Date

Fact Sheets

Marketplace 2023 Open Enrollment Period Report: National Snapshot

The Centers for Medicare & Medicaid Services (CMS) reports that nearly 3.4 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 3.0 million plan selections in the 33 states using the HealthCare.gov platform for the 2023 plan year, through November 19, 2022 (Week 3), and 387,000 plan selections in 16 states and the District of Columbia with State-based Marketplaces (SBMs) that are using their own eligibility and enrollment platforms, through November 12, 2022 (Week 2).[1] Total nationwide plan selections include 655,000 consumers (19% of total) who are new to the Marketplaces for 2023, and 2.7 million consumers (81% 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.

Marketplace and Consumer Type

Cumulative 2023 OEP Plan Selections

Total: All States

3,380,540

New Consumers

654,858

Returning Consumers[2]

2,725,682

Total HealthCare.gov States

2,993,853

New Consumers

584,179

Returning Consumers

2,409,674

Total SBMs[3]

386,687

New Consumers

70,679

Returning Consumers

316,008

 

2023 Marketplace Open Enrollment Period Plan Selections by State (New Consumers and Actively Returning Consumers)

 

State

Platform

Cumulative 2023 OEP Plan Selections

Alaska

HealthCare.gov

5,679

Alabama

HealthCare.gov

58,114

Arkansas

HealthCare.gov

17,057

Arizona

HealthCare.gov

46,433

California

SBM

230,487

Colorado

SBM

24,924

Connecticut

SBM

11,724

Delaware

HealthCare.gov

6,707

District of Columbia

SBM

399

Florida

HealthCare.gov

896,672

Georgia

HealthCare.gov

206,259

Hawaii

HealthCare.gov

4,265

Idaho

SBM

8,397

Iowa

HealthCare.gov

17,641

Illinois

HealthCare.gov

64,978

Indiana

HealthCare.gov

37,639

Kansas

HealthCare.gov

27,546

Kentucky

SBM

2,534

Louisiana

HealthCare.gov

24,615

Maine

SBM

6,140

Maryland

SBM

10,874

Massachusetts

SBM

14,170

Michigan

HealthCare.gov

67,882

Minnesota

SBM

5,072

Missouri

HealthCare.gov

54,635

Mississippi

HealthCare.gov

44,651

Montana

HealthCare.gov

10,030

North Carolina

HealthCare.gov

192,598

North Dakota

HealthCare.gov

7,227

Nebraska

HealthCare.gov

24,289

Nevada

SBM

8,546

New Hampshire

HealthCare.gov

10,018

New Jersey

SBM

21,859

New Mexico

SBM

4,768

New York

SBM

N/A

Ohio

HealthCare.gov

57,660

Oklahoma

HealthCare.gov

38,125

Oregon

HealthCare.gov

30,227

Pennsylvania

SBM

20,069

Rhode Island

SBM

811

South Carolina

HealthCare.gov

89,335

South Dakota

HealthCare.gov

10,451

Tennessee

HealthCare.gov

76,639

Texas

HealthCare.gov

639,934

Utah

HealthCare.gov

85,402

Vermont

SBM

821

Virginia

HealthCare.gov

72,014

Washington

SBM

15,092

Wisconsin

HealthCare.gov

54,081

West Virginia

HealthCare.gov

6,346

Wyoming

HealthCare.gov

8,704

Glossary

HealthCare.gov States: The 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 Marketplace (SBM) States: 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 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. New York QHP data was not available at the time of this report. 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 States): 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 States): 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.

SBM

Auto Re-enrollee Plan Selections

Total

2,183,094

CA

840,423

CO

0

CT

0

DC

13,825

ID

59,361

KY

54,631

ME

52,454

MD

154,927

MA

0

MN

94,041

NV

74,000

NJ

267,772

NM

28,936

NY

N/A

PA

308,831

RI

27,028

VT

22,956

WA

183,909

 

[1]While there are 18 SBMs, this report only includes data for 17 SBMs (16 states + DC). New York’s Qualified Health Plan (QHP) data was not available at the time of this report.

[2] The returning consumers metric in this report only includes consumers who have returned to their respective Marketplace through the reporting date and selected a plan for 2023 coverage, and excludes consumers who have been automatically re-enrolled in their 2022 plan for 2023 coverage or a suggested alternate plan. Please see the glossary for data on auto re-enrolled consumers that SBMs have reported to CMS.

[3] In addition to reported plan selections, New York and Minnesota have a Basic Health Program (BHP), which provides coverage to consumers with incomes below 200 percent of the FPL who are not eligible for Medicaid or CHIP and otherwise would be eligible for a QHP.  From November 1 – November 12, 2022, New York had a total of 1,067,820 individuals enroll in a BHP. Minnesota’s BHP data was not available at the time of this report.