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Insightful Open Enrollment Statistics You Need to Know

Key Takeaways

  • The 2024 Open Enrollment Period (OEP) saw a total of 21,446,150 Marketplace plan selections, with HealthCare.gov recording 16,363,133 and State-based Marketplaces (SBMs) seeing 5,083,017 selections.

  • Plan selections rose 31% from 2023 to 2024, adding 5.1 million more enrollees, with a cumulative 79% increase from 2021 to 2024, resulting in 9.4 million new enrollments.

  • 92% of consumers received Advance Payments of the Premium Tax Credit (APTC) in 2024, with the average monthly premium after APTC at $111, a 32% reduction from $164 in 2021.

  • Almost 100% of consumers below 150% of the Federal Poverty Level (FPL) could access plans at $0 or near-$0 in 2024.

  • The average healthcare cost per person has risen from $150 annually in 1960 to approximately $13,000 per year today.


1. Open Enrollment Timing and Duration


77% of employers initiate open enrollment in October or November, marking these as the peak months for enrollment activities.


77% of employers initiate open enrollment in October or November, marking these as the peak months for enrollment activities.

52% of employers set a two-week enrollment period, with three-week and four-week periods as other commonly chosen durations.


2. Consumer Engagement and Behavior


On average, employees dedicate 18 minutes to benefit enrollment, a stark contrast to the four hours spent selecting a new smartphone.


New consumer plan choices for 2024 account for 24% of enrollments nationwide.

45% of consumers actively returned to select their plan in 2024, while 31% were automatically re-enrolled.


3. Enrollment Volume and Growth


The 2024 Open Enrollment Period (OEP) saw a total of 21,446,150 Marketplace plan selections.


HealthCare.gov Marketplaces recorded 16,363,133 plan selections, and State-based Marketplaces (SBMs) saw 5,083,017 plan selections for 2024.



Plan selections rose 31% from 2023 to 2024, adding 5.1 million more enrollees.


A notable 48% growth from 2022 to 2024 added 7 million new selections, and a 79% increase from 2021 to 2024 brought 9.4 million new enrollments.


5,215,764 new consumers enrolled in 2024, marking a 41% jump from the 3,699,749 new consumers in 2023.


Returning enrollees hit 16,230,386 in 2024, up 28% from 12,657,281 in 2023.


A total of 38,036,483 Marketplace applications were submitted for 2024 OEP.

68% of applicants were eligible to select a Marketplace plan in 2024.


4. Financial Aspects and Premiums


92% of consumers received Advance Payments of the Premium Tax Credit (APTC) in 2024.


The nationwide average monthly premium after APTC stands at $111 for 2024, a 32% reduction from $164 in 2021.


44% of consumers chose plans costing $10 or less per month after APTC, reaching nearly 9.4 million enrollees.


HealthCare.gov’s average monthly premium after APTC is $81 in 2024, showing a 43% drop from $143 in 2021.



On HealthCare.gov, 51% of consumers selected plans costing $10 or less monthly after APTC.


For SBM consumers, the average monthly premium post-APTC is $207, with 20% choosing plans for $10 or less.


APTC recipients in 2024 saved an average of $59 monthly, totaling $705 annually due to the ARP/IRA.


48% of HealthCare.gov consumers in 2024 saw savings from the IRA’s expanded APTC.

Almost 100% of consumers below 150% of the Federal Poverty Level (FPL) could access plans at $0 or near-$0 in 2024.


Among HealthCare.gov users, 42% selected $0 premium plans post-APTC in 2024, up from 32% in 2023.


5. Plan Selections by State and Regional Differences


The states with the highest plan selection growth from 2023 to 2024 include West Virginia (80%), Louisiana (76%), Ohio (62%), Indiana (60%), and Tennessee (59%).


States with the smallest increases are California (3%), Nevada (3%), Hawaii (2%), Oregon (2%), and the District of Columbia (0%).



Maine saw the only decline, with a 1% decrease in plan selections from 2023 to 2024.


In 2024, non-expansion Medicaid states contributed over half of the total plan selections during OEP.


6. Demographics of Enrollees


22% of enrollees in 2024 identified as Hispanic/Latino.


9% of enrollees identified as Black.


44% of consumers fell within the 100%-150% FPL income range in 2024.


7. Basic Health Program Enrollment


1,302,034 individuals enrolled in the Basic Health Program (BHP) during the 2024 OEP, marking a 33% rise from 975,337 in 2021.



Minnesota's BHP enrollment grew by 9% from 2023 to 2024, while New York saw a 7% increase in the same period.


8. Historical Cost Comparison


In 1960, the average healthcare cost was $150 per person annually.


Today, the average healthcare cost has surged to approximately $13,000 per person per year.


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