CMS - Centers for Medicare & Medicaid Services

12/05/2025 | Press release | Distributed by Public on 12/05/2025 15:04

Marketplace 2026 Open Enrollment Period Report: National Snapshot

Marketplace 2026 Open Enrollment Period Report: National Snapshot

The Centers for Medicare & Medicaid Services (CMS) reports that nearly 950,000 consumers who do not currently have health care coverage through plans in the individual market Marketplace have signed up for coverage in 2026, since the start of the Marketplace Open Enrollment Period (OEP) on November 1, 2025. Existing consumers are also returning to the Marketplace to actively renew their coverage, and anyone who does not actively renew will be automatically re-enrolled for 2026. Over 4.8 million existing consumers have already returned to the Marketplace to select a plan for 2026.

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

Exchange and Consumer Type

Cumulative 2026 OEP Plan Selections

Total: All Exchanges

5,757,039

New Consumers

949,450

Returning Consumers [1]

4,807,589

Total: HealthCare.gov

4,601,634

New Consumers

738,999

Returning Consumers

3,862,635

Total State-based Exchanges [2]

1,155,405

New Consumers

210,451

Returning Consumers

944,954

2026 Marketplace Open Enrollment Period Plan Selections by State

(New Consumers and Returning Consumers)

State

Platform

Cumulative 2026 OEP Plan Selections [3]

Alabama

HealthCare.gov

97,512

Alaska

HealthCare.gov

7,397

Arizona

HealthCare.gov

75,872

Arkansas

HealthCare.gov

37,449

California

SBE

389,076

Colorado

SBE

48,988

Connecticut

SBE

33,294

Delaware

HealthCare.gov

9,843

District of Columbia

SBE

878

Florida

HealthCare.gov

1,686,194

Georgia

SBE

213,873

Hawaii

HealthCare.gov

6,138

Idaho

SBE

18,568

Illinois

SBE

65,329

Indiana

HealthCare.gov

62,985

Iowa

HealthCare.gov

31,888

Kansas

HealthCare.gov

45,086

Kentucky

SBE

12,014

Louisiana

HealthCare.gov

48,350

Maine

SBE

12,437

Maryland

SBE

32,299

Massachusetts

SBE

48,494

Michigan

HealthCare.gov

109,172

Minnesota

SBE

12,000

Mississippi

HealthCare.gov

67,134

Missouri

HealthCare.gov

84,832

Montana

HealthCare.gov

16,022

Nebraska

HealthCare.gov

34,884

Nevada

SBE

18,786

New Hampshire

HealthCare.gov

15,526

New Jersey

SBE

69,771

New Mexico

SBE

9,429

New York

SBE

28,259

North Carolina

HealthCare.gov

195,836

North Dakota

HealthCare.gov

9,757

Ohio

HealthCare.gov

96,831

Oklahoma

HealthCare.gov

56,713

Oregon

HealthCare.gov

29,195

Pennsylvania

SBE

56,735

Rhode Island

SBE

2,768

South Carolina

HealthCare.gov

126,058

South Dakota

HealthCare.gov

13,063

Tennessee

HealthCare.gov

136,544

Texas

HealthCare.gov

1,265,670

Utah

HealthCare.gov

128,548

Vermont

SBE

2,407

Virginia

SBE

42,616

Washington

SBE

37,384

West Virginia

HealthCare.gov

11,113

Wisconsin

HealthCare.gov

84,398

Wyoming

HealthCare.gov

11,624

Glossary

HealthCare.gov: The 30 states that use the HealthCare.gov platform for the 2026 coverage year, including the Federally-facilitated Exchanges and State-based Exchanges that use the federal platform (HealthCare.gov). The 30 states for 2026 include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Hawaii, 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, West Virginia, Wisconsin, and Wyoming.

State-based Exchanges (SBEs): The Exchanges in the 20 states and the District of Columbia that operate their own eligibility and enrollment platforms. The 21 SBEs for 2026 include: California, Colorado, Connecticut, the District of Columbia, Georgia, Idaho, Illinois, Kentucky, Maine, Maryland, Massachusetts, Minnesota, Nevada, New Jersey, New Mexico, New York, Pennsylvania, Rhode Island, Vermont, Virginia and Washington. Generally, the data metric definitions provided here are applicable to the SBE metrics, with some exceptions. Please contact the SBEs 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 from November 1, 2025, through the end of the reporting period. To have their coverage effectuated, consumers generally need to pay their first month's health plan premium, if applicable. This release does not report the number of effectuated enrollments.

New Consumers (HealthCare.gov): Consumers are considered new if they did not have 2025 Marketplace coverage through the federal platform through December 31, 2025, and made a 2026 plan selection through the federal platform.

New Consumers (SBEs): Consumers are considered new if they did not have 2025 Marketplace coverage in the SBE that uses its own platform where they made a 2026 plan selection through the SBE.

Returning Consumers (HealthCare.gov): Consumers are considered returning if they have 2025 Marketplace coverage through the federal platform through December 31, 2025, and either actively select the same plan or a new plan for 2026. The returning consumers count does not currently include consumers who have been automatically re-enrolled in their current plan for 2026 coverage.

Returning Consumers (SBEs): Consumers are considered returning if they have 2025 Marketplace coverage through December 31, 2025, in the same SBE where they actively select the same plan or a new plan for 2026. The returning consumers count does not currently include consumers who have been automatically re-enrolled in their 2025 plan or an alternate suggested plan for 2026 coverage. SBEs have reported the following data on plan selections for auto re-enrolled consumers.

SBE

Auto Re-enrollee Plan Selections

Total

5,318,444

California

1,434,821

Connecticut

51,600

District of Columbia

13,793

Georgia

1,046,228

Idaho

94,188

Illinois

371,274

Kentucky

65,729

Maine

45,577

Maryland

205,825

Massachusetts

243,346

Minnesota

117,133

Nevada

80,974

New Jersey

336,628

New Mexico

66,378

New York

126,187

Pennsylvania

409,368

Rhode Island

41,186

Vermont

29,483

Virginia

312,137

Washington

226,589

This communication was printed, published, or produced and disseminated at U.S. taxpayer expense.

[1] The returning-consumers' metric in this report only includes consumers who have returned to their respective Exchange through the reporting date, and selected a plan for 2026 coverage, and excludes consumers who have been automatically re-enrolled in their 2025 plan for 2026 coverage or a suggested alternate plan. Please see the glossary for data on auto re-enrolled consumers that SBEs have reported to CMS.

[2] In addition to the 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 also implemented a coverage program, the Essential Plan (EP) Expansion, under a section 1332 waiver. The EP Expansion generally mirrors the state's 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-extension-fact-sheet.pdf for more information about New York's EP Expansion. As of November 22, 2025, Oregon had 34,594 individuals enroll in a BHP, and New York had 1,715,415 million individuals enroll in the EP Expansion under the state's section 1332 waiver program. Minnesota's BHP data was not available at the time of this report.

[3] These metrics reflect available data through November 29, 2025, for the Federally-facilitated Exchanges and State-based Exchanges that use the federal platform (HealthCare.gov) and through November 22, 2025, for State-based Exchanges (SBEs), except for some SBEs. Idaho has a reporting period beginning on October 15, 2025, and New York began processing PY 2026 QHP plan selections for returning consumers on November 16, 2025.

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