FOR IMMEDIATE RELEASE
December 6, 2018
Contact: CMS Media
Relations
(202) 690-6145 | CMS Media Inquiries
Weekly Enrollment Snapshot: Week 5
Week 5,
Nov 25-Dec 1, 2018
In week five of the 2019
Open Enrollment, 773,250 people selected plans using the HealthCare.gov
platform. As in past years, enrollment weeks are measured Sunday through
Saturday. Consequently, the cumulative totals reported in this snapshot
reflect one fewer day than last year.
Every week during Open
Enrollment, the Centers for Medicare & Medicaid Services (CMS) will
release enrollment snapshots for the HealthCare.gov platform, which is used
by the Federally-facilitated Exchanges and some State-based Exchanges. These
snapshots provide point-in-time estimates of weekly plan selections, call
center activity, and visits to HealthCare.gov or CuidadoDeSalud.gov.
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.
Definitions and details on
the data are included in the glossary.
HealthCare.gov
Platform Snapshot
HealthCare.gov
State-by-State Snapshot
The state-by-state
Snapshot provides cumulative individual plan selections for the 39 states
using the HealthCare.gov platform. Cumulative individual plan selections
for the states using the HealthCare.gov platform include:
Glossary
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 to date.
The weekly metric represents the net change in the number of non-cancelled
plan sections over the period covered by the report.
Plan selections will not
include those consumers who are automatically re-enrolled into a plan.
To have their coverage
effectuated, consumers generally need to pay their first month’s health plan
premium. This release does not report the number of effectuated enrollments.
New
Consumers: A consumer is considered to be a new consumer
if they did not have 2018 Exchange coverage through December 31, 2018 and had
a 2019 plan selection.
Renewing
Consumers: A consumer is considered to be a renewing
consumer if they have 2018 Exchange coverage through December 31, 2018 and
either actively select the same plan or a new plan for 2019.
Exchange: Generally,
this report refers to 39 states that use the HealthCare.gov platform. The
states using the HealthCare.gov platform for the individual market Exchange
are Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii,
Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan,
Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, Nevada,
New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon,
Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia,
West Virginia, Wisconsin, and Wyoming.
HealthCare.gov
States: The 39 states that use the HealthCare.gov platform for the 2019
benefit year, including the Federally-facilitated Exchanges and some
State-based Exchanges.
Consumers
on Applications Submitted: This includes a consumer who is
on a completed and submitted application to the Exchange using the
HealthCare.gov platform. If determined eligible for Exchange coverage, a
consumer still needs to pick a health plan (i.e., plan selection) and pay
their premium to get covered (i.e., effectuated enrollment). Because families
can submit a single application, this figure tallies the total number of
people on a submitted application (rather than the total number of submitted
applications).
Call
Center Volume: The total number of calls received by the
call center for the 39 states that use the HealthCare.gov platform over the
time period covered by the snapshot. Calls with Spanish speaking
representatives are not included.
Calls
with Spanish Speaking Representative: The total number of calls
received by the call center for the 39 states that use the HealthCare.gov
platform over the time period covered by the snapshot where consumers chose
to speak with a Spanish-speaking representative. These calls are not included
within the Call Center Volume metric.
HealthCare.gov Users or CuidadoDeSalud.gov Users: These
user metrics total how many unique users viewed or interacted with HealthCare.gov or CuidadoDeSalud.gov,
respectively, over the course of a specific date range. For cumulative
totals, a separate report is run for the entire Open Enrollment period to
minimize users being counted more than once during that longer range of time
and to provide a more accurate estimate of unique users. Depending on an
individual’s browser settings and browsing habits, a visitor may be counted
as a unique user more than once.
Window
Shopping HealthCare.gov Users or CuidadoDeSalud.gov Users: These
user metrics total how many unique users interacted with the window-shopping
tool at HealthCare.gov or CuidadoDeSalud.gov, respectively, over the
course of a specific date range. For cumulative totals, a separate report is
run for the entire Open Enrollment period to minimize users being counted
more than once during that longer range of time and to provide a more
accurate estimate of unique users. Depending on an individual’s browser
settings and browsing habits, a visitor may be counted as a unique user more
than once. Users who window-shopped are also included in the total HealthCare.gov or CuidadoDeSalud.gov user total.
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Monday, December 10, 2018
Weekly Enrollment Snapshot: Week 5
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