FOR IMMEDIATE RELEASE
November 16, 2016
Contact: CMS Media Relations
(202) 690-6145 | CMS
Media Inquiries
Biweekly Enrollment Snapshot
WEEKS 1 AND 2, NOV 1 - 12, 2016
In weeks one and two of Open Enrollment for
the Health Insurance Martketplace for 2017, millions of people came to
Healthcare.gov and shopped for quality, affordable plans. Over a million
people selected plans using the Healthcare.gov platform since Open
Enrollment began November 1, including about 250,000 new consumers and over
750,000 consumers renewing their coverage.
“We are all in for this Open Enrollment and
excited that over 1 million people have already signed up for 2017 coverage
through HealthCare.gov,” said Department of Health and Human
Services Secretary Sylvia Burwell. “The American people are demonstrating
how much they continue to want and need the coverage the Marketplace offers,
and we are encouraging all Americans who need health insurance for 2017 to
visit HealthCare.gov or their state Marketplace and check out their
options. Most consumers can find a plan for $75 or less per month, and
consumers should enroll by December 15th for coverage that
starts January 1st.”
As in past years, enrollment weeks are
measured Sunday through Saturday. Therefore, this year, week one was only
five days long, from Tuesday to Saturday, and thus this biweekly snapshot
covers the first twelve days. There were 53,000 more plan selections during
the first 12 days of Open Enrollment this year than last year. Moreover,
enrollment accelerated on November 9th, as CMS launched
additional outreach. Over 300,000 people selected plans from November 9th
through November 11th.
Every two weeks during Open
Enrollment, the Centers for Medicare and Medicaid Services (CMS) will
release 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 biweekly plan selections, call center
activity, and visits to HealthCare.gov or CuidadoDeSalud.gov.
The final number of plan selections associated with enrollment activity
during a reporting period may change as plan modifications or cancellations
occur, such as due to life changes like starting a new job or getting
married. In addition, as in previous years, the biweekly snapshot only
reports new plan selections, active plan renewals and, starting at the end
of December, auto-renewals; it does not report the number of consumers who
have paid premiums to effectuate their enrollment.
Later in the Open Enrollment
period, HHS will produce more detailed reports that look at plan selections
across the Marketplace, including both states using the HealthCare.gov
platform and State-based Marketplaces using their own enrollment platforms.
Definitions and details on
the data are included in the glossary.
Federal Marketplace
Snapshot
Federal
Marketplace
Snapshot
|
Weeks 1 and 2
Nov 1 – 12
|
Plan Selections (net)
|
1,008,218
|
New Consumers
|
246,433
|
Consumers Renewing Coverage
|
761,785
|
Consumers on Applications
Submitted
|
2,057,759
|
Call Center Volume
|
1,247,899
|
Calls with Spanish Speaking
Representative
|
87,126
|
HealthCare.gov Users
|
4,528,675
|
CuidadoDeSalud.gov Users
|
133,081
|
Window Shopping
HealthCare.gov Users
|
1,207,985
|
Window Shopping
CuidadoDeSalud.gov Users
|
16,230
|
Glossary
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 to date. The biweekly metric represents the net change
in the number of non-cancelled plan sections over the two-week period
covered by the report.
Plan selections will include
those consumers who are automatically re-enrolled into a plan, 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 report the number of effectuated enrollments.
New Consumers: A consumer is considered to be a new
consumer if they did not have Marketplace coverage at the start of Open
Enrollment on November 1st, 2016.
Renewing Consumers: A consumer is considered to be a
renewing consumer if they had 2016 Marketplace coverage on November 1st,
2016 at the start of Open Enrollment and either actively select the same
plan or a new plan for 2017 or are automatically re-enrolled into a plan,
which occurs at the end of December.
Marketplace: Generally, references to the Health
Insurance Marketplace in this report refer to 39 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, Kentucky, 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 39
states that use the HealthCare.gov platform for the 2017 benefit year,
including the Federally-facilitated Marketplace, State Partnership
Marketplaces and State-based Marketplaces.
Consumers on 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 call center for the 39 states that use the HealthCare.gov platform over
the course of the weeks 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.
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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