2025 Open Enrollment

A week or so ago the Centers for Medicare & Medicaid Services (CMS) issued a semi-final 2025 ACA Open Enrollment Period report, which noted that 23.6 million Americans had selected 2025 plan year coverage via the various ACA marketplaces since November 1st...as of either January 4th or December 28th, depending on the state.

Those thru dates are important, of course, because the 2025 OEP was still ongoing in every state except Idaho at the time...and in fact it's still going on in several of them, including CA, DC, MA, NJ, NY, RI & VA. In some of these states the final deadline is still up to 2 weeks away.

via Covered California (by email; no link yet):

Covered California Reaches Record-Breaking 1.9M Enrollees Before Open Enrollment’s Jan. 31 Deadline

SACRAMENTO, Calif. — Covered California has surpassed 1.9 million enrollees, bolstering its record-high enrollment before open enrollment’s Jan. 31 deadline for California’s remaining uninsured.

This open enrollment, 299,060 Californians have signed up for 2025 coverage as of Jan. 26, a 13 percent increase over the same period last year.

Another 1,638,954 Californians have renewed their health insurance plans, a 10 percent jump over the same date last year, with more than 100,000 total enrollees in 2025 as compared to the record enrollment in 2024.

Combined, that's 1,938,014 QHP selections thru 1/26, or 8.6% higher than last year's final OEP tally of 1,784,653 QHPs.

via Connect for Health Colorado:

Connect for Health Colorado Sets a New Record: 282,483 People Enrolled in Health Insurance for Plan Year 2025

Denver, Colo. – Connect for Health Colorado, the state’s official health insurance marketplace, announced today a record 282,483 Coloradans have enrolled in health insurance for plan year 2025, with 80% receiving financial assistance to reduce the cost of their premiums.

The total number of people who enrolled in health insurance plans for 2025 is 19% higher than the number who enrolled in 2024. 

via NV Health Link:

Over 110,000 Nevadans got enrolled, marking the largest enrollment in the history of Nevada’s marketplace

CARSON CITY, Nev. – Nevada Health Link has achieved a historic milestone this year with its record-setting Open Enrollment Period for Plan Year 2025. With over 110,000 Nevadans enrolling in affordable and comprehensive health and dental coverage through the state-based marketplace, this achievement underscores the critical importance of providing accessible and affordable health insurance options to Nevadans across the state.

“Reaching the highest enrollment numbers in Nevada Health Link’s history is a milestone we’re incredibly proud of,” said Russell Cook, Executive Director of Nevada Health Link. “Health insurance is more than just a safety net in case of a medical emergency – it's peace of mind, financial security, and, ultimately, a pathway to better health outcomes for individuals and families across our state. This record-setting enrollment underscores the importance of our mission to prioritize the well-being of Nevada’s communities.”

via Pennie:

Pennie Sees Record-Breaking 2025 Enrollments at Nearly Half a Million; But Without Federal Action, Some Enrollees Will Face Higher Costs Next Year

More people than ever enrolled in health coverage through Pennie, however if critical affordability policies are not extended, premiums will sharply increase for many Pennie enrollees in 2026.

Harrisburg, PA – Pennie, PA’s official health insurance marketplace, concluded its 2025 Open Enrollment Period with a record-breaking enrollment of 496,661. This marks the largest marketplace enrollment ever in Pennsylvania and reflects Pennie’s ongoing success in helping Pennsylvanians access affordable, high-quality health coverage. This means more Pennsylvanians can see their doctor, fill their prescriptions, and be protected against the extraordinary costs of a medical emergency.

The official headline and lede from MNsure is impressive:

Record-setting 167,163 Minnesotans Used MNsure to Sign Up for 2025 Health Plans

ST. PAUL, Minn. — MNsure Chief Executive Officer Libby Caulum today announced that over 167,000 Minnesotans signed up for 2025 health plans using Minnesota’s official health insurance marketplace.

At the close of MNsure’s annual open enrollment period just before midnight on January 15, 167,163 residents had successfully signed up for private health insurance plans – a 14 percent increase over last year, which was also a record-setting open enrollment period. Sign-ups include consumers who are new to MNsure as well as current enrollees who selected a plan for 2025.

via CoverME.gov:

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 CoverME.gov, Maine’s Health Insurance Marketplace.  

Plan selections provide a snapshot of activity by new and returning consumers who have selected a plan for 2025. “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, 2025 is December 15, 2024. Consumers who select a plan between December 16, 2024 and January 15, 2025 will have coverage beginning February 1, 2025.

 CoverME.gov Activity Through January 16, 2025

Washington HealthPlan Finder

via the Washington Health Benefit Exchange:

Federal and state subsidies are driving record enrollment

OLYMPIA, Wash. – More Washingtonians than ever before have signed up for health and dental insurance for 2025 through Washington Healthplanfinder. Washington Health Benefit Exchange runs Washington Healthplanfinder, the state’s online marketplace for Affordable Care Act (ACA) coverage.  

As of the close of open enrollment on Jan. 15, more than 308,000 Washingtonians had selected health and dental plans for 2025. This preliminary number includes people renewing their coverage and nearly 50,000 new customers.

via Covered California (by email; no link yet):

SACRAMENTO, Calif. — Covered California has announced a special-enrollment period for residents of Los Angeles and Ventura counties, where a state of emergency has been declared due to the Palisades and Eaton Fires that have destroyed over 12,000 homes and displaced hundreds of thousands of Californians.

“These fires have caused unprecedented destruction and have upended the lives of so many living in Southern California,” said Covered California Executive Director Jessica Altman. “Everyone who is uninsured and has been affected by these fires, directly or indirectly, will have an extended opportunity to obtain health insurance through Covered California or Medi-Cal over the next two months.”

Californians have 60 days from the date that the state of emergency was declared in their county to sign up for coverage, so this special-enrollment period will last until March 8.

Other resources made available to Californians affected by the fires can be found here:

via the Massachusetts Health Connector:

Massachusetts residents have [9] days of Open Enrollment remaining, with the window for enrolling in health insurance through the Health Connector closing on Jan. 23.

Open Enrollment started Nov. 1 and is when anyone who needs health insurance can get covered through the Health Connector. The Jan. 23 state deadline is later than the federal government’s Jan. 15 deadline.

“Massachusetts requires everyone to have health insurance, so if you don’t have coverage, now is the time to enroll,” said Audrey Morse Gasteier, the Executive Director of the Massachusetts Health Connector. “The Health Connector provides help paying for coverage for many people, which means residents can get a plan that gives them access to the care and services they need. We are here to help enroll anyone without health insurance so they can kick off the new year with the peace of mind that comes with affordable, high-quality health coverage.”

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