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Health Insurance Marketplace Open Enrollment Snapshot

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01/28/2016

CMS

Week 12: January 17, 2016 – January 23, 2016

With the final January 31 deadline just days away, about 8.9 million consumers have signed-up for health coverage through the HealthCare.gov platform or had their coverage automatically renewed. This week’s snapshot includes weekly and cumulative data for enrollment through HealthCare.gov, a breakdown of cumulative data for 38 states using the HealthCare.gov platform, and cumulative data for local markets.

“The clock is ticking with just four days left before January 31, the final enrollment deadline for 2016 health coverage,” said U.S. Secretary for Health and Human Services, Sylvia Burwell. “We are focused on making sure people know that financial help is available, the deadline is fast approaching and that we’re here to help them enroll – so that they don't risk having to pay a penalty of $695 or more for not having health insurance.”

Overall, net plan selections for Week 12 totaled 103,172. Over the same time period, net new plan selections totaled 144,971. Net new plan selections take into account new plan selections in the reporting week minus any consumer or insurer-initiated cancelations for new plan selections. As a reminder, this year the number of net plan selections accounts for both insurer and consumer-initiated cancelations that occur before the end of Open Enrollment. This is a change from last year, and it will result in a larger number of cancelations being accounted for during, rather than after, Open Enrollment. Last year, cancelations from insurers that happened during Open Enrollment were reflected only in reports on effectuated enrollment after the end of Open Enrollment. There will likely be a smaller difference this year between plan selection totals at the end of Open Enrollment and subsequent effectuated enrollment.

Similar to last year, each week, the Centers for Medicare & Medicaid Services (CMS) will release weekly Open Enrollment snapshots for the HealthCare.gov platform, which is used by the Federally-facilitated Marketplaces and State Partnership Marketplaces, as well as some State-based Marketplaces. These snapshots provide point-in-time estimates of weekly plan selections, call center activity and visits to HealthCare.gov or CuidadoDeSalud.gov. The final number of plan selections associated with enrollment activity to date could fluctuate as plan changes or cancelations occur, such as in response to life changes like starting a new job or getting married. In addition, the weekly snapshot only looks at plan selections and does not include the number of consumers who paid their premiums to effectuate their enrollment.

HHS will continue to produce more detailed reports that look at plan selections across the Federally-facilitated Marketplace and State-based Marketplaces later in the Open Enrollment period.

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

 

Federal Marketplace Snapshot

Federal Marketplace Snapshot

Week 12

Jan 17 – Jan 23

Cumulative

Nov 1 – Jan 23

Plan Selections (net)

103,172

8,939,274

Applications Submitted (Number of Consumers)

*

*

Call Center Volume

918,603

12,454,334

Average Call Center Wait Time

4 minutes 25 seconds

9 minutes 48 seconds

Calls with Spanish Speaking Representative

73,956

774,588

Average Wait for Spanish Speaking Rep

14 seconds

21 seconds

HealthCare.gov Users

2,693,592

25,367,559

CuidadoDeSalud.gov Users

202,424

1,475,339

Window Shopping HealthCare.gov Users

492,562

8,390,521

Window Shopping CuidadoDeSalud.gov Users

11,311

168,101

* Applications submitted could not be validated this week.

 

HealthCare.gov State-by-State Snapshot

Consumers across the country continued to explore their health insurance options by reaching out to a call center representative at 1-800-318-2596, attending enrollment events in their local communities, or visiting HealthCare.gov or CuidadoDeSalud.gov. Individual plan selections for the states using the HealthCare.gov platform include:

Week 12

Cumulative Plan Selections

Nov 1 – Jan 23

Alabama

182,895

Alaska

21,853

Arizona

185,459

Arkansas

68,622

Delaware

26,538

Florida

1,623,718

Georgia

543,142

Hawaii

13,194

Illinois

358,353

Indiana

185,710

Iowa

51,964

Kansas

93,852

Louisiana

198,511

Maine

80,399

Michigan

329,017

Mississippi

99,967

Missouri

268,445

Montana

55,891

Nebraska

82,884

Nevada

79,055

New Hampshire

52,331

New Jersey

268,847

New Mexico

50,603

North Carolina

575,374

North Dakota

20,393

Ohio

226,421

Oklahoma

135,448

Oregon

138,862

Pennsylvania

417,707

South Carolina

215,503

South Dakota

24,267

Tennessee

248,387

Texas

1,174,314

Utah

162,006

Virginia

394,896

West Virginia

35,217

Wisconsin

227,129

Wyoming

22,100

 

HealthCare.gov Local Market Snapshot

The Week 12 snapshot includes a look at plan section by Designated Market Areas (DMAs) which are local media markets. These data provides another level of detail to better understand total plan selections within local communities. Some DMAs include one or more counties in a state that is not using the HealthCare.gov platform in 2016. Plan selections for those DMAs only include data for the portions of these areas that are using the HealthCare.gov platform, so the cumulative totals in the snapshot do not represent plan selections for the entire DMA. In addition, some DMAs cross into multiple states that use the HealthCare.gov platform and those totals are cumulative for all HealthCare.gov states in that DMA. Because some communities do not fall into a DMA, cumulative plan selections for local markets will not total to the national cumulative plan selection number.

Local Markets in HealthCare.gov States

State

Cumulative Plan Selections

Nov 1 – Jan 23

Abilene-Sweetwater

Texas

9,923

Albany

Georgia

15,854

Albuquerque-Santa Fe

New Mexico

43,245

Alexandria

Louisiana

9,252

Alpena

Michigan

1,954*

Amarillo

Texas

14,024

Anchorage

Alaska

14,141

Atlanta

Georgia

410,182

Augusta

Georgia

31,166

Austin

Texas

115,970

Bangor

Maine

22,631

Baton Rouge

Louisiana

42,225

Beaumont-Port Arthur

Texas

14,249

Bend

Oregon

10,216

Billings

Montana

15,916

Biloxi-Gulfport

Mississippi

9,385

Birmingham (Ann and Tusc)

Alabama

72,619

Bluefield-Beckley-Oak Hill

West Virginia

7,458

Boise

Idaho

875**

Boston (Manchester)

Massachusetts

41,806

Buffalo

New York

1,258

Burlington-Plattsburgh

Vermont

4,906

Butte-Bozeman

Montana

9,354

Casper-Riverton

Wyoming

4,883

Cedar Rapids-Wtrlo-Iwc & Dub

Iowa

15,848

Champaign & Sprngfld-Decatur

Illinois

23,447

Charleston

South Carolina

44,225

Charleston-Huntington

West Virginia

15,967

Charlotte

North Carolina

195,030

Charlottesville

Virginia

15,543

Chattanooga

Tennessee

37,347

Cheyenne-Scottsbluf

Wyoming

6,292

Chicago

Illinois

286,011

Cincinnati

Ohio

46,006

Clarksburg-Weston

West Virginia

5,849

Cleveland-Akron (Canton)

Ohio

81,049

Columbia

South Carolina

41,711

Columbia-Jefferson City

Missouri

21,359

Columbus

Georgia

19,364

Columbus

Ohio

44,444

Columbus-Tupelo-West Point

Mississippi

13,348

Corpus Christi

Texas

18,690

Dallas-Ft. Worth

Texas

346,817

Davenport-R. Island-Moline

Iowa/Illinois

16,769

Dayton

Ohio

22,059

Denver

Colorado

6,946

Des Moines-Ames

Iowa

19,288

Detroit

Michigan

170,893

Dothan

Alabama

9,173

Duluth-Superior

Minnesota

6,582

El Paso (Las Cruces)

Texas

60,860

Elmira (Corning)

New York

1,187

Erie

New York

8,643

Eugene

Oregon

19,368

Evansville

Indiana

14,072

Fairbanks

Alaska

2,655

Fargo-Valley City

North Dakota

10,618

Flint-Saginaw-Bay City

Michigan

30,024

Ft. Myers-Naples

Florida

86,868

Ft. Smith-Fay-Sprngdl-Rgrs

Arkansas

22,230

Ft. Wayne

Indiana

21,615*

Gainesville

Florida

18,852

Glendive

Montana

530*

Grand Rapids-Kalmzoo-B.Crk

Michigan

66,611

Great Falls

Montana

7,763*

Green Bay-Appleton

Wisconsin

50,190

Greensboro-H.Point-W.Salem

North Carolina

103,011

Greenville-N.Bern-Washngtn

North Carolina

41,674

Greenvll-Spart-Ashevll-And

North Carolina

113,433

Greenwood-Greenville

Mississippi

6,979

Harlingen-Wslco-Brnsvl-Mca

Texas

52,106

Harrisburg-Lncstr-Leb-York

Pennsylvania

61,620

Harrisonburg

Virginia

11,910

Hattiesburg-Laurel

Mississippi

10,947

Helena

Montana

2,608

Honolulu

Hawaii

13,194

Houston

Texas

313,740

Huntsville-Decatur

Alabama

36,575

Idaho Falls-Pocatello

Idaho

2,735*

Indianapolis

Indiana

85,176

Jackson

Mississippi

39,189

Jackson

Tennessee

11,238

Jacksonville

Florida

97,240

Johnstown-Altoona

Pennsylvania

19,149

Jonesboro

Arkansas

5,573

Joplin-Pittsburg

Missouri

15,192

Juneau

Alaska

2,999

Kansas City

Kansas/Missouri

102,165

Knoxville

Tennessee

49,472

La Crosse-Eau Claire

Wisconsin

23,394

Lafayette

Indiana

3,151*

Lafayette

Louisiana

24,803

Lake Charles

Louisiana

6,701

Lansing

Michigan

14,636

Laredo

Texas

14,130

Las Vegas

Nevada

55,675

Lima

Ohio

1,589*

Lincoln & Hastings-Krny

Nebraska

36,979

Little Rock-Pine Bluff

Arkansas

33,191

Louisville

Kentucky

8,495

Lubbock

Texas

12,814

Macon

Georgia

22,036

Madison

Wisconsin

33,477

Marquette

Michigan

9,444

Medford-Klamath Falls

Oregon

14,035

Memphis

Tennessee

59,942

Meridian

Mississippi

3,969

Miami-Ft. Lauderdale

Florida

605,675

Milwaukee

Wisconsin

83,503

Minneapolis-St. Paul

Minnesota

11,063

Minot-Bismarck-Dickinson

North Dakota

11,450*

Missoula

Montana

19,735

Mobile-Pensacola (Ft Walt)

Alabama

62,880

Monroe-El Dorado

Louisiana/Arkansas

20,332

Montgomery-Selma

Alabama

19,309

Myrtle Beach-Florence

Florida

39,504

Nashville

Tennessee

98,484

New Orleans

Louisiana

81,849

New York

New York

212,643

Norfolk-Portsmth-Newpt News

Virginia

77,841

North Platte

Nebraska

1,679

Odessa-Midland

Texas

12,088

Oklahoma City

Oklahoma

68,484

Omaha

Nebraska

37,084

Orlando-Daytona Bch-Melbrn

Florida

303,271

Ottumwa-Kirksville

Missouri

3,655

Paducah-Cape Girard-Harsbg

Illinois/Kentucky/Missouri

20,633

Panama City

Florida

21,073

Parkersburg

West Virginia

2,815*

Peoria-Bloomington

Illinois

13,024

Philadelphia

Pennsylvania

276,400

Phoenix (Prescott)

Arizona

131,758

Pittsburgh

Pennsylvania

78,170

Portland

Oregon

90,737

Portland-Auburn

Maine

58,899

Presque Isle

Maine

4,092

Quincy-Hannibal-Keokuk

Illinois/Missouri/Iowa

7,213

Raleigh-Durham (Fayetvlle)

North Carolina

154,176

Rapid City

South Dakota

7,484

Reno

Nevada

21,744

Richmond-Petersburg

Virginia

75,163

Roanoke-Lynchburg

Virginia

48,356

Rochestr-Mason City-Austin

Minnesota/Iowa

1,337*

Rockford

Illinois

12,599

Salisbury

Maryland

6,834

Salt Lake City

Utah

162,482

San Angelo

Texas

4,524

San Antonio

Texas

105,952

Savannah

Georgia

45,169

Sherman-Ada

Texas

9,193

Shreveport

Louisiana

34,951

Sioux City

Iowa

10,084

Sioux Falls(Mitchell)

South Dakota

18,105

South Bend-Elkhart

Indiana

24,034

Spokane

 
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