sources list slightly different information. If you’re not sure about a clinic, you can check either exposefakeclinics.com and crisispregnancycentermap.com for the most complete picture. 

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Abortion in Nebraska is safe and legal

And it’s a basic health care need for millions of people who can become pregnant. In fact, about 1 in 4 people with a uterus will have at least one abortion in their lifetime.

Despite this, state restrictions and the lack of in-person providers can make it harder to access care in Nebraska—but not impossible. 

If you need help finding a trusted provider, use resources like Abortion Finder, INeedAnA.com, or Plan C to explore your options. And if you can travel to a neighboring state like Colorado, you may be eligible for virtual abortion care with Hey Jane.