MARKETPLACE 2026 OPEN ENROLLMENT PERIOD REPORT: NATIONAL SNAPSHOT, JANUARY 12, 2026

The following information was released by Centers for Medicare & Medicaid Services (CMS):

The Centers for Medicare and Medicaid Services (CMS) reports that 22.8 million consumers have signed up for 2026 individual market health insurance coverage through the Marketplaces since the start of the 2026 Marketplace Open Enrollment Period (OEP) on November 1, 2025. This includes 15.6 million Marketplace plan selections in the 30 states using the HealthCare.gov platform for the 2026 plan year and 7.2 million plan selections in the 20 states and the District of Columbia with state-based Exchanges (SBEs) that are using their own eligibility and enrollment platforms.[1] Total nationwide plan selections include 2.8 million consumers who are new to the Marketplaces for 2026, and 20.0 million consumers who had active 2025 coverage and selected a plan for 2026 coverage or were automatically re-enrolled.

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

22,774,847

New Consumers

2,803,016

Returning Consumers[2]

19,971,831

Total: HealthCare.gov

15,558,636

New Consumers

2,101,116

Returning Consumers

13,457,520

Total State-based Exchanges[3][4]

7,216,211

New Consumers

701,900

Returning Consumers

6,514,311

2026 Marketplace Open Enrollment Period Plan Selections by State

(New Consumers and Returning Consumers)

State

Platform

Cumulative 2026 OEP Plan Selections

Alabama

HealthCare.gov

449,399

Alaska

HealthCare.gov

25,493

Arizona

HealthCare.gov

353,000

Arkansas

HealthCare.gov

156,478

California

SBE

1,936,095

Colorado

SBE

258,341

Connecticut

SBE

149,523

Delaware

HealthCare.gov

43,649

District of Columbia

SBE

15,323

Florida

HealthCare.gov

4,474,300

Georgia

SBE

1,315,208

Hawaii

HealthCare.gov

23,046

Idaho

SBE

120,426

Illinois

SBE

445,565

Indiana

HealthCare.gov

300,135

Iowa

HealthCare.gov

122,132

Kansas

HealthCare.gov

189,983

Kentucky

SBE

85,717

Louisiana

HealthCare.gov

294,317

Maine

SBE

58,188

Maryland

SBE

247,512

Massachusetts

SBE

382,580

Michigan

HealthCare.gov

491,565

Minnesota

SBE

135,200

Mississippi

HealthCare.gov

307,054

Missouri

HealthCare.gov

361,728

Montana

HealthCare.gov

72,402

Nebraska

HealthCare.gov

127,567

Nevada

SBE

100,432

New Hampshire

HealthCare.gov

65,152

New Jersey

SBE

486,231

New Mexico

SBE

78,492

New York

SBE

206,037

North Carolina

HealthCare.gov

755,919

North Dakota

HealthCare.gov

40,503

Ohio

HealthCare.gov

463,086

Oklahoma

HealthCare.gov

258,926

Oregon

HealthCare.gov

117,111

Pennsylvania

SBE

477,950

Rhode Island

SBE

43,897

South Carolina

HealthCare.gov

575,718

South Dakota

HealthCare.gov

50,332

Tennessee

HealthCare.gov

557,101

Texas

HealthCare.gov

4,113,465

Utah

HealthCare.gov

383,517

Vermont

SBE

31,102

Virginia

SBE

365,167

Washington

SBE

277,225

West Virginia

HealthCare.gov

55,127

Wisconsin

HealthCare.gov

289,213

Wyoming

HealthCare.gov

41,218

Glossary

HealthCare.gov:The 30 states that use the HealthCare.gov platform for the 2026 coverage year 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 HealthCare.gov 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 HealthCare.gov through December 31, 2025, and either actively select the same plan or a new plan for 2026. The returning consumers' count includes 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 includes consumers who have been automatically re-enrolled in their 2025 plan or an alternative suggested plan for 2026 coverage.

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

[1] These metrics reflect available data through January 3, 2026, for the Federally-facilitated Exchanges and State-based Exchanges that use the federal platform (HealthCare.gov) and through December 27, 2025, for State-based Exchanges (SBEs), except Idaho, which had an OEP from October 15, 2025, through December 15, 2025.

[2] 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 includes 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.

[3] Most SBEs (Colorado, Connecticut, DC, Georgia, Idaho, Kentucky, Maine, Massachusetts, Minnesota, New York, Vermont, and Washington) had deadlines for January 1, 2026, coverage that occurred within the SBE reporting period, November 1 December 27, 2025. The remaining SBEs (California, Illinois, Maryland, Nevada, New Jersey, New Mexico, Pennsylvania, Rhode Island, and Virginia) had a December 31, 2025, deadline for January 1 coverage.

[4] 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 December 27, 2025, Oregon had 34,609 individuals enroll in a BHP, and New York had 1,719,660 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.