Biweekly Enrollment Snapshot

WEEKS 10 AND 11, JAN 1 – JAN 14, 2017
 

More than 8.8 million Americans were signed up for 2017 coverage through HealthCare.gov as of January 14, 2017. This compares to about 8.7 million sign-ups as of January 14 last year, as Americans continue to demonstrate strong demand for 2017 Marketplace coverage.

“With almost 9 million people signed up for 2017 coverage just in HealthCare.gov states, it’s clear that Marketplace coverage is a product Americans want and need,” said Secretary Sylvia M. Burwell. “Strong demand is especially striking in light of the unique headwinds created by discouraging rhetoric from ACA opponents. More than 40,000 people have contacted our call center expressing concerns about whether they should sign up for coverage, with a sharp uptick in these questions last weekend. My answer is a resounding yes: in fact, I’ll be signing up for Marketplace coverage myself by the end of the month. If you still need coverage for 2017, visit HealthCare.gov or your state Marketplace before January 31, and join me and millions of other Americans in purchasing affordable, quality coverage.”

Today’s report covers the period from January 1 through January 14, 2017. Enrollment weeks are measured Sunday through Saturday. Since this year Open Enrollment began on a Tuesday, the totals reported in this snapshot reflect two fewer days than in last year’s published Week 11 snapshot. Measured over the equivalent time period, plan selections this year are almost 100,000 higher than last year.

This snapshot does not include plan selections from the 12 State-Based Marketplaces that use their own enrollment platforms (2.8 million people in these states were signed up for coverage as of December 24, 2016).  

Open Enrollment continues through January 31st. Last year, enrollment slowed in the middle of January but spiked in the days before the final deadline. Plan selection totals will also fluctuate over the remainder of Open Enrollment as some consumers choose to cancel their plans, for example in response to life changes like starting a new job with employer coverage or gaining eligibility for Medicare or Medicaid.

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.

The next snapshot will be released on February 3, and will cover enrollments through the final Open Enrollment deadline; and the detailed final enrollment report will be released the week of March 13^th.

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 does not report the number of consumers who have paid premiums to effectuate their enrollment.

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

Federal Marketplace Snapshot

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:

HealthCare.gov Local Area Snapshot

The Week 11 snapshot includes a look at plan selection 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 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.

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.

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 1^st, 2016.

Renewing Consumers: A consumer is considered to be a renewing consumer if they had 2016 Marketplace coverage on November 1^st, 2016 at the start of Open Enrollment and either actively selected the same plan or a new plan for 2017, were automatically re-enrolled into their plan, or were signed up for January 1 coverage through a suggested alternate plan.

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 with Marketplaces that use the HealthCare.gov platform for the 2017 benefit year, including those with Federally-facilitated Marketplaces, 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.

###

Get CMS news at cms.gov/newsroom, sign up for CMS news via email and follow CMS on Twitter @CMSgovPress