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 cancellations that occur
before the end of Open Enrollment. This is a change from last year, and it will
result in a larger number of cancellations being accounted for during, rather
than after, Open Enrollment. Last year, cancellations 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 cancellations 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
|
Washington
|
1,269*
|
|
Springfield
|
Missouri
|
53,145
|
|
St.
Joseph
|
Missouri
|
3,756
|
|
St.
Louis
|
Missouri
|
123,916
|
|
Tallahassee-Thomasville
|
Florida
|
25,995
|
|
Tampa-St.
Pete (Sarasota)
|
Florida
|
261,849
|
|
Terre
Haute
|
Indiana
|
9,629
|
|
Toledo
|
Ohio
|
17,831
|
|
Topeka
|
Kansas
|
11,830
|
|
Traverse
City-Cadillac
|
Michigan
|
25,248
|
|
Tri-Cities
|
Tennessee
|
24,835
|
|
Tucson
(Sierra Vista)
|
Arizona
|
31,478
|
|
Tulsa
|
Oklahoma
|
46,872
|
|
Tyler-Longview(Lfkn&Ncgd)
|
Texas
|
22,969
|
|
Victoria
|
Texas
|
2,140
|
|
Waco-Temple-Bryan
|
Texas
|
25,744
|
|
Washington,
DC (Hagerstown)
|
|
167,140
|
|
Wausau-Rhinelander
|
Wisconsin
|
20,580
|
|
West
Palm Beach-Ft. Pierce
|
Florida
|
180,674
|
|
Wheeling-Steubenville
|
Ohio
|
6,285
|
|
Wichita
Falls & Lawton
|
Texas
|
10,142
|
|
Wichita-Hutchinson
Plus
|
Kansas
|
35,925
|
|
Wilkes
Barre-Scranton
|
Pennsylvania
|
45,274
|
|
Wilmington
|
Delaware
|
31,982
|
|
Yakima-Pasco-Rchlnd-Knnwck
|
Oregon
|
1,741*
|
|
Youngstown
|
Ohio
|
13,031
|
|
Yuma-El
Centro
|
Arizona
|
3,706
|
|
Zanesville
|
Ohio
|
1,242
|
*Because there was a
change of 11 or fewer enrollments for Week 12, data for Week 11 was used as a
placeholder to adhere to privacy standards.
**Because there was a
change of 11 or fewer enrollments for Week 11 and 12, data for Week 10 was used
as a placeholder to adhere to privacy standards.
Glossary
Plan Selections: The
weekly and cumulative metrics provide a preliminary total of those who have
submitted an application and selected a plan. Each week’s plan selections
reflect the total number of plan selections for the week and cumulatively from
the beginning of Open Enrollment to the end of the reporting period, net of any
cancellations from a consumer or cancellations from an insurer during that
time.
Because of further automation in
communication with insurers, the number of net plan selections reported this
year account for insurer-initiated plan cancellations that occur before the end
of Open Enrollment for reasons such as non-payment of premiums. This change
will result in a larger number of cancellations being accounted for during Open
Enrollment than last year. Last year, these cancellations were reflected only
in reports on effectuated enrollment after the end of Open Enrollment. As a
result, there may also be a smaller difference this year between plan
selections at the end of Open Enrollment and subsequent effectuated enrollment,
although some difference will remain because plan cancellations related to
non-payment of premium will frequently occur after the end of Open Enrollment.
Plan selections include those
consumers who are automatically re-enrolled into their current plan or another
plan with similar benefits, which occurs at the end of December.
To have their coverage effectuated,
consumers generally need to pay their first month’s health plan premium. This
release does not include totals for effectuated enrollments.
Net New Plan Selections: Weekly
net new plan selections take into account new plan selections minus any
consumer or insurer-initiated cancelations for new plan selections.
Marketplace: Generally,
references to the Health Insurance Marketplace in this report refer to 38
states that use the HealthCare.gov platform. The states using the
HealthCare.gov platform are Alabama, Alaska, Arizona, Arkansas, Delaware,
Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Louisiana, Maine,
Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, Nevada,
New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania,
South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia,
Wisconsin, and Wyoming.
HealthCare.gov States: The
38 states that use the HealthCare.gov platform for the 2016 benefit year,
including the Federally-facilitated Marketplace, State Partnership Marketplaces
and State-based Marketplaces.
Local Markets: Cumulative
plan selections for local markets are based on Designated Market Areas (DMAs)
which are media markets. 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.
Applications Submitted: This
includes a consumer who is on a completed and submitted application or who,
through the automatic re-enrollment process, which occurs at the end of
December, had an application submitted to a Marketplace using the
HealthCare.gov platform. If determined eligible for Marketplace coverage, a new
consumer still needs to pick a health plan (i.e., plan selection) and pay their
premium to get covered (i.e., effectuated enrollment). Because families can
submit a single application, this figure tallies the total number of people on
a submitted application (rather than the total number of submitted
applications).
Call Center Volume: The
total number of calls received by the Federally-facilitated Marketplace call
center over the course of the week covered by the snapshot or from the start of
Open Enrollment. Calls with Spanish speaking representatives are not included.
Calls with Spanish Speaking
Representative: The total number of calls received by the
Federally-facilitated Marketplace call center where consumers chose to speak
with a Spanish-speaking representative. These calls are not included within the
Call Center Volume metric.
Average Call Center Wait
Time: The average amount of time a consumer waited before reaching a
customer service representative. The cumulative
total averages wait time over the course of the extended time period.
HealthCare.gov or CuidadodeSalud.gov Users: These user metrics
total how many unique users viewed or interacted with HealthCare.gov or CuidadodeSalud.gov , respectively, over the course of a
specific date range. For cumulative totals, a separate report is run for the
entire Open Enrollment period to minimize users being counted more than once
during that longer range of time and to provide a more accurate estimate of
unique users. Depending on an individual’s browser settings and browsing
habits, a visitor may be counted as a unique user more than once.
Window Shopping
HealthCare.gov Users or CuidadoDeSalud.gov Users: These user metrics
total how many unique users interacted with the window-shopping tool at
HealthCare.gov or CuidadoDeSalud.gov, respectively, over the course of a
specific date range. For cumulative totals, a separate report is run for the
entire Open Enrollment period to minimize users being counted more than once
during that longer range of time and to provide a more accurate estimate of
unique users. Depending on an individual’s browser settings and browsing
habits, a visitor may be counted as a unique user more than once. Users who
window-shopped are also included in the total HealthCare.gov or CuidadoDeSalud.gov user total.
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