Date

Fact Sheets

Marketplace 2023 Open Enrollment Period Report: National Snapshot #3

The Centers for Medicare & Medicaid Services (CMS) reports that nearly 15.9 million Americans have signed up for 2023 individual market health insurance coverage through the Marketplaces since the start of the 2023 Marketplace Open Enrollment Period (OEP) on November 1. This includes 11.9 million plan selections in the 33 Marketplaces using the HealthCare.gov platform for the 2023 plan year, through January 7, 2023 (Week 10), and 4.0 million plan selections in the 18 State-based Marketplaces (SBMs) in 17 states and the District of Columbia that are using their own eligibility and enrollment platforms, through December 31, 2022 (Week 9). Total nationwide plan selections include 3.1 million consumers (20% of total) who are new to the Marketplaces for 2023, and 12.8 million consumers (80% of total) who had active 2022 coverage and made a plan selection for 2023 coverage or were automatically re-enrolled.

In an effort to provide the most meaningful data on consumer activity, CMS will report 2023 Open Enrollment national-level data on a modified biweekly basis. Definitions and details on the data are included in the glossary.

Marketplace and Consumer Type

Cumulative 2023 OEP Plan Selections

Total: All Marketplaces

15,878,982

New Consumers

3,099,387

Returning Consumers[1]

12,779,595

Total HealthCare.gov Marketplaces

11,859,230

New Consumers

2,602,598

Returning Consumers

9,256,632

Total SBMs[2]

4,019,752

New Consumers

496,789

Returning Consumers

3,522,963

 

2023 Marketplace Open Enrollment Period Plan Selections by State

 

State

Platform

Cumulative 2023 OEP Plan Selections

Alaska

HealthCare.gov

25,026

Alabama

HealthCare.gov

251,260

Arkansas

HealthCare.gov

97,392

Arizona

HealthCare.gov

226,477

California

SBM

1,707,294

Colorado

SBM

186,081

Connecticut

SBM

103,982

Delaware

HealthCare.gov

33,832

District of Columbia

SBM

14,609

Florida

HealthCare.gov

3,151,448

Georgia

HealthCare.gov

846,848

Hawaii

HealthCare.gov

21,458

Idaho

SBM

79,927

Iowa

HealthCare.gov

80,955

Illinois

HealthCare.gov

332,460

Indiana

HealthCare.gov

179,482

Kansas

HealthCare.gov

120,787

Kentucky

SBM

60,784

Louisiana

HealthCare.gov

116,890

Maine

SBM

 62,468

Maryland

SBM

 177,001

Massachusetts

SBM

 216,692

Michigan

HealthCare.gov

314,391

Minnesota

SBM

112,761

Missouri

HealthCare.gov

251,042

Mississippi

HealthCare.gov

177,796

Montana

HealthCare.gov

52,853

North Carolina

HealthCare.gov

781,826

North Dakota

HealthCare.gov

33,422

Nebraska

HealthCare.gov

99,469

Nevada

SBM

91,539

New Hampshire

HealthCare.gov

53,785

New Jersey

SBM

 321,252

New Mexico

SBM

 38,150

New York

SBM

 209,854

Ohio

HealthCare.gov

286,316

Oklahoma

HealthCare.gov

198,592

Oregon

HealthCare.gov

138,493

Pennsylvania

SBM

 360,051

Rhode Island

SBM

 29,523

South Carolina

HealthCare.gov

371,207

South Dakota

HealthCare.gov

46,387

Tennessee

HealthCare.gov

335,525

Texas

HealthCare.gov

2,323,201

Utah

HealthCare.gov

289,381

Vermont

SBM

24,850

Virginia

HealthCare.gov

338,342

Washington

SBM

222,934

Wisconsin

HealthCare.gov

218,263

West Virginia

HealthCare.gov

27,071

Wyoming

HealthCare.gov

37,553

Glossary

HealthCare.gov Marketplaces: The Marketplaces in 33 states that use the HealthCare.gov platform for the 2023 coverage year, including the Federally-facilitated Marketplace and State-based Marketplaces that use the federal platform (HealthCare.gov). The 33 states for 2023 include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming.

State-based Marketplaces (SBMs): The Marketplaces in the 17 states and the District of Columbia with Marketplaces that operate their own eligibility and enrollment platforms. The 18 SBMs for 2023 are in California, Colorado, Connecticut, the District of Columbia, Idaho, Kentucky, Maine, Maryland, Massachusetts, Minnesota, Nevada, New Jersey, New Mexico, New York, Pennsylvania, Rhode Island, Vermont, and Washington. Generally, the data metric definitions provided here are applicable to the SBM metrics, with some exceptions. Please contact the SBMs for additional information on their metrics.

Cumulative 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 through the end of the reporting period. 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 (HealthCare.gov Marketplaces): A consumer is considered to be a new consumer if they did not have 2022 Marketplace coverage through the federal platform through December 31, 2022, and made a 2023 plan selection through the federal platform.

New Consumers (SBMs): A consumer is considered to be a new consumer if they did not have 2022 Marketplace coverage in the SBM that uses its own platform where they made a 2023 plan selection through the SBM.

Returning Consumers (HealthCare.gov Marketplaces): A consumer is considered to be a returning consumer if they have 2022 Marketplace coverage through the federal platform through December 31, 2022, and either actively select the same plan or a new plan for 2023. The returning consumers count doesn’t currently include consumers who have been automatically re-enrolled in their current plan for 2023 coverage.

Returning Consumers (SBMs): A consumer is considered to be a returning consumer if they have 2022 Marketplace coverage through December 31, 2022 in the same SBM where they actively select the same plan or a new plan for 2023. The returning consumers count doesn’t currently include consumers who have been automatically re-enrolled in their 2022 plan or an alternate suggested plan. SBMs have reported the following data on plan selections for auto re-enrolled consumers.

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[1] The returning consumers metric in this report only includes both consumers who have returned to their respective Marketplace through the reporting date and selected a plan for 2023 coverage, and consumers who have been automatically re-enrolled in their 2022 plan or a suggested alternate plan.

[2] In addition to reported plan selections, New York and Minnesota have a Basic Health Program (BHP), which provides coverage to consumers with incomes below 200 percent of the FPL who are not eligible for Medicaid or CHIP and otherwise would be eligible for a QHP.  From November 1 – December 31, 2022, New York had a total of 1,102,838 individuals enroll in a BHP. Minnesota’s BHP data was not available at the time of this report.