Marketplace 2026 Open Enrollment Period Report: National Snapshot

The Centers for Medicare & Medicaid Services (CMS) reports that 22.8 million consumers have signed up for 2026 individual market health insurance coverage through the Marketplaces since the start of the 2026 Marketplace Open Enrollment Period (OEP) on November 1, 2025. This includes 15.6 million Marketplace plan selections in the 30 states using the HealthCare.gov platform for the 2026 plan year and 7.2 million plan selections in the 20 states and the District of Columbia with state-based Exchanges (SBEs) that are using their own eligibility and enrollment platforms.^[1]  Total nationwide plan selections include 2.8 million consumers who are new to the Marketplaces for 2026, and 20.0 million consumers who had active 2025 coverage and selected a plan for 2026 coverage or were automatically re-enrolled.

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

Glossary

HealthCare.gov: The 30 states that use the HealthCare.gov platform for the 2026 coverage year include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Hawaii, 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, West Virginia, Wisconsin, and Wyoming.

State-based Exchanges (SBEs): The Exchanges in the 20 states and the District of Columbia that operate their own eligibility and enrollment platforms. The 21 SBEs for 2026 include: California, Colorado, Connecticut, the District of Columbia, Georgia, Idaho, Illinois, Kentucky, Maine, Maryland, Massachusetts, Minnesota, Nevada, New Jersey, New Mexico, New York, Pennsylvania, Rhode Island, Vermont, Virginia and Washington. Generally, the data metric definitions provided here are applicable to the SBE metrics, with some exceptions. Please contact the SBEs 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 from November 1, 2025, through the end of the reporting period. To have their coverage effectuated, consumers generally need to pay their first month’s health plan premium, if applicable. This release does not report the number of effectuated enrollments.

New Consumers (HealthCare.gov): Consumers are considered new if they did not have 2025 Marketplace coverage through HealthCare.gov through December 31, 2025, and made a 2026 plan selection through the federal platform.

New Consumers (SBEs): Consumers are considered new if they did not have 2025 Marketplace coverage in the SBE that uses its own platform where they made a 2026 plan selection through the SBE.

Returning Consumers (HealthCare.gov): Consumers are considered returning if they have 2025 Marketplace coverage through HealthCare.gov through December 31, 2025, and either actively select the same plan or a new plan for 2026. The returning consumers’ count includes consumers who have been automatically re-enrolled in their current plan for 2026 coverage.

Returning Consumers (SBEs): Consumers are considered returning if they have 2025 Marketplace coverage through December 31, 2025, in the same SBE where they actively select the same plan or a new plan for 2026. The returning consumers’ count includes consumers who have been automatically re-enrolled in their 2025 plan or an alternative suggested plan for 2026 coverage. 

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