ACA Marketplace National Enrollment Snapshot
The Centers for Medicare & Medicaid Services (CMS) is committed to a robust Marketplace Open Enrollment process for consumers so they can effortlessly purchase quality, affordable health care coverage. CMS reports that 23.6 million[1] consumers selected plan year 2025 coverage through the Marketplaces since the start of the 2025 Marketplace Open Enrollment Period, including 3.2 million new consumers. That represents 11.6 million more enrollees compared to the 2021 Open Enrollment Period.
During last year’s record-setting Open Enrollment Period, 21.4 million people selected coverage through the Marketplaces, driving the uninsured rate to a historic low, where it remains today. Over 20.4 million consumers had active 2024 coverage and selected a plan for 2025 coverage or were automatically re-enrolled. Building on the historic success of last year and thanks to President Biden’s leadership, we are on track for a record high number of plan selections for this year’s Open Enrollment.
“Nearly 24 million people, a record number, have signed up for Marketplace coverage — and the Open Enrollment Period is not over yet. The Affordable Care Act health insurance marketplace and reforms have proven to be successful and critically important for millions of Americans and their families,” said Health and Human Services (HHS) Secretary Xavier Becerra. “Every American should have access to quality, affordable health care — and thanks to the ACA, they do. The Affordable Care Act now stands along with Medicare, Medicaid, and Social Security as one of the most consequential social programs in the history of our nation.”
The Secretary added: “You can still sign up on HealthCare.gov for quality coverage that costs $10 or less a month after financial assistance.”
“We can’t lose sight of what’s behind our tremendous, record-setting progress: Millions of individuals and families who now have a critical connection to the lifeline of health care coverage,” said CMS Administrator Chiquita Brooks-LaSure. “To the millions more who may still need coverage: Don’t delay. Help is still available, including tax credits that have made coverage more accessible by reducing the barrier posed by high costs.”
For 2025, consumers continue to have greater plan choices and, thanks to the Biden-Harris Administration and the Inflation Reduction Act of 2022, many people who were previously ineligible for financial assistance now have access to lower premiums after tax credits. Four out of five HealthCare.gov consumers can find a plan for $10 or less per month through expanded tax credits. Consumers are reminded that these enhanced tax credits will remain available through 2025. For more information on the range of updates CMS has implemented to improve the Health Insurance Marketplace® for 2025 — including web and navigation enhancements and more — consult the “What’s New for 2025 Open Enrollment” fact sheet.
Marketplace Open Enrollment on HealthCare.gov runs through January 15. Consumers who enroll by midnight local time on January 15 (no later than 5 a.m. ET on January 16) can get coverage that starts February 1, 2025. State-based Marketplace enrollment deadlines vary. State-specific deadlines and other information are available in the State-based Marketplace Open Enrollment Fact Sheet.
Individuals can enroll or re-enroll in health insurance coverage for 2025 by visiting HealthCare.gov (or CuidadoDeSalud.gov), or by calling 1-800-318-2596 to fill out an application. Individuals who want assistance signing up for coverage may go to “Find Local Help” on HealthCare.gov to find a Navigator, Certified Application Counselor, or agent or broker. Additionally, if someone learns they are no longer eligible for Medicaid or Children’s Health Insurance Program (CHIP) coverage, they can visit HealthCare.gov to see if they are eligible to enroll in a low-cost, quality health plan. They can also contact the Marketplace Call Center for support in finding a plan that fits their needs.
Marketplace Enrollment Snapshot Overview:
| Marketplace and Consumer Type | Cumulative 2025 OEP Plan Selections |
| Total: All Marketplace Plans | 23,608,657 |
| New Consumers | 3,178,138 |
| Returning Consumers[2] | 20,430,519 |
| Total: HealthCare.gov Marketplace | 16,712,353 |
| New Consumers | 2,329,240 |
| Returning Consumers | 14,383,113 |
| Total: State-based Marketplace (SBM)[3] | 6,896,304 |
| New Consumers | 848,898 |
| Returning Consumers | 6,047,406 |
To view the Marketplace enrollment snapshot report, please visit: https://www.cms.gov/newsroom/fact-sheets/marketplace-2025-open-enrollment-period-report-national-snapshot-1
Health Insurance Marketplace® is a registered service mark of the U.S. Department of Health and Human Services.
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[1] These metrics reflect available data through January 4, 2025, for Federally-facilitated Marketplaces (FFMs) and State-based Marketplaces on the Federal Platform (SBM-FP), and through December 28, 2024, for State-based Marketplaces (SBMs), except for Idaho, which reports OEP data from October 15, 2024 - December 16, 2024, and Rhode Island, which reports data through December 7, 2024.
[2] The “returning-consumers” metric in this report includes consumers who have returned to their respective Marketplaces through the reporting date and selected a plan, and consumers who have been automatically re-enrolled for 2025 coverage based on their 2024 enrollment or a suggested alternative plan. Please see the glossary for data on auto re-enrolled consumers that SBM plans have reported to CMS.
[3] In addition to reported Qualified Health Plan (QHP) plan selections, Minnesota and Oregon have a Basic Health Program (BHP), which provides coverage to consumers with household incomes at or below 200% and above 133% of the Federal Poverty Level, who are not eligible for Medicaid or CHIP, and otherwise would be eligible for a QHP. New York has also implemented a new coverage program, the Essential Plan (EP) Expansion, under a section 1332 waiver. The EP Expansion generally mirrors the state’s previously utilized BHP with expanded eligibility for certain residents with estimated household incomes up to 250% of the FPL. See https://www.cms.gov/files/document/ny-1332-amendment-fact-sheet.pdf for more information about New York’s EP Expansion. As of December 28, 2024, Oregon had 29,705 individuals enroll in a BHP, and New York had 1,625,174 individuals enroll in the EP Expansion under the state’s approved section 1332 waiver program. Minnesota’s BHP data was not available at the time of this report.