KFF designs, conducts and analyzes original public opinion and survey research on Americans’ attitudes, knowledge, and experiences with the health care system to help amplify the public’s voice in major national debates.
HealthCare.gov Marketplace Plan Selections by Rural Status
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HealthCare.gov Marketplace Plan Selections by Rural Status
This data is presented as an interactive tool that allows users to: filter by timeframe/year, select specific data columns (distributions), filter by state or geography, and view the data as a table, map, or trend chart.
Open Enrollment 2026
Location
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov
United States
2728397
13043000
15771397
0.173
0.827
1.0
Alabama
145455
310321
455776
0.319
0.681
1.0
Alaska
13015
13064
26079
0.499
0.501
1.0
Arizona
33513
323631
357144
0.094
0.906
1.0
Arkansas
62251
98056
160307
0.388
0.612
1.0
California
N/A
N/A
N/A
N/A
N/A
N/A
Colorado
N/A
N/A
N/A
N/A
N/A
N/A
Connecticut
N/A
N/A
N/A
N/A
N/A
N/A
Delaware
11537
33126
44663
0.258
0.742
1.0
District of Columbia
N/A
N/A
N/A
N/A
N/A
N/A
Florida
137683
4401089
4538772
0.030
0.970
1.0
Georgia
N/A
N/A
N/A
N/A
N/A
N/A
Hawaii
7894
15486
23380
0.338
0.662
1.0
Idaho
N/A
N/A
N/A
N/A
N/A
N/A
Illinois
N/A
N/A
N/A
N/A
N/A
N/A
Indiana
72020
228029
300049
0.240
0.760
1.0
Iowa
59998
63306
123304
0.487
0.513
1.0
Kansas
69456
123355
192811
0.360
0.640
1.0
Kentucky
N/A
N/A
N/A
N/A
N/A
N/A
Louisiana
57107
239541
296648
0.193
0.807
1.0
Maine
N/A
N/A
N/A
N/A
N/A
N/A
Maryland
N/A
N/A
N/A
N/A
N/A
N/A
Massachusetts
N/A
N/A
N/A
N/A
N/A
N/A
Michigan
95740
401324
497064
0.193
0.807
1.0
Minnesota
N/A
N/A
N/A
N/A
N/A
N/A
Mississippi
181317
132075
313392
0.579
0.421
1.0
Missouri
122730
243004
365734
0.336
0.664
1.0
Montana
54025
19230
73255
0.737
0.263
1.0
Nebraska
60722
67770
128492
0.473
0.527
1.0
Nevada
N/A
N/A
N/A
N/A
N/A
N/A
New Hampshire
27588
38436
66024
0.418
0.582
1.0
New Jersey
N/A
N/A
N/A
N/A
N/A
N/A
New Mexico
N/A
N/A
N/A
N/A
N/A
N/A
New York
N/A
N/A
N/A
N/A
N/A
N/A
North Carolina
186581
574876
761457
0.245
0.755
1.0
North Dakota
25971
15043
41014
0.633
0.367
1.0
Ohio
94637
374979
469616
0.202
0.798
1.0
Oklahoma
113455
148432
261887
0.433
0.567
1.0
Oregon
25173
93199
118372
0.213
0.787
1.0
Pennsylvania
N/A
N/A
N/A
N/A
N/A
N/A
Rhode Island
N/A
N/A
N/A
N/A
N/A
N/A
South Carolina
127381
460186
587567
0.217
0.783
1.0
South Dakota
33005
17946
50951
0.648
0.352
1.0
Tennessee
164889
404421
569310
0.290
0.710
1.0
Texas
530595
3641638
4172233
0.127
0.873
1.0
Utah
58209
329127
387336
0.150
0.850
1.0
Vermont
N/A
N/A
N/A
N/A
N/A
N/A
Virginia
N/A
N/A
N/A
N/A
N/A
N/A
Washington
N/A
N/A
N/A
N/A
N/A
N/A
West Virginia
24274
31605
55879
0.434
0.566
1.0
Wisconsin
100647
190689
291336
0.345
0.655
1.0
Wyoming
31529
10016
41545
0.759
0.241
1.0
Open Enrollment 2025
Location
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov
United States
3095193
14033697
17128890
0.1807
0.8193
1
Alabama
154557
323281
477838
0.3235
0.6765
1
Alaska
14383
14353
28736
0.5005
0.4995
1
Arizona
42060
380965
423025
0.0994
0.9006
1
Arkansas
65515
101124
166639
0.3932
0.6068
1
California
N/A
N/A
N/A
N/A
N/A
N/A
Colorado
N/A
N/A
N/A
N/A
N/A
N/A
Connecticut
N/A
N/A
N/A
N/A
N/A
N/A
Delaware
12853
40078
52931
0.2428
0.7572
1
District of Columbia
N/A
N/A
N/A
N/A
N/A
N/A
Florida
146554
4588861
4735415
0.0309
0.9691
1
Georgia
N/A
N/A
N/A
N/A
N/A
N/A
Hawaii
8418
16188
24606
0.3421
0.6579
1
Idaho
N/A
N/A
N/A
N/A
N/A
N/A
Illinois
60993
404992
465985
0.1309
0.8691
1
Indiana
87912
271328
359240
0.2447
0.7553
1
Iowa
66767
70066
136833
0.4879
0.5121
1
Kansas
74434
125612
200046
0.3721
0.6279
1
Kentucky
N/A
N/A
N/A
N/A
N/A
N/A
Louisiana
57314
235680
292994
0.1956
0.8044
1
Maine
N/A
N/A
N/A
N/A
N/A
N/A
Maryland
N/A
N/A
N/A
N/A
N/A
N/A
Massachusetts
N/A
N/A
N/A
N/A
N/A
N/A
Michigan
106677
424406
531083
0.2009
0.7991
1
Minnesota
N/A
N/A
N/A
N/A
N/A
N/A
Mississippi
213543
124616
338159
0.6315
0.3685
1
Missouri
138359
278641
417000
0.3318
0.6682
1
Montana
56424
20797
77221
0.7307
0.2693
1
Nebraska
64657
72027
136684
0.4730
0.5270
1
Nevada
N/A
N/A
N/A
N/A
N/A
N/A
New Hampshire
29654
40683
70337
0.4216
0.5784
1
New Jersey
N/A
N/A
N/A
N/A
N/A
N/A
New Mexico
N/A
N/A
N/A
N/A
N/A
N/A
New York
N/A
N/A
N/A
N/A
N/A
N/A
North Carolina
245507
729603
975110
0.2518
0.7482
1
North Dakota
26616
16285
42901
0.6204
0.3796
1
Ohio
120842
462601
583443
0.2071
0.7929
1
Oklahoma
133315
174674
307989
0.4329
0.5671
1
Oregon
30912
108776
139688
0.2213
0.7787
1
Pennsylvania
N/A
N/A
N/A
N/A
N/A
N/A
Rhode Island
N/A
N/A
N/A
N/A
N/A
N/A
South Carolina
133666
498282
631948
0.2115
0.7885
1
South Dakota
35151
19570
54721
0.6424
0.3576
1
Tennessee
185256
457611
642867
0.2882
0.7118
1
Texas
548113
3418113
3966226
0.1382
0.8618
1
Utah
60151
361739
421890
0.1426
0.8574
1
Vermont
N/A
N/A
N/A
N/A
N/A
N/A
Virginia
N/A
N/A
N/A
N/A
N/A
N/A
Washington
N/A
N/A
N/A
N/A
N/A
N/A
West Virginia
29490
37623
67113
0.4394
0.5606
1
Wisconsin
109827
203752
313579
0.3502
0.6498
1
Wyoming
35273
11370
46643
0.7562
0.2438
1
Open Enrollment 2024
Location
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov
United States
2974879
13388254
16363133
0.1818
0.8182
1
Alabama
122977
263218
386195
0.3184
0.6816
1
Alaska
13661
13803
27464
0.4974
0.5026
1
Arizona
35495
312560
348055
0.1020
0.8980
1
Arkansas
62514
94093
156607
0.3992
0.6008
1
California
N/A
N/A
1784653
N/A
N/A
N/A
Colorado
N/A
N/A
237106
N/A
N/A
N/A
Connecticut
N/A
N/A
129000
N/A
N/A
N/A
Delaware
11279
33563
44842
0.2515
0.7485
1
District of Columbia
N/A
N/A
14799
N/A
N/A
N/A
Florida
128926
4082976
4211902
0.0306
0.9694
1
Georgia
247278
1057836
1305114
0.1895
0.8105
1
Hawaii
7798
14372
22170
0.3517
0.6483
1
Idaho
N/A
N/A
103783
N/A
N/A
N/A
Illinois
55038
343776
398814
0.1380
0.8620
1
Indiana
71745
224027
295772
0.2426
0.7574
1
Iowa
55466
55957
111423
0.4978
0.5022
1
Kansas
63776
107600
171376
0.3721
0.6279
1
Kentucky
N/A
N/A
75317
N/A
N/A
N/A
Louisiana
40192
172301
212493
0.1891
0.8109
1
Maine
N/A
N/A
62586
N/A
N/A
N/A
Maryland
N/A
N/A
213895
N/A
N/A
N/A
Massachusetts
N/A
N/A
311199
N/A
N/A
N/A
Michigan
89261
328839
418100
0.2135
0.7865
1
Minnesota
N/A
N/A
135001
N/A
N/A
N/A
Mississippi
182212
104198
286410
0.6362
0.3638
1
Missouri
119182
240187
359369
0.3316
0.6684
1
Montana
48827
17509
66336
0.7361
0.2639
1
Nebraska
57719
60163
117882
0.4896
0.5104
1
Nevada
N/A
N/A
99312
N/A
N/A
N/A
New Hampshire
27619
37498
65117
0.4241
0.5759
1
New Jersey
N/A
N/A
397942
N/A
N/A
N/A
New Mexico
N/A
N/A
56472
N/A
N/A
N/A
New York
N/A
N/A
288681
N/A
N/A
N/A
North Carolina
263246
764684
1027930
0.2561
0.7439
1
North Dakota
23966
14569
38535
0.6219
0.3781
1
Ohio
99079
378714
477793
0.2074
0.7926
1
Oklahoma
120899
156537
277436
0.4358
0.5642
1
Oregon
32486
113023
145509
0.2233
0.7767
1
Pennsylvania
N/A
N/A
434571
N/A
N/A
N/A
Rhode Island
N/A
N/A
36121
N/A
N/A
N/A
South Carolina
123164
448011
571175
0.2156
0.7844
1
South Dakota
33974
19000
52974
0.6413
0.3587
1
Tennessee
158934
396169
555103
0.2863
0.7137
1
Texas
473635
3010997
3484632
0.1359
0.8641
1
Utah
53331
313608
366939
0.1453
0.8547
1
Vermont
N/A
N/A
30027
N/A
N/A
N/A
Virginia
N/A
N/A
400058
N/A
N/A
N/A
Washington
N/A
N/A
272494
N/A
N/A
N/A
West Virginia
22101
28945
51046
0.4330
0.5670
1
Wisconsin
96955
169372
266327
0.3640
0.6360
1
Wyoming
32144
10149
42293
0.7600
0.2400
1
Open Enrollment 2023
Location
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov
United States
2178018
10025604
12203622
0.1785
0.8215
1.0000
Alabama
78313
180014
258327
0.3032
0.6968
1.0000
Alaska
12566
13006
25572
0.4914
0.5086
1.0000
Arizona
23410
211819
235229
0.0995
0.9005
1.0000
Arkansas
39247
61160
100407
0.3909
0.6091
1.0000
California
N/A
N/A
1739368
N/A
N/A
N/A
Colorado
N/A
N/A
201758
N/A
N/A
N/A
Connecticut
N/A
N/A
108132
N/A
N/A
N/A
Delaware
9230
25512
34742
0.2657
0.7343
1.0000
District of Columbia
N/A
N/A
14768
N/A
N/A
N/A
Florida
96265
3129170
3225435
0.0298
0.9702
1.0000
Georgia
149818
729266
879084
0.1704
0.8296
1.0000
Hawaii
7708
13937
21645
0.3561
0.6439
1.0000
Idaho
N/A
N/A
79927
N/A
N/A
N/A
Illinois
49572
293423
342995
0.1445
0.8555
1.0000
Indiana
46578
138776
185354
0.2513
0.7487
1.0000
Iowa
43155
39549
82704
0.5218
0.4782
1.0000
Kansas
46463
78010
124473
0.3733
0.6267
1.0000
Kentucky
N/A
N/A
62562
N/A
N/A
N/A
Louisiana
23334
97470
120804
0.1932
0.8068
1.0000
Maine
N/A
N/A
63388
N/A
N/A
N/A
Maryland
N/A
N/A
182166
N/A
N/A
N/A
Massachusetts
N/A
N/A
232621
N/A
N/A
N/A
Michigan
74913
247360
322273
0.2325
0.7675
1.0000
Minnesota
N/A
N/A
118431
N/A
N/A
N/A
Mississippi
114766
68712
183478
0.6255
0.3745
1.0000
Missouri
85652
171977
257629
0.3325
0.6675
1.0000
Montana
39938
13922
53860
0.7415
0.2585
1.0000
Nebraska
52042
49448
101490
0.5128
0.4872
1.0000
Nevada
N/A
N/A
96379
N/A
N/A
N/A
New Hampshire
23381
31176
54557
0.4286
0.5714
1.0000
New Jersey
N/A
N/A
341901
N/A
N/A
N/A
New Mexico
N/A
N/A
40778
N/A
N/A
N/A
New York
N/A
N/A
214052
N/A
N/A
N/A
North Carolina
201452
599398
800850
0.2515
0.7485
1.0000
North Dakota
21402
12728
34130
0.6271
0.3729
1.0000
Ohio
62532
232112
294644
0.2122
0.7878
1.0000
Oklahoma
87864
115293
203157
0.4325
0.5675
1.0000
Oregon
31800
110163
141963
0.2240
0.7760
1.0000
Pennsylvania
N/A
N/A
371516
N/A
N/A
N/A
Rhode Island
N/A
N/A
29626
N/A
N/A
N/A
South Carolina
74929
308039
382968
0.1957
0.8043
1.0000
South Dakota
30466
17125
47591
0.6402
0.3598
1.0000
Tennessee
99945
248152
348097
0.2871
0.7129
1.0000
Texas
324859
2085951
2410810
0.1348
0.8652
1.0000
Utah
46394
248802
295196
0.1572
0.8428
1.0000
Vermont
N/A
N/A
25664
N/A
N/A
N/A
Virginia
53383
292757
346140
0.1542
0.8458
1.0000
Washington
N/A
N/A
230371
N/A
N/A
N/A
West Virginia
11977
16348
28325
0.4228
0.5772
1.0000
Wisconsin
84896
136232
221128
0.3839
0.6161
1.0000
Wyoming
29768
8797
38565
0.7719
0.2281
1.0000
Open Enrollment 2022
Location
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov
United States
1849731
8405905
10255636
0.180362
0.819638
1
Alabama
65992
153322
219314
0.300902
0.699098
1
Alaska
11186
11600
22786
0.490915
0.509085
1
Arizona
19609
180097
199706
0.098189
0.901811
1
Arkansas
34500
53726
88226
0.391041
0.608959
1
California
N/A
N/A
1777442
N/A
N/A
N/A
Colorado
N/A
N/A
198412
N/A
N/A
N/A
Connecticut
N/A
N/A
112633
N/A
N/A
N/A
Delaware
8275
23838
32113
0.257684
0.742316
1
District of Columbia
N/A
N/A
15989
N/A
N/A
N/A
Florida
83322
2639772
2723094
0.030598
0.969402
1
Georgia
110683
590452
701135
0.157863
0.842137
1
Hawaii
7805
14522
22327
0.349577
0.650423
1
Idaho
N/A
N/A
73359
N/A
N/A
N/A
Illinois
46439
276988
323427
0.143584
0.856416
1
Indiana
40547
116379
156926
0.258383
0.741617
1
Iowa
38142
34098
72240
0.527990
0.472010
1
Kansas
40453
67331
107784
0.375315
0.624685
1
Kentucky
N/A
N/A
73935
N/A
N/A
N/A
Louisiana
18681
80945
99626
0.187511
0.812489
1
Maine
N/A
N/A
66095
N/A
N/A
N/A
Maryland
N/A
N/A
181603
N/A
N/A
N/A
Massachusetts
N/A
N/A
268023
N/A
N/A
N/A
Michigan
71301
232249
303550
0.234890
0.765110
1
Minnesota
N/A
N/A
121322
N/A
N/A
N/A
Mississippi
90560
52454
143014
0.633225
0.366775
1
Missouri
82134
168207
250341
0.328088
0.671912
1
Montana
37557
13577
51134
0.734482
0.265518
1
Nebraska
52024
46987
99011
0.525437
0.474563
1
Nevada
N/A
N/A
101411
N/A
N/A
N/A
New Hampshire
22331
30166
52497
0.425377
0.574623
1
New Jersey
N/A
N/A
324266
N/A
N/A
N/A
New Mexico
N/A
N/A
45664
N/A
N/A
N/A
New York
N/A
N/A
221895
N/A
N/A
N/A
North Carolina
167372
502851
670223
0.249726
0.750274
1
North Dakota
18615
11258
29873
0.623138
0.376862
1
Ohio
55648
204351
259999
0.214032
0.785968
1
Oklahoma
82388
107056
189444
0.434894
0.565106
1
Oregon
32249
114353
146602
0.219977
0.780023
1
Pennsylvania
N/A
N/A
374776
N/A
N/A
N/A
Rhode Island
N/A
N/A
32345
N/A
N/A
N/A
South Carolina
54956
245436
300392
0.182948
0.817052
1
South Dakota
26671
14668
41339
0.645178
0.354822
1
Tennessee
79419
194261
273680
0.290189
0.709811
1
Texas
241764
1599183
1840947
0.131326
0.868674
1
Utah
41964
214968
256932
0.163327
0.836673
1
Vermont
N/A
N/A
26705
N/A
N/A
N/A
Virginia
48467
259479
307946
0.157388
0.842612
1
Washington
N/A
N/A
239566
N/A
N/A
N/A
West Virginia
9919
13118
23037
0.430568
0.569432
1
Wisconsin
82096
130113
212209
0.386864
0.613136
1
Wyoming
26662
8100
34762
0.766987
0.233013
1
Open Enrollment 2021
Location
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov
United States
1498204
6753499
8251703
0.1815630058
0.8184369942
1
Alabama
47353
121766
169119
0.2799981078
0.7200018922
1
Alaska
9077
9107
18184
0.499175099
0.500824901
1
Arizona
15016
139488
154504
0.09718842231
0.9028115777
1
Arkansas
25225
40869
66094
0.3816534027
0.6183465973
1
California
N/A
N/A
N/A
N/A
N/A
N/A
Colorado
N/A
N/A
N/A
N/A
N/A
N/A
Connecticut
N/A
N/A
N/A
N/A
N/A
N/A
Delaware
6201
19119
25320
0.2449052133
0.7550947867
1
District of Columbia
N/A
N/A
N/A
N/A
N/A
N/A
Florida
64041
2056309
2120350
0.03020303252
0.9697969675
1
Georgia
70154
446959
517113
0.1356647387
0.8643352613
1
Hawaii
7672
15231
22903
0.3349779505
0.6650220495
1
Idaho
N/A
N/A
N/A
N/A
N/A
N/A
Illinois
39235
251980
291215
0.1347286369
0.8652713631
1
Indiana
34094
102499
136593
0.2496028347
0.7503971653
1
Iowa
28590
30638
59228
0.48271088
0.51728912
1
Kansas
31386
57241
88627
0.3541358728
0.6458641272
1
Kentucky
34323
43498
77821
0.4410506162
0.5589493838
1
Louisiana
13716
69443
83159
0.1649370483
0.8350629517
1
Maine
32614
27124
59738
0.5459506512
0.4540493488
1
Maryland
N/A
N/A
N/A
N/A
N/A
N/A
Massachusetts
N/A
N/A
N/A
N/A
N/A
N/A
Michigan
61997
205073
267070
0.2321376418
0.7678623582
1
Minnesota
N/A
N/A
N/A
N/A
N/A
N/A
Mississippi
67375
43591
110966
0.6071679614
0.3928320386
1
Missouri
61255
154056
215311
0.2844954508
0.7155045492
1
Montana
33021
11690
44711
0.7385430878
0.2614569122
1
Nebraska
46415
42273
88688
0.5233515244
0.4766484756
1
Nevada
N/A
N/A
N/A
N/A
N/A
N/A
New Hampshire
19819
26851
46670
0.4246625241
0.5753374759
1
New Jersey
N/A
N/A
N/A
N/A
N/A
N/A
New Mexico
13128
29856
42984
0.3054159687
0.6945840313
1
New York
N/A
N/A
N/A
N/A
N/A
N/A
North Carolina
136373
399430
535803
0.2545207847
0.7454792153
1
North Dakota
14401
8308
22709
0.6341538597
0.3658461403
1
Ohio
42011
159058
201069
0.2089382252
0.7910617748
1
Oklahoma
70240
101311
171551
0.4094409243
0.5905590757
1
Oregon
29246
111843
141089
0.2072875986
0.7927124014
1
Pennsylvania
N/A
N/A
N/A
N/A
N/A
N/A
Rhode Island
N/A
N/A
N/A
N/A
N/A
N/A
South Carolina
40995
189055
230050
0.1782003912
0.8217996088
1
South Dakota
20498
10877
31375
0.6533227092
0.3466772908
1
Tennessee
57772
154280
212052
0.2724426084
0.7275573916
1
Texas
156304
1135668
1291972
0.1209809501
0.8790190499
1
Utah
33000
174911
207911
0.1587217608
0.8412782392
1
Vermont
N/A
N/A
N/A
N/A
N/A
N/A
Virginia
33812
228131
261943
0.1290815177
0.8709184823
1
Washington
N/A
N/A
N/A
N/A
N/A
N/A
West Virginia
7974
11407
19381
0.4114338785
0.5885661215
1
Wisconsin
73272
118430
191702
0.3822182346
0.6177817654
1
Wyoming
20599
6129
26728
0.7706899132
0.2293100868
1
Open Enrollment 2020
Location
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov
United States
1493348
6793523
8286871
0.1802064977
0.8197935023
1
Alabama
45454
114975
160429
0.2833278273
0.7166721727
1
Alaska
8870
8826
17696
0.5012432188
0.4987567812
1
Arizona
15798
137222
153020
0.1032414064
0.8967585936
1
Arkansas
24769
39591
64360
0.384850839
0.615149161
1
California
NR
NR
1538819
N/A
N/A
N/A
Colorado
NR
NR
166852
N/A
N/A
N/A
Connecticut
NR
NR
107833
N/A
N/A
N/A
Delaware
5789
18172
23961
0.2416009349
0.7583990651
1
District of Columbia
NR
NR
17538
N/A
N/A
N/A
Florida
56121
1857854
1913975
0.0293216996
0.9706783004
1
Georgia
66104
397806
463910
0.142493156
0.857506844
1
Hawaii
6914
13159
20073
0.3444427838
0.6555572162
1
Idaho
NR
NR
78431
N/A
N/A
N/A
Illinois
41493
251452
292945
0.1416409224
0.8583590776
1
Indiana
35344
105587
140931
0.2507893934
0.7492106066
1
Iowa
26412
28174
54586
0.4838603305
0.5161396695
1
Kansas
31577
54260
85837
0.3678716637
0.6321283363
1
Kentucky
38213
44926
83139
0.4596278522
0.5403721478
1
Louisiana
14328
73420
87748
0.1632857729
0.8367142271
1
Maine
34391
27640
62031
0.5544163402
0.4455836598
1
Maryland
NR
NR
158934
N/A
N/A
N/A
Massachusetts
NR
NR
319612
N/A
N/A
N/A
Michigan
62001
200918
262919
0.2358178755
0.7641821245
1
Minnesota
NR
NR
110042
N/A
N/A
N/A
Mississippi
58754
40138
98892
0.5941228815
0.4058771185
1
Missouri
58039
144711
202750
0.2862589396
0.7137410604
1
Montana
32477
11345
43822
0.7411117703
0.2588882297
1
Nebraska
47417
43428
90845
0.5219549783
0.4780450217
1
Nevada
NR
NR
77410
N/A
N/A
1
New Hampshire
19059
25353
44412
0.4291407728
0.5708592272
1
New Jersey
1777
244649
246426
0.007211089739
0.9927889103
1
New Mexico
13362
29352
42714
0.3128248349
0.6871751651
1
New York
NR
NR
272948
N/A
N/A
N/A
North Carolina
129791
375484
505275
0.2568720004
0.7431279996
1
North Dakota
13796
7870
21666
0.6367580541
0.3632419459
1
Ohio
42386
154420
196806
0.2153694501
0.7846305499
1
Oklahoma
62174
96468
158642
0.391913869
0.608086131
1
Oregon
30922
114342
145264
0.2128676066
0.7871323934
1
Pennsylvania
43098
288727
331825
0.1298817148
0.8701182852
1
Rhode Island
NR
NR
34634
N/A
N/A
N/A
South Carolina
39471
174559
214030
0.1844180722
0.8155819278
1
South Dakota
19358
9973
29331
0.6599843169
0.3400156831
1
Tennessee
57393
143052
200445
0.2863279204
0.7136720796
1
Texas
140204
976089
1116293
0.1255978493
0.8744021507
1
Utah
31872
168389
200261
0.1591523062
0.8408476938
1
Vermont
NR
NR
27335
N/A
N/A
N/A
Virginia
35600
233874
269474
0.1321092202
0.8678907798
1
Washington
NR
NR
212188
N/A
N/A
N/A
West Virginia
8463
11603
20066
0.4217581979
0.5782418021
1
Wisconsin
75220
120278
195498
0.3847609694
0.6152390306
1
Wyoming
19137
5437
24574
0.7787498983
0.2212501017
1
Open Enrollment 2019
Location
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov
United States
1518769
6892845
8411614
0.1805561929
0.8194438071
1
Alabama
46939
119189
166128
0.2825471925
0.7174528075
1
Alaska
9094
8711
17805
0.5107554058
0.4892445942
1
Arizona
16907
143549
160456
0.1053684499
0.8946315501
1
Arkansas
26248
41165
67413
0.3893611025
0.6106388975
1
California
N/A
N/A
N/A
N/A
N/A
N/A
Colorado
N/A
N/A
N/A
N/A
N/A
N/A
Connecticut
N/A
N/A
N/A
N/A
N/A
N/A
Delaware
5358
17204
22562
0.2374789469
0.7625210531
1
District of Columbia
N/A
N/A
N/A
N/A
N/A
N/A
Florida
50100
1733204
1783304
0.02809392005
0.97190608
1
Georgia
66189
392248
458437
0.1443797076
0.8556202924
1
Hawaii
7116
13077
20193
0.3523993463
0.6476006537
1
Idaho
N/A
N/A
N/A
N/A
N/A
N/A
Illinois
43627
268653
312280
0.1397047521
0.8602952479
1
Indiana
37220
111184
148404
0.2508018652
0.7491981348
1
Iowa
24220
24990
49210
0.4921763869
0.5078236131
1
Kansas
32662
57331
89993
0.3629393397
0.6370606603
1
Kentucky
38366
46254
84620
0.4533916332
0.5466083668
1
Louisiana
14823
78125
92948
0.1594762663
0.8405237337
1
Maine
39967
31020
70987
0.5630185809
0.4369814191
1
Maryland
N/A
N/A
N/A
N/A
N/A
N/A
Massachusetts
N/A
N/A
N/A
N/A
N/A
N/A
Michigan
64364
209694
274058
0.2348553956
0.7651446044
1
Minnesota
N/A
N/A
N/A
N/A
N/A
N/A
Mississippi
50501
38041
88542
0.570362088
0.429637912
1
Missouri
60462
159999
220461
0.2742525889
0.7257474111
1
Montana
33718
11656
45374
0.7431127959
0.2568872041
1
Nebraska
45405
42011
87416
0.5194129221
0.4805870779
1
Nevada
8158
75291
83449
0.09776030869
0.9022396913
1
New Hampshire
19219
25362
44581
0.4311029362
0.5688970638
1
New Jersey
1763
253483
255246
0.006907062207
0.9930929378
1
New Mexico
14193
30808
45001
0.3153929913
0.6846070087
1
New York
N/A
N/A
N/A
N/A
N/A
N/A
North Carolina
129715
371556
501271
0.2587722011
0.7412277989
1
North Dakota
14004
7816
21820
0.641796517
0.358203483
1
Ohio
44282
162589
206871
0.2140561026
0.7859438974
1
Oklahoma
57107
93652
150759
0.3787966224
0.6212033776
1
Oregon
31808
116372
148180
0.2146578486
0.7853421514
1
Pennsylvania
46299
319589
365888
0.1265387222
0.8734612778
1
Rhode Island
N/A
N/A
N/A
N/A
N/A
N/A
South Carolina
40697
174259
214956
0.1893271181
0.8106728819
1
South Dakota
19129
9940
29069
0.6580549727
0.3419450273
1
Tennessee
61704
159829
221533
0.2785318666
0.7214681334
1
Texas
136557
950683
1087240
0.1255996836
0.8744003164
1
Utah
31088
163482
194570
0.1597779719
0.8402220281
1
Vermont
N/A
N/A
N/A
N/A
N/A
N/A
Virginia
42426
285594
328020
0.1293396744
0.8706603256
1
Washington
N/A
N/A
N/A
N/A
N/A
N/A
West Virginia
9604
12995
22599
0.4249745564
0.5750254436
1
Wisconsin
78278
126840
205118
0.3816242358
0.6183757642
1
Wyoming
19452
5400
24852
0.7827136649
0.2172863351
1
Open Enrollment 2018
Location
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov
United States
1573716
7169926
8743642
0.18
0.82
1
Alabama
48023
122188
170211
0.28
0.72
1
Alaska
9453
8860
18313
0.52
0.48
1
Arizona
17839
147919
165758
0.11
0.89
1
Arkansas
26978
41122
68100
0.40
0.60
1
California
N/A
N/A
N/A
N/A
N/A
N/A
Colorado
N/A
N/A
N/A
N/A
N/A
N/A
Connecticut
N/A
N/A
N/A
N/A
N/A
N/A
Delaware
5748
18752
24500
0.23
0.77
1
District of Columbia
N/A
N/A
N/A
N/A
N/A
N/A
Florida
47544
1667683
1715227
0.03
0.97
1
Georgia
67053
413859
480912
0.14
0.86
1
Hawaii
7128
12671
19799
0.36
0.64
1
Idaho
N/A
N/A
N/A
N/A
N/A
N/A
Illinois
44381
290598
334979
0.13
0.87
1
Indiana
40966
125745
166711
0.25
0.75
1
Iowa
25242
27975
53217
0.47
0.53
1
Kansas
33649
64589
98238
0.34
0.66
1
Kentucky
38321
51248
89569
0.43
0.57
1
Louisiana
16895
92960
109855
0.15
0.85
1
Maine
42649
33160
75809
0.56
0.44
1
Maryland
N/A
N/A
N/A
N/A
N/A
N/A
Massachusetts
N/A
N/A
N/A
N/A
N/A
N/A
Michigan
69105
224835
293940
0.24
0.76
1
Minnesota
N/A
N/A
N/A
N/A
N/A
N/A
Mississippi
45897
37752
83649
0.55
0.45
1
Missouri
65079
178303
243382
0.27
0.73
1
Montana
35671
12028
47699
0.75
0.25
1
Nebraska
45661
42552
88213
0.52
0.48
1
Nevada
9104
81899
91003
0.10
0.90
1
New Hampshire
21087
28486
49573
0.43
0.57
1
New Jersey
2098
272684
274782
0.01
0.99
1
New Mexico
15405
34387
49792
0.31
0.69
1
New York
N/A
N/A
N/A
N/A
N/A
N/A
North Carolina
133870
385933
519803
0.26
0.74
1
North Dakota
14035
8451
22486
0.62
0.38
1
Ohio
50198
179929
230127
0.22
0.78
1
Oklahoma
52922
87262
140184
0.38
0.62
1
Oregon
34277
121828
156105
0.22
0.78
1
Pennsylvania
49738
339343
389081
0.13
0.87
1
Rhode Island
N/A
N/A
N/A
N/A
N/A
N/A
South Carolina
41287
174696
215983
0.19
0.81
1
South Dakota
19341
10311
29652
0.65
0.35
1
Tennessee
62370
166276
228646
0.27
0.73
1
Texas
138895
987943
1126838
0.12
0.88
1
Utah
30235
163883
194118
0.16
0.84
1
Vermont
N/A
N/A
N/A
N/A
N/A
N/A
Virginia
50779
349236
400015
0.13
0.87
1
Washington
N/A
N/A
N/A
N/A
N/A
N/A
West Virginia
11541
15868
27409
0.42
0.58
1
Wisconsin
84111
141324
225435
0.37
0.63
1
Wyoming
19141
5388
24529
0.78
0.22
1
Open Enrollment 2017
Location
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov
In ZIP Codes and Counties Designated as Rural
In ZIP Codes and Counties Designated as Urban
Total Individuals Who Have Selected a Marketplace Plan on Healthcare.gov