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Biweekly Enrollment Snapshot

Date
2016-12-14
Title
Biweekly Enrollment Snapshot
Contact
press@cms.hhs.gov

Biweekly Enrollment Snapshot

WEEKS 5 AND 6, NOV 27 – DEC 10, 2016 

Heading into the final days before the December 15 deadline for January 1 coverage, millions of Americans are coming to HealthCare.gov and signing up for Health Insurance Marketplace plans, demonstrating the strong demand for quality, affordable coverage. As of December 10, over 4 million people had selected plans using HealthCare.gov since Open Enrollment began November 1, including over 1.1 million new consumers and 2.9 million renewing their coverage.

Since December 10, sign-up activity has accelerated. With the December 15 deadline for January 1 coverage approaching, the last two days – Monday, December 12 and Tuesday, December 13 – have been two of the biggest days of any Open Enrollment, with more than 700,000 sign-ups.

“Momentum is building,” said Department of Health and Human Services Secretary Sylvia Burwell.  “As we approach the December 15th deadline for consumers to get coverage that begins January 1st, we’re seeing hundreds of thousands of consumers each day signing up for coverage they want and need. I encourage anyone who needs health insurance for 2017 to join the millions already signed up and visit HealthCare.gov to check out their options by December 15th. Most Marketplace consumers can find plans for less than $75 per month in premiums, and it’s easier than ever to shop and compare your options on HealthCare.gov.”

This report covers the period from November 27 through December 10, 2016. In addition to national and state-by-state data, today’s snapshot is the first this year to include plan selection estimates for top local markets in states using HealthCare.gov.  

As in past years, enrollment weeks are measured Sunday through Saturday. Since Open Enrollment began on a Tuesday this year, the cumulative totals reported in this snapshot reflect two fewer days than last year’s Week 6 snapshot. There were over 250,000 more plan selections during the first 40 days of Open Enrollment this year than last year.

Every two weeks during Open Enrollment, the Centers for Medicare and Medicaid Services (CMS) will release 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 biweekly plan selections, call center activity, and visits to HealthCare.gov or CuidadoDeSalud.gov. The final number of plan selections associated with enrollment activity during a reporting period may change as plan modifications or cancellations occur, such as due to life changes like starting a new job or getting married. In addition, as in previous years, the biweekly snapshot only reports new plan selections, active plan renewals and, starting at the end of December, auto-renewals; it does not report the number of consumers who have paid premiums to effectuate their enrollment.

Later in the Open Enrollment period, HHS will produce more detailed reports that look at plan selections across the Marketplace, including both states using the HealthCare.gov platform and State-based Marketplaces using their own enrollment platforms.

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

Federal Marketplace Snapshot

Federal Marketplace Snapshot Weeks 5 and 6
Nov 27 - Dec 10
Cumulative
Nov 1 - Dec 10
Plan Selections (net) 1,877,922 4,015,709
New Consumers 584,015 1,103,507
Consumers Renewing Coverage 1,293,977 2,912,202
Consumers of Applications Submitted 2,528,213 6,390,812
Call Center Volume 2,105,461 4,651,312
Calls with Spanish Speaking Representatives 140,370 313,012
Healthcare.gov Users 6,505,678 13,373,615
CuidadodeSalud.gov Users 208,177 430,516
Window Shopping Healthcare.gov Users 707,353 2,309,887
Window Shopping CuidadodeSalud.gov Users 11,531 33,138

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 6 Cumulative
Nov 1 - Dec 10
Alabama 82, 437
Alaska 8,749
Arizona 76,072
Arkansas 25,572
Delaware 11,446
Florida 878,670
Georgia 208,433
Hawaii 8,164
Illinois 144,181
Indiana 70,971
Iowa 22,985
Kansas 46,538
Kentucky 40,898
Louisiana 51,409
Maine 33,564
Michigan 131,989
Mississippi 33,506
Missouri 117,245
Montana 24,308
Nebraska 44,862
Nevada 37,790
New Hampshire 21,514
New Jersey 127,840
New Mexico 23,078
North Carolina 238,414
North Dakota 9,174
Ohio 97,462
Oklahoma 59,313
Oregon 74,668
Pennsylvania 190,719
South Carolina 94,311
South Dakota 15,307
Tennessee 104,666
Texas 449,094
Utah 90,042
Virginia 176,667
West Virginia 14,909
Wisconsin 117,695
Wyoming 11,407

HealthCare.gov Local Area Snapshot

The Week 6 snapshot includes, for the first time this Open Enrollment, a look at plan selection by top 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 for 2017. Plan selections for those DMAs only include data for the portion of the DMA that is using the HealthCare.gov platform, so the amounts reported in the snapshot do not represent plan selections for the entire DMA. However, in cases where a DMA includes portions of multiple states but all of those states use the HealthCare.gov platform, the reported amounts reflect the whole DMA. Because not all DMAs are listed in the table, the amounts reported for local markets will not sum to the national total. Later in the Open Enrollment period we will be reporting enrollments for all DMAs.

Local Markets in Healthcare.gov States State Cumulative Plans Selections
Nov 1 - Dec 10
Atlanta Georgia 158,235
Austin Austin 40,043
Charlotte North Carolina 78,649
Chicago Illinois 108,238
Dallas - Ft. Worth Texas 120,726
Detroit Michigan 62,243
Ft. Myers - Naples Florida 53,177
Greensboro - H. Point - W. Salem North Carolina 41,383
Greenvll - Spart - Ashevll - And North Carolina 51,749
Harlingen - Wslco - Brnsvl - Mca Texas 20,816
Houston Texas 141,624
Jacksonville Florida 46,005
Kansas City Kansas/Missouri 43,711
Miami - Ft. Lauderdale Florida 343,473
Milwaukee Wisconsin 44,611
Mobile - Pensacola (Ft. Walt) Alabama 29,439
Nashville Tennessee 43,320
New York - Northern New Jersey New York/ New Jersey 101,234
Norfolk - Portsmth - Newpt News Virginia 32,999
Orlando - Daytona Bch - Melbrn Florida 160,459
Philadelphia Pennsylvania 122,815
Phoenix (Prescott) Arizona 60,015
Portland Oregon 47,909
Raleigh - Durham (Fayetteville) North Carolina 64,510
Salt Lake City Utah 89,819
San Antonio Texas 37,017
St. Louis Missouri 56,247
Tampa - St. Pete (Sarasota) Florida 140,008
Washington DC (Hagerstown) Virginia/Maryland/District of Columbia 79,286
West Palm Beach - Ft. Pierce Florida 92,560

 

Glossary

Plan Selections:  The cumulative metric represents the total number of people who have submitted an application and selected a plan, net of any cancellations from a consumer or cancellations from an insurer that have occurred to date. The biweekly metric represents the net change in the number of non-cancelled plan sections over the two-week period covered by the report.

Plan selections will include those consumers who are automatically re-enrolled into a plan, 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 report the number of effectuated enrollments.

New Consumers: A consumer is considered to be a new consumer if they did not have Marketplace coverage at the start of Open Enrollment on November 1st, 2016.

Renewing Consumers: A consumer is considered to be a renewing consumer if they had 2016 Marketplace coverage on November 1st, 2016 at the start of Open Enrollment and either actively select the same plan or a new plan for 2017 or are automatically re-enrolled into a plan, which occurs at the end of December.

Marketplace: Generally, references to the Health Insurance Marketplace in this report refer to 39 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, Kentucky, 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 39 states that use the HealthCare.gov platform for the 2017 benefit year, including the Federally-facilitated Marketplace, State Partnership Marketplaces and State-based Marketplaces.

Consumers on Applications Submitted:  This includes consumers who are requesting coverage on a completed and submitted application, including an application that is created through the automatic re-enrollment process, which occurs at the end of December, in a state that is 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 requesting coverage on a submitted application (rather than the total number of submitted applications).

Call Center Volume:  The total number of calls received by the call center for the 39 states that use the HealthCare.gov platform over the course of the weeks 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.

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.

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