Is COBRA considered creditable coverage with Medicare?
Asked by: Max McClure | Last update: July 20, 2025Score: 4.4/5 (31 votes)
What is considered creditable coverage for Medicare?
Creditable prescription drug coverage is prescription drug coverage that's expected to pay, on average, at least as much as Medicare drug coverage. This could include drug coverage from a current or former employer or union, TRICARE, the Indian Health Service, or the Department of Veterans Affairs (VA).
Is Medicare eligibility a COBRA qualifying event?
Although a loss of coverage occurs when employees voluntarily remove themselves from the health plans, the reason (attaining other coverage, including Medicare) is not considered a qualifying event. Therefore, employees are not offered COBRA coverage in this scenario.
Can I defer Medicare if I have a COBRA?
COBRA is not qualifying coverage to delay Medicare enrollment regardless of the number of employees. COBRA is secondary to Medicare meaning the employer plan pays only 20% of eligible charges. This occurs even if the Medicare eligible person does not sign up for Medicare A/B. I wish more ppl realized this.
Is COBRA qualifying health coverage?
COBRA continuation coverage will ensure you have health coverage until the coverage through your Marketplace plan begins. Through the Marketplace you can also learn if you qualify for free or low-cost coverage from Medicaid or the Children's Health Insurance Program (CHIP).
8 Reasons to DELAY Medicare Past 65 That Will Save You Thousands and Avoid ALL Penalties
Does COBRA count as creditable coverage for Medicare?
COBRA is not normally considered to be creditable coverage for Medicare major medical benefits, so people who are enrolled in COBRA and do not enroll in Medicare Part B within 8 months of turning 65 face substantial financial penalties for the rest of their lives, even if they have months or years left on their COBRA ...
Is COBRA considered a group health plan for Medicare?
COBRA coverage is not considered a group health plan based upon current employment. So, if an employee becomes eligible for Medicare but elects not to enroll at that time, believing he or she will enroll in COBRA instead, there are no future “special enrollment rights” for 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.
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.
Can I have COBRA and Medicaid at the same time?
For many people, COBRA, the insurance you can buy into when you lose your job, is too expensive. 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.
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.
Can I drop my employer health insurance and go on Medicare Part B?
Once you stop working (or lose your health insurance, if that happens first) you have an 8-month Special Enrollment Period (SEP) when you can sign up for Medicare (or add Part B to existing Part A 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.
How do I get proof of creditable coverage?
A person will usually receive a Notice of Creditable Coverage in the mail every September, and they should keep this as proof should they later apply for Medicare coverage. If a person wishes to enroll in Medicare after their creditable coverage ends, they may be eligible for the Special Enrollment Period.
What is credible vs non creditable coverage?
Prescription drug coverage is considered “creditable” when its actuarial value equals or exceeds the actuarial value of standard Medicare Part D prescription drug coverage. It is considered “non-creditable” when it does not provide, on average, as much coverage as Medicare's standard Part D plan.
Why do I need a certificate of creditable coverage?
The certificate indicates the date on which an individual's coverage ends and how long the individual had the coverage. Individuals should retain this document for their records because the certificate provides evidence of an individual's prior coverage.
How to waive COBRA coverage?
If you are currently receiving COBRA coverage for which a premium is being paid and you wish to waive future coverage, you can simply refrain from paying the COBRA premium for that coverage period.
Is Cobra insurance retroactive for 60 days?
Some people all this the “60 day loophole for COBRA.” COBRA is retroactive, which means that it begins the day after your employer coverage ends. You'll need to pay your premiums retroactively for the whole period (even if you didn't make any doctor visits).
How long can my spouse stay on COBRA if I go on Medicare?
In that case, COBRA lasts for eighteen months. If the qualifying event is the death of the covered employee, divorce or legal separation of the covered employee from the covered employee's spouse, or the covered employee becoming entitled to Medicare, COBRA for the spouse or dependent child lasts for 36 months.
Does COBRA count as qualified coverage for Medicare?
How does COBRA work with Medicare? 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.
How do you keep a COBRA for 36 months?
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.
How much does COBRA cost per month?
The average monthly cost of COBRA Insurance premiums ranges from $400 to $700 per individual.
Can I switch from COBRA to private insurance?
You can only drop COBRA and sign up for a Marketplace plan and premium tax credits during Open Enrollment. You will have to drop your COBRA coverage effective on the date your new Marketplace plan coverage begins.
What happens if I elect COBRA but don't pay?
There is no grace period if you're late paying your initial COBRA premium payment. 3 If it isn't paid on time (ie, within 45 days of electing COBRA), you lose your right to have COBRA coverage; you'll have to find other health insurance options or you'll be uninsured.
Is COBRA cheaper than Medicare?
Any premium for COBRA is in addition to any premiums you pay for Medicare and is not reduced when COBRA is secondary coverage to Medicare. For COBRA, you will pay 102% of the premium the employer pays.