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Enrollment in the health insurance market in the U.S. 2015-2018, by exchange type

In 2018, some 8.6 million Americans were enrolled in an on-exchange (subsidized) individual health insurance plan, compared to 8 million in 2015. The individual health insurance market in the U.S. has grown after the enforcement of the Affordable Care Act (ACA) subsidies and prohibition of discrimination based on pre-existing conditions. However the increases in enrollment were offset by reductions, due to some individuals not receiving subsidies. In 2019, the ACA's individual mandate penalty was repealed, which can cause enrollment to drop further.

Average annual individual enrollment in the health insurance market in the U.S. between 2015 and 2018, by exchange type

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Release date

August 2019


United States

Survey time period

2015 to 2018

Supplementary notes

Note: Enrollment is measured as average members per month.

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