More than 7 million selected affordable health coverage in ACA marketplace since start of open enrollment period

Dec. 7, 2023
Enrollment increases continue as the deadline for January coverage fast approaches.

Nearly 7.3 million people have selected an Affordable Care Act (ACA) Health Insurance Marketplace plan since the 2024 Marketplace Open Enrollment Period (OEP) opened on November 1.

This represents activity through December 2 (Week 5) for the 32 states using HealthCare.gov and through November 25 (Week 4) for the 18 states and the District of Columbia with State-based Marketplaces (SBMs). Total plan selections include more than 1.6 million people (23% of total) who are new to the Marketplaces for 2024, and 5.7 million people (77% of total) who have active 2023 coverage and returned to their respective Marketplaces to renew their coverage or select a new plan for 2024.

The 2024 Marketplace Open Enrollment Period runs from November 1, 2023, to January 15, 2024, for states using the HealthCare.gov platform. Consumers who enroll by midnight on December 15 can get full-year coverage that starts January 1, 2024. State-based Marketplace enrollment deadlines vary.

Individuals will also benefit from a highly competitive Marketplace. More than 90% of HealthCare.gov enrollees will be able to choose among three or more plans. Standardized plan options are available and offer the same deductibles and cost-sharing for certain benefits. These plans have the same out-of-pocket limits as other standardized plans within the same health plan category, making it easier for consumers to compare and choose plans. Most of these standardized plan options offer many services pre-deductible, including primary care, generic drugs, preferred brand drugs, urgent care, specialist visits, mental health and substance use outpatient office visits, as well as speech, occupational, and physical therapies.

State enrollment information

HHS release