2022 Open Enrollment

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Now that we have two weeks worth of 2022 Open Enrollment data under our belt (well...for 33 states, anyway), I thought this would be a good time for me to try and put together a spitball estimate of how many Americans are likely to enroll in ACA exchange coverage during the 2022 Open Enrollment Period (OEP).

There's really two main numbers to try and project: How many current enrollees will renew/re-enroll for 2022 (whether actively or automatically); and how many new enrollees will jump into the ACA exchanges?

For each of these, due to how the data is reported, I have to further break the states out between those using the federal ACA exchange (HealthCare.Gov) and those which operate their own state-based ACA exchanges (Covered California, NY State of Health, etc.) This is further complicated by the fact that three states (Kentucky, Maine and New Mexico) switched from the federal exchange to their own state-based exchange starting with the 2022 OEP.

HealthCare.Gov Logo

Hot off the presses, via the Centers for Medicare & Medicaid:

Week 2, November 7 - November 13, 2021

In week two of the 2022 Open Enrollment Period, approximately 851,000 people selected individual market plans through the 33 states that use the HealthCare.gov platform. During the Open Enrollment Period, to date, more than 1,624,000 people have selected individual market plans on HealthCare.gov. As in past years, enrollment weeks are measured Sunday through Saturday.

The final number of plan selections associated with enrollment activity during a reporting period may change due to plan modifications or cancellations. In addition, the weekly snapshot only reports new plan selections and active plan renewals and does not report the number of consumers who have paid premiums to effectuate their enrollment.

New Jersey

via the New Jersey Governor's Office:

TRENTON — Governor Phil Murphy, Department of Banking and Insurance Commissioner Marlene Caride, federal officials and health insurance Navigators today urged New Jersey residents in need of health coverage to act now to explore their health insurance options and take advantage of record levels of financial help available at Get Covered New Jersey (GetCovered.NJ.gov), the state’s official health insurance marketplace.

Open enrollment is the one time of year residents who do not have health insurance through an employer or other program such as Medicaid or Medicare can enroll in a plan. Consumers must enroll by December 31, 2021 for their coverage to take effect on January 1, 2022.

HealthCare.Gov Logo

Hot off the presses, via the Centers for Medicare & Medicaid:

Marketplace Weekly Enrollment Snapshot: Week One

The Centers for Medicare & Medicaid Services (CMS) is reporting that in week one of the 2022 Open Enrollment Period, approximately 774,000 people selected individual market plans in the 33 states that utilize the HealthCare.gov platform. During Open Enrollment, CMS will release weekly enrollment snapshots that provide point-in-time estimates of weekly plan selections, Marketplace Call Center activity, and visits to HealthCare.gov and CuidadoDeSalud.gov for states that utilize the platform.

New York

via the Centers for Medicare & Medicaid Services (CMS):

Biden-Harris Administration Extends Hundreds of Millions of Dollars to New York’s Essential Plan, its Basic Health Program, Key Connection to Coverage Supported by American Rescue Plan

The Centers for Medicare & Medicaid Services (CMS) is providing approximately $750 million in additional funding in 2022 to support the Essential Plan, New York’s Basic Health Program (BHP), as well as added funds for 2020 and 2021. The additional funds, made available through the American Rescue Plan, increase New York’s ability to provide health care coverage to approximately 1 million individuals.

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Way back in October 2013, I launched the ACA Signups project as a light, nerdy hobby thing which was only supposed to last around six months, through the end of the first ACA Open Enrollment Period (March 31, 2014). Instead...well, let's just say that it's more than eight years later and I'm still doing this.

The reality is that The Graph itself doesn't serve a whole lot of useful function anymore. The enrollment patterns were erratic the first couple of years but have since settled into a pretty predictable...if not downright boring pattern for both the federal and state exchanges. The main reason I keep doing it each year is mostly out of tradition these days; after all, without The Graph, there wouldn't be an ACA Signups and I wouldn't have become a healthcare policy wonk in the first place.

The pattern for both the federal and state-based exchanges typically looks like this:

Washington HealthPlan Finder

via the Washington HealthPlan Finder:

Over 208,000 Washington Residents Sign Up During First Week of Washington Healthplanfinder Open Enrollment

  • Most customers can save by comparing plans

The annual open enrollment period for Washingtonians seeking health care coverage in 2022 began Monday, Nov. 1. Washington Health Benefit Exchange (Exchange) reports over 208,000 customers in Washington have already secured health coverage for 2022 through Washington Healthplanfinder, the state’s online insurance marketplace.