Open Enrollment

Record 16.3 million Health Care Coverage sign ups

CMS Press release / January 25, 2023 

Biden-Harris Administration Announces Record-Breaking 16.3 Million People Signed Up for Health Care Coverage in ACA Marketplaces During 2022-2023 Open Enrollment Season 

Nearly 50% increase in signups since President Biden took office, and 3.6 million people signed up for health care coverage on the Marketplaces for the first time this year

Today, the Biden-Harris Administration announced that a record-breaking more than 16.3 million people have selected an Affordable Care Act (ACA) Marketplace health plan nationwide during the 2023 Marketplace Open Enrollment Period (OEP) that ran from November 1, 2022-January 15, 2023 for most Marketplaces. President Biden promised to strengthen and build on the Affordable Care Act, and this year, the 10th year of ACA Open Enrollment, more Americans signed up for high-quality, affordable health insurance through the ACA Marketplaces than ever before. Since President Biden took office, the number of people who have signed up for an affordable health care plan through has increased by nearly 50%. Because of the President’s plan, millions of working families saved an average of $800 on their health insurance premiums last year.

Total plan selections include 3.6 million people (22% of total) who are new to the Marketplaces for 2023, and 12.7 million people (78% of total) who had active 2022 coverage and made a plan selection for 2023 coverage or were automatically re-enrolled. Over 1.8 million more people have signed up for health insurance, or a 13% increase, from this time last year. The 3.6 million plan selections from people who are new to the Marketplaces represent a 21% increase in new-to-Marketplace plan selections over last year.

The Biden-Harris Administration has made expanding access to health insurance and lowering health care costs for America’s families a top priority, and under their leadership, the national uninsured rate reached an all-time low earlier this year, and the 2023 Marketplace Open Enrollment Period saw the highest number of plan selections of any year since the launch of the ACA Marketplaces ten years ago.

This year, individuals benefited from a highly competitive Marketplace. Ninety-two percent of enrollees had access to options from three or more insurance companies when they shopped for plans. Also, new standardized plan options were available in 2023 through, which helped consumers compare and select plans. Thanks to the Inflation Reduction Act, more people this year continued to qualify for help purchasing quality health coverage with expanded financial assistance, resulting in four out of five people returning to being able to find a plan for $10 or less after-tax credits.

Marketplace and Consumer Type / Cumulative 2023 OEP Plan Selections

  • Total: All Marketplaces 16,306,448
  • New Consumers 3,603,067
  • Returning Consumers[1] 12,703,381
  • Total Marketplaces 12,203,622
  • New Consumers 3,000,155
  • Returning Consumers 9,203,467
  • Total SBMs[2] 4,102,826
  • New Consumers 602,912
  • Returning Consumers 3,499,914

Individuals who meet certain conditions may be eligible for a Special Enrollment Period (SEP) and can determine if they qualify by visiting, or, or by calling 1-800-318-2596.

To view the final Marketplace enrollment snapshot report, please visit:

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[1] The returning consumers metric in this report includes both consumers who have returned to their respective Marketplace through the reporting date and selected a plan for 2023 coverage and consumers who have been automatically re-enrolled in their 2022 plan or a suggested alternate plan.

[2] In addition to reported plan selections, New York and Minnesota have a Basic Health Program (BHP), which provides coverage to consumers with incomes below 200 percent of the FPL who are not eligible for Medicaid or CHIP and otherwise would be eligible for a QHP.  From November 1 – January 14, 2023, New York had a total of 1,114,406 individuals enroll in a BHP. Minnesota’s BHP data was not available at the time of this report. 

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