Marketplace 2023 Open Enrollment Period Report: National Snapshot #2

The Centers for Medicare & Medicaid Services (CMS) reports that nearly 5.5 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 4.9 million plan selections in the 33 Marketplaces using the HealthCare.gov platform for the 2023 plan year, through December 3, 2022 (Week 5), and 598,000 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 November 26, 2022 (Week 4). Total nationwide plan selections include 1.2 million consumers (22% of total) who are new to the Marketplaces for 2023, and 4.3 million consumers (78% of total) who have active 2022 coverage and returned to their respective Marketplaces to renew or select a new plan for 2023.

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.

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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