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Health Insurance Marketplace Open Enrollment Snapshot - Week 10

Date
2016-01-13
Title
Health Insurance Marketplace Open Enrollment Snapshot - Week 10
Contact
go.cms.gov/media

Health Insurance Marketplace Open Enrollment Snapshot - Week 10
January 3, 2016 - January 9, 2016

Since Open Enrollment began on November 1, nearly 8.7 million consumers signed-up for health coverage through the HealthCare.gov platform or had their coverage automatically renewed. This week’s snapshot includes weekly and cumulative data for enrollment through HealthCare.gov, a breakdown of cumulative data for 38 states using the HealthCare.gov platform, and for the first time this Open Enrollment, cumulative data for certain local areas.

“Consumers have only two days left before the January 15 deadline to sign up for coverage starting February 1,” HHS Secretary Sylvia Burwell said. “We saw unprecedented demand for January 1st coverage and continue to make steady progress signing up new customers as open enrollment proceeds. We are focused on educating customers about the affordable options at HealthCare.gov and providing them the help they need to make the best coverage choices.”

Similar to last year, each week, the Centers for Medicare and Medicaid Services (CMS) will release weekly Open Enrollment snapshots for the HealthCare.gov platform, which is used by the Federally-facilitated Marketplaces and State Partnership Marketplaces, as well as some State-based Marketplaces. These snapshots provide point-in-time estimates of weekly plan selections, call center activity and visits to HealthCare.gov or CuidadoDeSalud.gov. The final number of plan selections associated with enrollment activity to date could fluctuate as plan changes or cancellations occur, such as in response to life changes like starting a new job or getting married. In addition, the weekly snapshot only looks at plan selections and does not include the number of consumers who paid their premiums to effectuate their enrollment.

HHS will continue to produce more detailed reports that look at plan selections across the Federally-facilitated Marketplace and State-based Marketplaces later in the Open Enrollment period.

Definitions and details on the data are included in the glossary.

Federal Marketplace Snapshot

Federal Marketplace Snapshot Week 10
Jan 3  – Jan 9
Cumulative
Nov 1 – Jan 9
Plan Selections (net) 74,239 8,682,471
Applications Submitted (Number of Consumers) 253,565 11,066,884
Call Center Volume 830,465 10,397,132
Average Call Center Wait Time 1 minute 21 seconds 10 minutes 33 seconds
Calls with Spanish Speaking Representative 63,777 619,274
Average Wait for Spanish Speaking Rep 9 seconds 20 seconds
HealthCare.gov Users 1,970,588 21,283,462
CuidadoDeSalud.gov Users 148,444 1,079,026
Window Shopping HealthCare.gov Users 503,652 7,491,314
Window Shopping CuidadoDeSalud.gov Users 10,110 147,314

HealthCare.gov State-by-State Snapshot

Consumers across the country continued to explore their health insurance options by reaching out to a call center representative at 1-800-318-2596, attending enrollment events in their local communities, or visiting HealthCare.gov or CuidadoDeSalud.gov. Individual plan selections for the states using the HealthCare.gov platform include:

Week 10 Cumulative Plan Selections
Nov 1 – Jan 9
Alabama 179,115
Alaska 21,671
Arizona 176,089
Arkansas 66,635
Delaware 26,698
Florida 1,583,088
Georgia 522,895
Hawaii 11,949
Illinois 348,932
Indiana 183,185
Iowa 50,083
Kansas 89,229
Louisiana 193,249
Maine 78,891
Michigan 325,200
Mississippi 96,984
Missouri 260,798
Montana 55,474
Nebraska 80,128
Nevada 77,411
New Hampshire 51,048
New Jersey 262,400
New Mexico 48,385
North Carolina 563,830
North Dakota 20,046
Ohio 226,156
Oklahoma 130,700
Oregon 134,629
Pennsylvania 411,675
South Carolina 203,634
South Dakota 23,320
Tennessee 238,945
Texas 1,120,440
Utah 153,222
Virginia 390,029
West Virginia 34,827
Wisconsin 220,260
Wyoming 21,221

HealthCare.gov Local Area Snapshot

The Week 10 snapshot includes, for the first time this Open Enrollment, a look at plan section by Designated Market Areas (DMAs) which are local media markets. This data provides another level of detail to better understand total plan selections within local communities. Some DMAs include one or more counties in a state that is not using the HealthCare.gov platform in 2016. Plan selections for those DMAs only include data for the portions of these areas that are using the HealthCare.gov platform, so the cumulative totals in the snapshot do not represent plan selections for the entire DMA. In addition, some DMAs cross into multiple states that use the HealthCare.gov platform and those totals are cumulative for all HealthCare.gov states in that DMA. Because some communities do not fall into a DMA, cumulative plan selections for local markets will not total the national cumulative plan selection number.

Local Markets in HealthCare.gov States 

State

Cumulative Plan Selections

Nov 1 – Jan 9

Abilene-Sweetwater

Texas

9,364

Albany

Georgia

14,939

Albuquerque-Santa Fe

New Mexico

41,433

Alexandria

Louisiana

8,770

Alpena

Michigan

1,941

Amarillo

Texas

13,279

Anchorage

Alaska

13,942

Atlanta

Georgia

394,458

Augusta

Georgia

29,967

Austin

Texas

112,628

Bangor

Maine

22,144

Baton Rouge

Louisiana

41,186

Beaumont-Port Arthur

Texas

13,541

Bend

Oregon

9,967

Billings

 Montana

15,640

Biloxi-Gulfport

Mississippi

8,802

Birmingham (Ann and Tusc)

Alabama

70,898

Bluefield-Beckley-Oak Hill

West Virginia

7,391

Boise

Idaho

875

Boston (Manchester)

Massachusetts

40,712

Buffalo

New York

1,217

Burlington-Plattsburgh

Vermont

4,818

Butte-Bozeman

Montana

9,264

Casper-Riverton

Wyoming

4,604

Cedar Rapids-Wtrlo-Iwc & Dub

Iowa

15,251

Champaign & Sprngfld-Decatur

Illinois

22,852

Charleston

South Carolina

41,274

Charleston-Huntington

West Virginia

16,116

Charlotte

North Carolina

189,940

Charlottesville

Virginia

15,145

Chattanooga

Tennessee

36,393

Cheyenne-Scottsbluf

Wyoming

6,038

Chicago

Illinois

278,687

Cincinnati

Ohio

44,946

Clarksburg-Weston

West Virginia

5,737

Cleveland-Akron (Canton)

Ohio

81,207

Columbia

South Carolina

39,227

Columbia-Jefferson City

Missouri

20,853

Columbus

Georgia

18,677

Columbus

Ohio

44,189

Columbus-Tupelo-West Point

Mississippi

12,678

Corpus Christi

Texas

17,604

Dallas-Ft. Worth

Texas

333,105

Davenport-R. Island-Moline

Iowa/Illinois

16,188

Dayton

Ohio

21,450

Denver

Colorado

6,705

Des Moines-Ames

Iowa

18,680

Detroit

Michigan

168,624

Dothan

Alabama

8,962

Duluth-Superior

Minnesota

6,535

El Paso (Las Cruces)

Texas

56,719

Elmira (Corning)

New York

1,149

Erie

Pennsylvania

8,425

Eugene

Oregon

18,871

Evansville

Indiana

14,057

Fairbanks

Alaska

2,660

Fargo-Valley City

North Dakota

10,393

Flint-Saginaw-Bay City

Michigan

29,645

Ft. Myers-Naples

Florida

84,257

Ft. Smith-Fay-Sprngdl-Rgrs

Arkansas

21,599

Ft. Wayne

Indiana

21,401

Gainesville

Florida

18,136

Glendive

Montana

530

Grand Rapids-Kalmzoo-B.Crk

Michigan

65,950

Great Falls

Montana

7,695

Green Bay-Appleton

Wisconsin

49,004

Greensboro-H.Point-W.Salem

North Carolina

101,278

Greenville-N.Bern-Washngtn

North Carolina

40,539

Greenvll-Spart-Ashevll-And

North Carolina

110,013

Greenwood-Greenville

Mississippi

6,780

Harlingen-Wslco-Brnsvl-Mca

Texas

48,639

Harrisburg-Lncstr-Leb-York

Pennsylvania

59,028

Harrisonburg

Virginia

11,652

Hattiesburg-Laurel

Mississippi

10,713

Helena

Montana

2,581

Honolulu

Hawaii

11,949

Houston

Texas

298,346

Huntsville-Decatur

Alabama

35,878

Idaho Falls-Pocatello

Idaho

2,711

Indianapolis

Indiana

83,652

Jackson

Mississippi

38,558

Jackson

Tennessee

10,827

Jacksonville

Florida

94,591

Johnstown-Altoona

Pennsylvania

18,691

Jonesboro

Arkansas

5,419

Joplin-Pittsburg

Missouri

14,679

Juneau

Alaska

3,010

Kansas City

Kansas/Missouri

98,082

Knoxville

Tennessee

47,986

La Crosse-Eau Claire

Wisconsin

23,137

Lafayette

Indiana

3,102

Lafayette

Louisiana

24,003

Lake Charles

Louisiana

6,591

Lansing

Michigan

14,667

Laredo

Texas

12,225

Las Vegas

Nevada

54,593

Lima

Ohio

1,571

Lincoln & Hastings-Krny

Nebraska

35,750

Little Rock-Pine Bluff

Arkansas

32,178

Louisville

Kentucky

8,392

Lubbock

Texas

12,182

Macon

Georgia

21,213

Madison

Wisconsin

32,594

Marquette

Michigan

9,300

Medford-Klamath Falls

Oregon

13,730

Memphis

Tennessee

56,059

Meridian

Mississippi

3,875

Miami-Ft. Lauderdale

Florida

588,183

Milwaukee

Wisconsin

79,557

Minneapolis-St. Paul

Minnesota

10,795

Minot-Bismarck-Dickinson

North Dakota

11,302

Missoula

Montana

19,701

Mobile-Pensacola (Ft Walt)

Alabama

61,110

Monroe-El Dorado

Louisiana/Arkansas

19,782

Montgomery-Selma

Alabama

18,961

Myrtle Beach-Florence

Florida

38,001

Nashville

Tennessee

95,498

New Orleans

Louisiana

79,984

New York

New York

207,404

Norfolk-Portsmth-Newpt News

Virginia

75,197

North Platte

Nebraska

1,602

Odessa-Midland

Texas

11,345

Oklahoma City

Oklahoma

66,171

Omaha

Nebraska

35,793

Orlando-Daytona Bch-Melbrn

Florida

294,236

Ottumwa-Kirksville

Missouri

3,547

Paducah-Cape Girard-Harsbg

Illinois/Kentucky/Missouri

20,183

Panama City

Florida

20,405

Parkersburg

West Virginia

2,965

Peoria-Bloomington

Illinois

12,530

Philadelphia

Pennsylvania

275,638

Phoenix (Prescott)

Arizona

125,265

Pittsburgh

Pennsylvania

76,399

Portland

Oregon

87,649

Portland-Auburn

Maine

57,848

Presque Isle

Maine

4,035

Quincy-Hannibal-Keokuk

Illinois/Missouri/Iowa

7,059

Raleigh-Durham (Fayetvlle)

North Carolina

150,939

Rapid City

South Dakota

7,162

Reno

Nevada

21,251

Richmond-Petersburg

Virginia

72,720

Roanoke-Lynchburg

Virginia

49,112

Rochestr-Mason City-Austin

Minnesota/Iowa

1,317

Rockford

Illinois

12,270

Salisbury

Maryland

6,897

Salt Lake City

Utah

153,763

San Angelo

Texas

4,307

San Antonio

Texas

101,863

Savannah

Georgia

43,716

Sherman-Ada

Texas

8,850

Shreveport

Louisiana

33,634

Sioux City

Iowa

9,748

Sioux Falls(Mitchell)

South Dakota

17,460

South Bend-Elkhart

Indiana

23,907

Spokane

Washington

1,283

Springfield

Missouri

51,653

St. Joseph

Missouri

3,685

St. Louis

Missouri

120,460

Tallahassee-Thomasville

Florida

25,185

Tampa-St. Pete (Sarasota)

Florida

260,266

Terre Haute

Indiana

9,440

Toledo

Ohio

17,735

Topeka

Kansas

11,443

Traverse City-Cadillac

Michigan

24,968

Tri-Cities

Tennessee

24,187

Tucson (Sierra Vista)

Arizona

29,979

Tulsa

Oklahoma

45,241

Tyler-Longview(Lfkn&Ncgd)

Texas

22,045

Victoria

Texas

2,030

Waco-Temple-Bryan

Texas

24,708

Washington, DC (Hagerstown)

 

167,238

Wausau-Rhinelander

Wisconsin

20,275

West Palm Beach-Ft. Pierce

Florida

176,371

Wheeling-Steubenville

Ohio

6,687

Wichita Falls & Lawton

Texas

9,680

Wichita-Hutchinson Plus

Kansas

34,056

Wilkes Barre-Scranton

Pennsylvania

44,090

Wilmington

Delaware

31,485

Yakima-Pasco-Rchlnd-Knnwck

Oregon

1,710

Youngstown

Ohio

13,804

Yuma-El Centro

Arizona

3,313

Zanesville

Ohio

1,196

Glossary

Plan Selections:  The weekly and cumulative metrics provide a preliminary total of those who have submitted an application and selected a plan. Each week’s plan selections reflect the total number of plan selections for the week and cumulatively from the beginning of Open Enrollment to the end of the reporting period, net of any cancellations from a consumer or cancellations from an insurer during that time.

Because of further automation in communication with issuers, the number of net plan selections reported this year account for issuer-initiated plan cancellations that occur before the end of Open Enrollment for reasons such as non-payment of premiums. This change will result in a larger number of cancellations being accounted for during Open Enrollment than last year. Last year, these cancellations were reflected only in reports on effectuated enrollment after the end of Open Enrollment. As a result, there may also be a smaller difference this year between plan selections at the end of Open Enrollment and subsequent effectuated enrollment, although some difference will remain because plan cancellations related to non-payment of premium will frequently occur after the end of Open Enrollment.

Plan selections include those consumers who are automatically re-enrolled into their current plan or another plan with similar benefits, which occurs at the end of December.

To have their coverage effectuated, consumers generally need to pay their first month’s health plan premium. This release does not include totals for effectuated enrollments.

Marketplace: Generally, references to the Health Insurance Marketplace in this report refer to 38 states that use the HealthCare.gov platform. The states using the HealthCare.gov platform are Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Louisiana, Maine, Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.

HealthCare.gov States: The 38 states that use the HealthCare.gov platform for the 2016 benefit year, including the Federally-facilitated Marketplace, State Partnership Marketplaces and State-based Marketplaces.

Local Markets: Cumulative plan selections for local markets are based on Designated Market Areas (DMAs) which are media markets. Some DMAs include one or more counties in a state that is not using the HealthCare.gov platform in 2016. Plan selections for those DMAs only include data for the portions of these areas that are using the HealthCare.gov platform, so the cumulative totals in the snapshot do not represent plan selections for the entire DMA.

Applications Submitted:  This includes a consumer who is on a completed and submitted application or who, through the automatic re-enrollment process, which occurs at the end of December, had an application submitted to a Marketplace using the HealthCare.gov platform. If determined eligible for Marketplace coverage, a new consumer still needs to pick a health plan (i.e., plan selection) and pay their premium to get covered (i.e., effectuated enrollment). Because families can submit a single application, this figure tallies the total number of people on a submitted application (rather than the total number of submitted applications).

Call Center Volume:  The total number of calls received by the Federally-facilitated Marketplace call center over the course of the week covered by the snapshot or from the start of Open Enrollment. Calls with Spanish speaking representatives are not included.

Calls with Spanish Speaking Representative:  The total number of calls received by the Federally-facilitated Marketplace call center where consumers chose to speak with a Spanish-speaking representative. These calls are not included within the Call Center Volume metric.

Average Call Center Wait Time: The average amount of time a consumer waited before reaching a customer service representative. The cumulative total averages wait time over the course of the extended time period.

HealthCare.gov or CuidadodeSalud.gov  Users: These user metrics total how many unique users viewed or interacted with HealthCare.gov or CuidadodeSalud.gov, respectively, over the course of a specific date range. For cumulative totals, a separate report is run for the entire Open Enrollment period to minimize users being counted more than once during that longer range of time and to provide a more accurate estimate of unique users. Depending on an individual’s browser settings and browsing habits, a visitor may be counted as a unique user more than once.

Window Shopping HealthCare.gov Users or CuidadoDeSalud.gov Users: These user metrics total how many unique users interacted with the window-shopping tool at HealthCare.gov or CuidadoDeSalud.gov, respectively, over the course of a specific date range. For cumulative totals, a separate report is run for the entire Open Enrollment period to minimize users being counted more than once during that longer range of time and to provide a more accurate estimate of unique users. Depending on an individual’s browser settings and browsing habits, a visitor may be counted as a unique user more than once. Users who window-shopped are also included in the total HealthCare.gov or CuidadoDeSalud.gov user total.