Get Covered

Originally posted 11/16/23; updated 11/25/23

Disclosure: Health Sherpa is a paid sponsor of this site.

I've written about Health Sherpa's stunning ACA enrollment growth several times in the past. Today they issued a blog post update which continues that impressive news:

Less than two weeks into Open Enrollment, HealthSherpa has enrolled over 1.4 million people

Earlier today I posted the initial above-the-fold numbers for the 2024 ACA Open Enrollment Period as reported by the Centers for Medicare & Medicaid Services (CMS):

...The graph below shows how these numbers have increased since the same time period last year. I've had to adjust slightly for the fact that there's one fewer day included for both the federal exchange (18 days vs. 19) and the state exchanges (11 days vs. 12).

I've also had to adjust for the fact that Virginia moved from the federal exchange to its own state-based exchange this year, which is further complicated by CMS reporting 3 weeks for the federal exchange but only 2 weeks for state-based exchanges. I've done my best to adjust for all of these factors below (the subtotals are accurate; the new/returning breakout for 2023 are estimates but should be pretty close):

Back on November 9th, President Biden issued the first hint suggesting that the 2024 ACA Open Enrollment Period would be the most successful ever:

In the first week of Open Enrollment, 1.6 million people have signed up for a plan at HealthCare.Gov, including 301,000 new consumers – that’s a 50% increase from last year.

Join them by visiting HealthCare.Gov today.

— President Biden (@POTUS) November 9, 2023

via, Maine's state-based ACA exchange:

Plan Selection Snapshot

The Maine Department of Health and Human Services (DHHS) Office of the Health Insurance Marketplace (OHIM) will release biweekly updates on plan selections through, Maine’s Health Insurance Marketplace.  

Plan selections provide a snapshot of activity by new and returning consumers who have selected a plan for 2024. “Plan selections” become “enrollments” once consumers have paid their first monthly premium to begin insurance. These numbers are subject to change as consumers may modify or cancel plans after their initial selection.   

The deadline to select a plan for coverage beginning January 1, 2024 is December 15, 2023. Consumers who select a plan between December 16, 2023 and January 16, 2024 will have coverage beginning February 1, 2024. Activity Through November 14, 2023 

New York State of Health

via NY State of Health:

  • Health Insurance Scams Related to Renewals Are Increasing
  • Health Commissioner and Attorney General Offer Tips to Avoid Scams

ALBANY, NY. (November 16, 2023) State Health Commissioner Dr. James McDonald and Attorney General Letitia James today cautioned New Yorkers about health insurance enrollment scams as 2024 enrollment through the NY State of Health is set to begin on November 16.

The NY State of Health, New York’s Health Plan Marketplace, offers one-stop health insurance shopping for both public health programs, Medicaid, Child Health Plus, and the Essential Plan, and commercial health insurance, Qualified Health Plans. Earlier this year, after the pandemic’s continuous coverage rules expired, New York State resumed the practice of reviewing and renewing eligibility for those enrolled in the public health programs. Health insurance scams regarding these renewals are increasing.

Well, it's not much, but we have our first official 2024 ACA Open Enrollment Period enrollment report, out of Connecticut:

Via Access Health CT's News/Press Releases page:

Stats as of November 17, 2023

Qualified Health Plans (QHP):

  • QHP Enrollment In 2023 Coverage: 19,145
  • 2024 OE Acquisition Summary: 4,958


  • Completed applications/redeterminations processed through the integrated eligibility system: 10,656

It's my understanding that "Acquisition Summary" refers to CT residents who are brand-new enrollees (never enrolled via the exchange before).

The report was posted this morning so it obviously only includes enrollment data through yesterday (Nov. 16th).

It's worth noting that last year, Access Health CT reported enrolling 17,879 people through Nov. 17th (one extra day since Nov. 1st fell on a Tuesday last year).

New York State of Health

Every year I seem to forget that New York State of Health launches their annual ACA Open Enrollment Period two weeks later than every other state for some reason...

  • New Yorkers Who Enroll by December 15 Will Have Health Insurance in Place for January 1
  • Enhanced Health Insurance Premium Tax Credits Remain Available in 2024
  • NY State of Health Makes Available Certified Enrollment Assistors to Offer Free Help, Plan Comparisons , and Cost Estimates to Consumers Across the State

ALBANY, NY. (November 16, 2023) – NY State of Health, the state’s Official Health Plan Marketplace, today announced the beginning of its eleventh annual open enrollment period for health insurance. New Yorkers shopping for coverage through the Marketplace are offered a wide selection of high-quality comprehensive health plans, with the support of certified enrollment assistors to guide them through the enrollment process, establish eligibility, and determine any potential financial assistance. Beginning today, consumers have until December 15, 2023, to renew or enroll in a Qualified Health Plan for health insurance starting January 1, 2024.

BeWell NM

BeWell NM, New Mexico's state-based ACA exchange, has launched a very handy new Enrollment Data portal which includes plenty of info for a data hound like myself to pore over. The initial 2024 Open Enrollment Period numbers are impressive...but also a bit misleading if you don't know how the exchange enters data.

First, the top line numbers (as of 11/15/23):

  • Number of enrolled consumers: 45,496
  • Consumers enrolled in Medical coverage: 44,917
  • Consumers enrolled in Dental coverage: 10,759

While dental coverage is also important, standalone dental plans aren't considered Qualified Health Plans (QHPs); it's the "Medical Coverage" which is the key number here.

Also, the total number above may look confusing, but most of the Medical & Dental coverage enrollees overlap:

via Connect for Health Colorado:

First Two Weeks of Open Enrollment Spell Early Success for Colorado’s Health Insurance Marketplace

  • Sign-ups are 27 percent higher than last year, and more people are qualifying for financial help

DENVER— Open Enrollment for 2024 health insurance coverage started just two weeks ago, and Connect for Health Colorado reports that enrollments are up 27 percent from last year. Currently, more than 36,500 individuals have signed up for a health insurance plan through its marketplace, and 82 percent of those people are qualifying for financial help.

Some guy, November 5th, 2023:

Back in April, the Associated Press reported that the Biden Administration planned on opening up eligibility for ACA exchange, Basic Health Program, Medicaid & CHIP coverage to hundreds of thousands of Americans who have Deferred Action of Childhood Arrivals status:

President Joe Biden is set to announce that his administration is expanding eligibility for Medicaid and the Affordable Care Act’s health insurance exchanges to hundreds of thousands of immigrants brought to the U.S. illegally as children, according to two U.S. officials briefed on the matter.