Can you have Medicaid and Cobra at the same time?

Asked by: Miss Lola Leffler  |  Last update: July 10, 2025
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And even if you decide to enroll in COBRA, it doesn't mean you can't apply for Medicaid. You can apply for and enroll in Medicaid any time. If you qualify for Medicaid, you can drop your COBRA coverage even after you enrolled in it.

Can you have COBRA insurance and Medicaid?

However, individuals eligible for this group may also meet the separate requirements for another Medicaid eligibility group. In such cases, the individual is eligible for both groups, and therefore eligible for payment of COBRA premiums and any other state plan services available under the non-COBRA group.

Can you have COBRA and Medicare at the same time?

If you sign up for COBRA and you are eligible for Medicare at the same time, your COBRA benefits are intended to be paid after Medicare pays, even if you haven't actually signed up for Medicare. And when you do sign up for Medicare later you could be subject to premium penalties for late enrollment.

What disqualifies you from COBRA?

Why would an employee not qualify to enroll in Cal-COBRA? The employee is enrolled in or eligible for Medicare. The employee does not enroll within 60 days of receiving the notice of eligibility from the employer. The employee is covered by another health plan.

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.

Can You Have Medicare AND Medicaid?

19 related questions found

Can COBRA be a secondary insurance?

If you have Medicare before becoming eligible for COBRA, you can: Receive primary coverage from Medicare and secondary benefits from COBRA.

How many months are you eligible for COBRA?

While COBRA is temporary, in most circumstances, you can stay on COBRA for 18 to 36 months.

How much is cobra insurance for a single person?

The average monthly cost of COBRA Insurance premiums ranges from $400 to $700 per individual.

Can I go to the doctor while waiting for a COBRA?

You will be reimbursed for any medical bills that you pay out-of-pocket during this period. Contact the plan administrator for more information on filing a claim for benefits. Complete plan rules are available from the employer's benefits offices.

Who pays first, Medicare or COBRA?

If you have Medicare, Medicare pays first, and COBRA acts as your secondary coverage. (The only exception is if you have End-Stage Renal Disease (ESRD). In that case, COBRA pays first.) In most instances, your COBRA coverage will end if you enroll in Medicare.

Does COBRA terminate Medicare?

Your COBRA coverage may be terminated if: You become eligible for Medicare. You reach the maximum coverage limit. You do not pay your COBRA premiums on time.

Who pays for COBRA after termination?

COBRA and Cal-COBRA

COBRA allows former employees, retirees, and their dependents to temporarily keep their health coverage. If you get COBRA, you must pay for the entire premium, including any portion that your employer may have paid in the past.

Will I lose my Medicaid if I get Medicare?

People who have both Medicare and full Medicaid coverage are “dually eligible.” Medicare pays first when you're a dual eligible and you get Medicare-covered services. Medicaid pays last, after Medicare and any other health insurance you have.

Can you have Medicaid and employer insurance at the same time?

Can I use Medicaid as secondary insurance after my insurance through my employer? Yes, you can maintain your employer-sponsored insurance plan as your primary coverage while also qualifying for Medicaid, which would pay for, generally speaking, any qualifying expense that your primary plan doesn't cover.

What happens if I become eligible for Medicare while on COBRA?

If you have COBRA and you're eligible for Medicare but not enrolled, COBRA may only pay for a small portion of the health care services you get, and you may have to pay most of the costs yourself.

Which is cheaper, COBRA or Obamacare?

Typically ACA insurance is more affordable than COBRA insurance because you can be eligible for federal ACA subsidies, depending on your income.

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.

Is COBRA a monthly payment?

The plan must allow qualified beneficiaries to pay the required premiums on a monthly basis if they ask to do so, and may allow payments at other intervals (for example, weekly or quarterly). Plans cannot require qualified beneficiaries to pay a premium when they make the COBRA election.

Who is not eligible for COBRA?

Indemnity policies, PPOs, HMOs, and self-insured plans are all eligible for COBRA extension; however, federal government employee plans and church plans are exempt from COBRA. Individual health insurance is also exempt from COBRA extension.

Is COBRA coverage worth it?

If you're close to meeting your deductible on your current insurance plan and you have high health care costs, it may be worth it to temporarily stay on your COBRA plan,” explains Donovan. The same holds true if you're far into your employer plan's year and have already met your deductible.

How long does it take for a COBRA to kick in?

COBRA coverage timeline

The coverage starts the day the previous coverage ends. The employer's COBRA administrator is responsible for sending out an election notice with information about deadlines for enrollment. For example, if employment ends on April 25, COBRA will pick up where the group health plan ends.

How much is the COBRA fee?

You should expect COBRA insurance costs to be substantially higher than what you paid as an employee because your employer is no longer required to pay a share. In 2023, employees paid an average of $145 per month for an individual plan and $548 per month for a family plan, according to KFF.

How long can I stay on COBRA?

You can stay on COBRA for 18 or 36 Months

COBRA coverage generally lasts 18 months for the employee. However, dependents on the plan, such as a spouse or children, can be eligible for up to 36 months of coverage under certain circumstances, like divorce or the death of the covered employee.

Can you have two secondary insurances?

However, some people also secure additional medical coverage or a “secondary” insurance plan. Having dual coverage is perfectly legal. But you must coordinate your two policies correctly to ensure you cover your medical expenses compliantly.