Marketplace 2025 Open Enrollment Period Report: National Snapshot

The Centers for Medicare & Medicaid Services (CMS) reports that nearly 988,000 consumers who do not currently have health care coverage through the individual market Marketplace plans have signed up for coverage in 2025, since the start of the Marketplace Open Enrollment Period (OEP) on November 1. Existing consumers are also returning to the Marketplace to actively renew their coverage, and anyone who does not actively renew will be automatically re-enrolled for 2025. Nearly 4.4 million existing consumers have already returned to the Marketplace to select a plan for 2025. 

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

Glossary

HealthCare.gov Marketplace: The 31 Marketplaces that use the HealthCare.gov platform for the 2025 coverage year, including the Federally Facilitated Marketplaces (FFMs) and State-based Marketplaces (SBMs) that use the federal platform (HealthCare.gov). The 31 HealthCare.gov Marketplaces for 2025 include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, 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 19 Marketplaces in the states and the District of Columbia that operate their own eligibility and enrollment platforms. The 20 SBMs for 2025 include: California, Colorado, Connecticut, the District of Columbia, Georgia, 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. Please contact the SBM plans 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 issuer that have occurred from November 1, 2024, through the end of the reporting period. To have their coverage effectuated, consumers generally need to pay their first month’s health plan premium, if applicable. This release does not report the number of effectuated enrollments.

New Consumers (HealthCare.gov Marketplace): Consumers are considered new if they did not have 2024 Marketplace coverage through a HealthCare.gov Marketplace through December 31, 2024, and made a 2025 plan selection through a HealthCare.gov Marketplace.

New Consumers (SBM): Consumers are considered new if they did not have 2024 Marketplace coverage in an SBM where they made a 2025 plan selection through that SBM.

Returning Consumers (HealthCare.gov Marketplace): Consumers are considered returning if they have 2024 Marketplace coverage through a HealthCare.gov Marketplace through December 31, 2024, and either actively select the same plan or a new plan for 2025. The returning consumers count does not currently include consumers who have been automatically re-enrolled in their current plan for 2025 coverage.

Returning Consumers (SBM): Consumers are considered returning if they have 2024 Marketplace coverage through December 31, 2024, in the same SBM where they actively select the same plan or a new plan for 2025. The returning consumers count does not currently include consumers who have been automatically re-enrolled in their 2024 plan or an alternative suggested plan for 2025 coverage. SBMs that have conducted auto-re-enrollments report the following data on plan selections for auto re-enrolled consumers.

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

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