Marketplace 2026 Open Enrollment Period Report: National Snapshot

Marketplace 2026 Open Enrollment Period Report: National Snapshot 

The Centers for Medicare & Medicaid Services (CMS) reports that 23.0 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 15.8 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 3.4 million consumers who are new to the Marketplaces for 2026, and 19.6 million consumers who had active 2025 coverage and selected a plan for 2026 coverage or were automatically re-enrolled. Open Enrollment on HealthCare.gov ran through January 15, 2026. State-based Exchange enrollment deadlines vary. 

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

[1] These metrics reflect available data through January 15, 2026, for the Federally-facilitated Exchanges and State-based Exchanges that use the federal platform (HealthCare.gov) and through January 10, 2026, for State-based Exchanges (SBEs), except Idaho, which had an OEP from October 15, 2025, through December 15, 2025.

[2]The returning-consumers’ metric in this report only includes consumers who have returned to their respective Exchange through the reporting date and selected a plan for 2026 coverage and includes consumers who have been automatically re-enrolled in their 2025 plan for 2026 coverage or a suggested alternate plan. Please see the glossary for data on auto re-enrolled consumers that SBEs have reported to CMS.

[3]In addition to the reported Qualified Health Plan (QHP) plan selections, the District of Columbia, Minnesota, and Oregon have a Basic Health Program (BHP), which provides coverage to consumers with household incomes at or below 200% and above 133% of the Federal Poverty Level, who are not eligible for Medicaid or CHIP, and otherwise would be eligible for a QHP. This year, the District of Columbia implemented a BHP with enrollment beginning on January 1, 2026, for newly eligible individuals. New York also implemented a coverage program, the Essential Plan (EP) Expansion, under a section 1332 waiver in 2024. The EP Expansion generally mirrors the state’s BHP with expanded eligibility for certain residents with estimated household incomes up to 250% of the FPL. See https://www.cms.gov/files/document/ny-1332-extension-fact-sheet.pdf for more information about New York’s EP Expansion. As of January 10, 2026, the District of Columbia had 15,262 individuals, and Oregon had 37,924 individuals enroll in a BHP. New York had 1,727,055 individuals enroll in the EP Expansion under the state’s section 1332 waiver program. Minnesota’s BHP data was not available at the time of this report.