Can I change plans while on COBRA?

Asked by: Miss Magali VonRueden  |  Last update: April 22, 2025
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Can COBRA qualified beneficiaries change coverage during open enrollment? Yes. At the beginning of a COBRA continuation period, employers must offer qualified beneficiaries the opportunity to continue the same coverage in place on the day before the qualifying event.

What is the 60 day loophole for cobras?

You have 60 days to enroll in COBRA once your employer-sponsored benefits end. Even if your enrollment is delayed, you will be covered by COBRA starting the day your prior coverage ended.

What are the disadvantages of COBRA coverage?

COBRA cons
  • COBRA can be expensive, especially compared to the premiums you were paying before your qualifying event. ...
  • COBRA does not apply to all employer-sponsored health plans—in particular, those organizations with fewer than 20 employees may have no requirements. ...
  • Even if you get an extension, COBRA is only temporary.

What to do when a COBRA is too expensive?

If you decide COBRA is too expensive, consider a Marketplace health insurance plan for your coverage needs.

What changes can COBRA participants make during open enrollment?

During their COBRA continuation coverage period, X has an open enrollment period during which active employees are offered an opportunity to change coverage or to add or eliminate dependents.

COBRA Insurance | What You Need to Know

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Can I change plans when I go on COBRA?

If you or your dependent elects COBRA continuation coverage, you will have another opportunity to request special enrollment in a group health plan or a Marketplace plan if you have a new special enrollment event, such as marriage, the birth of a child, or if you exhaust your continuation coverage.

Why is COBRA so expensive?

COBRA coverage is not cheap.

Why? Because you're now responsible for paying your portion of your health insurance: The cost your employer contributed to your premium, in addition to the 2% service fee on the cost of your insurance.

Is there a better option than COBRA?

Marketplace insurance, available through the Affordable Care Act, often offers more affordable premiums than COBRA. The cost difference can vary based on the chosen plan, location, and income, as subsidies may reduce premiums for marketplace plans.

Can I negotiate COBRA premiums?

Your employer may subsidize COBRA, either pursuant to a company-wide plan or an individual severance agreement that you negotiate.

What is the average COBRA payment?

Average Cost of COBRA Insurance in 2025

COBRA is a continuation of your most recent employer group health plan. According to Value Penguin, the average cost of individual health insurance in the United States is $537/month in 2025. However, costs vary significantly by state.

What is not covered under COBRA?

COBRA also does not cover plans that provide only life insurance or disability benefits, as those benefits are not considered “medical care.”

Does COBRA affect your taxes?

There isn't necessarily a “COBRA Tax Deduction”. You can only deduct the amount of COBRA medical expenses on your federal income tax in excess of 7.5% of your Adjusted Gross Income and then only if you itemize deductions.

Is COBRA better than Obamacare?

Both COBRA and ACA Marketplace plans have their advantages. COBRA lets you keep your exact employer-based plan but is often more expensive. ACA plans may be more affordable, especially with subsidies, but require choosing a new plan. The best choice depends on your financial situation and healthcare needs.

Can I quit and get COBRA?

Yes, You Can Get COBRA Insurance After You Quit Your Job

To be eligible for COBRA, you need to have been a covered employee and must have had insurance coverage at the time of your employment termination.

Does insurance end the day you quit?

When you leave or are let go from a job, your health insurance either expires on your last day of work or at the end of the month of your exit, says Andy Gillin, attorney and managing partner at GJEL Accident Attorneys. For example, if you quit on July 15th, your coverage usually continues until July 31st.

Can my new employer pay my COBRA premiums?

Yes, an employer can pay all or part of a former or current employee's COBRA premiums. Employers may do so as a means to assist an employee during a merger, acquisition, layoff, termination, temporary or permanent disability, retirement, or as part of a recruitment strategy.

Can you change plans for COBRA?

You May Change COBRA Plans Only During An Open Enrollment

Your COBRA coverage continues the same policy you had just before the COBRA qualifying event. Upon electing COBRA, you maintain this policy. However, you can change your health plan during your previous employer's open enrollment period.

What to do when COBRA is too expensive?

Can I drop it during Marketplace Open Enrollment and enroll in a Marketplace plan instead? During Marketplace Open Enrollment, you can sign up for a Marketplace plan even if you already have COBRA.

Do you get a refund if you cancel COBRA?

Generally, there are no refunds when you cancel your plan early. You may contact your administrator or your past employer for specific insurance payment information.

What is the largest disadvantage of COBRA?

The primary concern with COBRA is the cost. Paying the full premium can be a significant financial burden, especially during a period of job loss. Here are some potential drawbacks to consider: High Cost: COBRA premiums can be expensive, particularly if you have a family plan.

Is COBRA even worth it?

While it may seem like a lot of money, COBRA may actually cost you less than what you'll pay on the open market. That's because you may still get your former company's group discount. You can also use a health savings account (HSA) to pay for your COBRA premiums. They're considered a qualified medical expense.

What happens if I can't afford COBRA?

Instead of enrolling in COBRA continuation coverage, there may be other more affordable coverage options for you and your family through the Health Insurance Marketplace, Medicaid, or other group health plan coverage (such as a spouse's plan) through what is called a “special enrollment period.” Some of these options ...

What is the COBRA loophole?

If you decide to enroll in COBRA health insurance, your coverage will be retroactive, meaning it will apply to any medical bills incurred during the 60-day decision period. This loophole can save you money by avoiding premium payments unless you actually need care during this time.

How much should I expect to pay for COBRA?

Based on plan and state, COBRA costs range from about $400 to $700 per month and are based on the following: Your previous monthly insurance contribution. Your recent employer's monthly insurance contribution.

How long can I stay on COBRA?

You can collect COBRA benefits for up to 18 months. This may be extended to 36 months under certain circumstances. If your employer has 20 or more employees, it must follow COBRA rules.