Fact Sheets Jan 24, 2024

Marketplace 2024 Open Enrollment Period Report: Final National Snapshot

The Centers for Medicare & Medicaid Services (CMS) reports that 21.3 million consumers have signed up for 2024 individual market health insurance coverage through the Marketplaces since the start of the 2024 Marketplace Open Enrollment Period (OEP) on November 1. This includes 16.4 million Marketplace plan selections in the 32 states using the HealthCare.gov platform for the 2024 plan year through the end of the OEP on January 16, 2024 (Week 11+), and 4.9 million plan selections in the 18 states and the District of Columbia with State-based Marketplaces (SBMs) that are using their own eligibility and enrollment platforms, through January 13, 2024 (Week 11) or the end of their OEP[1].  Total nationwide plan selections include 5 million consumers (24% of total) who are new to the Marketplaces for 2024, and 16.3 million consumers (76% of total) who have active 2023 coverage and returned to their respective Marketplaces to renew or select a new plan for 2024. 

As of December 31, 2023, CMS data shows that 2.4 million plan selections within states using HealthCare.gov, or approximately 15%, were made by individuals who were previously enrolled in Medicaid or CHIP coverage. By the end of the Open Enrollment Period on January 16, 2024, nearly 4.2 million more individuals with household incomes under 250% of the federal poverty level enrolled in coverage compared to last year. This further indicates that lower-income individuals and families have enrolled in quality Marketplace coverage as states continue their post-COVID redeterminations of Medicaid and CHIP eligibilities. 

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

Marketplace and Consumer Type

Cumulative 2024 OEP Plan Selections 

Total: All Marketplaces

21,310,538

          New Consumers

5,045,290

          Returning Consumers[2]

16,265,248

Total: HealthCare.gov Marketplaces

16,363,133

         New Consumers

4,226,461

         Returning Consumers

12,136,672

Total SBMs[3]

4,947,405

         New Consumers

818,829

         Returning Consumers

4,128,576

2024 Marketplace Open Enrollment Period Plan Selections by State 

(New Consumers and Returning Consumers)

State

Platform

Cumulative 2024 OEP Plan Selections

Alaska

HealthCare.gov

27,464

Alabama

HealthCare.gov

386,195

Arkansas

HealthCare.gov

156,607

Arizona

HealthCare.gov

348,055

California

SBM

1,736,391

Colorado

SBM

237,106

Connecticut

SBM

129,000

Delaware

HealthCare.gov

44,842

District of Columbia

SBM

14,301

Florida

HealthCare.gov

4,211,902

Georgia

HealthCare.gov

1,305,114

Hawaii

HealthCare.gov

22,170

Idaho

SBM

103,783

Iowa

HealthCare.gov

111,423

Illinois

HealthCare.gov

398,814

Indiana

HealthCare.gov

295,772

Kansas

HealthCare.gov

171,376

Kentucky

SBM

74,882

Louisiana

HealthCare.gov

212,493

Maine

SBM

61,746

Maryland

SBM

213,895

Massachusetts

SBM

290,162

Michigan

HealthCare.gov

418,100

Minnesota

SBM

135,001

Missouri

HealthCare.gov

359,369

Mississippi

HealthCare.gov

286,410

Montana

HealthCare.gov

66,336

North Carolina

HealthCare.gov

1,027,930

North Dakota

HealthCare.gov

38,535

Nebraska

HealthCare.gov

117,882

Nevada

SBM

96,706

New Hampshire

HealthCare.gov

65,117

New Jersey

SBM

370,057

New Mexico

SBM

53,781

New York

SBM

279,879

Ohio

HealthCare.gov

477,793

Oklahoma

HealthCare.gov

277,436

Oregon

HealthCare.gov

145,509

Pennsylvania

SBM

419,832

Rhode Island

SBM

32,659

South Carolina

HealthCare.gov

571,175

South Dakota

HealthCare.gov

52,974

Tennessee

HealthCare.gov

555,103

Texas

HealthCare.gov

3,484,632

Utah

HealthCare.gov

366,939

Vermont

SBM

29,689

Virginia

SBM

396,041

Washington

SBM

272,494

Wisconsin

HealthCare.gov

266,327

West Virginia

HealthCare.gov

51,046

Wyoming

HealthCare.gov

42,293

Glossary

HealthCare.gov Marketplace: The 32 Marketplaces that use the HealthCare.gov platform for the 2024 coverage year, including the federally facilitated Marketplace and State-based Marketplaces that use the federal platform (HealthCare.gov). The 32 HealthCare.gov Marketplace states for 2024 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, West Virginia, Wisconsin, and Wyoming.

State-based Marketplaces (SBMs): The Marketplaces in the 18 states and the District of Columbia that operate their own eligibility and enrollment platforms. The 19 SBMs for 2024 include: California, Colorado, Connecticut, the District of Columbia, Idaho, 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 SBM metrics, with some exceptions. The following SBMs are reporting final plan selection activity through the end of their OEPs: Colorado, Connecticut, Idaho, Kentucky, Maryland, Minnesota and Washington. The remaining SBMs are reporting plan selection activity through January 13, 2024, as final data was not available at the time of the Snapshot’s reporting deadline.  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 from November 1, 2023, 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 Marketplace): Consumers are considered new if they did not have 2023 Marketplace coverage through the federal platform through December 31, 2023, and made a 2024 plan selection through the federal platform.

New Consumers (SBMs): Consumers are considered new if they did not have 2023 Marketplace coverage in the SBM that uses its own platform where they made a 2024 plan selection through the SBM.

Returning Consumers (HealthCare.gov Marketplace): Consumers are considered returning if they have 2023 Marketplace coverage through the federal platform through December 31, 2023, and either actively select the same plan or a new plan for 2024. The returning consumers count includes consumers who have been automatically re-enrolled in their 2023 plan for 2024 coverage.

Returning Consumers (SBMs): Consumers are considered returning if they have 2023 Marketplace coverage through December 31, 2023, in the same SBM, where they actively select the same plan or a new plan for 2024. The returning consumers count includes consumers who have been automatically re-enrolled in their 2023 plan or an alternate suggested plan for 2024 coverage. 

This communication was printed, published, or produced and disseminated at U.S. taxpayer expense.     

### 

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


[1] Cumulative data for SBMs include plan selections through January 13, 2024, except for the following SBMs which are reporting data through the end of their OEPs: Colorado (January 17, 2024), Connecticut (January 15, 2024), Idaho (December 15, 2023), Kentucky (January 17, 2024), Maryland (January 15, 2024), Minnesota (January 15, 2024), and Washington (January 15, 2024). As of the Snapshot’s reporting deadline, the remaining SBMs had not finalized their end of OEP data or remained open.

[2] The returning consumers metric in this report includes consumers who have returned to their respective Marketplace through the reporting date and selected a plan for 2024 coverage as well as consumers who have been automatically re-enrolled in their 2023 plan for 2024 coverage or a suggested alternate plan. Please see the glossary for data on auto re-enrolled consumers that SBMs have reported to CMS.