Marketplace 2023 Open Enrollment Period Report: Final National Snapshot

The Centers for Medicare & Medicaid Services (CMS) reports that 16.3 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, 2022 through January 15, 2023. This includes 12.2 million plan selections in the 33 Marketplaces using the HealthCare.gov platform for the 2023 plan year, where the OEP ran through January 15, 2023, and 4.1 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 January 15, 2023, which represents the end of the OEP for many SBMs.[1] Total nationwide plan selections include 3.6 million consumers (22% of total) who are new to the Marketplaces for 2023, and 12.7 million consumers (78% of total) who had active 2022 coverage and made a plan selection for 2023 coverage or were automatically re-enrolled.

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

* As of this report’s reporting deadline, Massachusetts’ OEP remained open with a January 23, 2023 deadline and 5 SBMs (California, the District of Columbia, New Jersey, New York, and Rhode Island) remained open with a January 31, 2023 deadline.

Glossary

HealthCare.gov Marketplaces: The 33 Marketplaces 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 that operate their own eligibility and enrollment platforms. The 18 SBMs for 2023 are 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. The data represented in this report is reflective of final OEP plan selections for the following states: CT, ID, KY, ME, MD, MN, PA, and VT. It is not reflective of final OEP plan selections for SBMs that processed in-line applications past their January 15, 2023 OEP deadline (CO, NV, NM, and WA) or had/have OEPs past January 15, 2023 (CA, DC, MA, NJ, NY, and RI).  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, were automatically re-enrolled into their 2022 plan, or were signed up for January 1 coverage in a suggested alternate plan.

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, were automatically re-enrolled into their 2022 plan, or were signed up for January 1 coverage in a suggested alternate plan.

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