Is it better to stay on COBRA or marketplace insurance?

Asked by: Maida Kuphal  |  Last update: March 24, 2025
Score: 4.3/5 (35 votes)

You're presented with COBRA coverage as an option, and then there's health insurance under the Affordable Care Act. So which one is better? Typically ACA insurance is more affordable than COBRA insurance because you can be eligible for federal ACA subsidies, depending on your income.

Is it better to go with COBRA or marketplace?

Cobra for us was substantially cheaper. $2K/month with vision and dental versus $2500/month for marketplace before dental and vision. If you can get a subsidy (and you think future administration will let it stick), then go for ACA.

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.

Can you switch from COBRA to marketplace anytime?

If you decide to terminate your COBRA coverage early, you generally won't be able to get a Marketplace plan outside of the open enrollment period.

What is the 60 day COBRA loophole?

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.

Non-Employer Health Insurance Options Before Medicare: COBRA, Marketplace, and Private Insurance

39 related questions found

How much does COBRA typically cost per month?

COBRA coverage is not cheap.

A COBRA premium can cost on average $400 to $700 a month per person.

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.

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.

How long can you keep Marketplace insurance?

End your health plan any time

You can end your Marketplace coverage any time. You may need to do this if you get other health coverage, or for another reason.

What is the best health insurance for unemployed people?

The best health insurance for unemployed individuals depends on your specific needs and financial situation. Medicaid offers health coverage for those with little to no income. For others, the Health Insurance Marketplace may provide affordable plans, especially for those eligible for financial help to lower costs.

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 worth the money?

But ultimately, it depends on your situation. If you're not eligible for government subsidies and the costs of COBRA and ACA are similar, or if you've used up the deductible on your employer insurance before you leave your job, it might make sense for you to do a COBRA plan.

Is there a cheaper option than COBRA?

Marketplace insurance, available through the Affordable Care Act, often offers more affordable premiums than COBRA.

Who is not eligible for 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.

How can I reduce my COBRA cost?

To reduce your COBRA insurance cost per month, one option is to see whether your employer offers other lower-cost plan options with a lower coverage level. This tradeoff could make sense if you're healthy. You can't switch plans immediately after losing your job.

What is the 60 day loophole for cobras?

What is the COBRA Loophole 60 Days? The Cobra Loophole 60 Days allows you to defer your decision about COBRA insurance until the very last day of the 60-day period. This gives you a window of time where you don't need to pay any premiums, yet you're still covered if an emergency occurs.

Can I refuse health insurance from my employer and get Obamacare?

Obamacare is available to everyone, whether or not their employers offer insurance. From a practical standpoint, though, there are financial consequences to doing this. Often, an employer subsidizes part or all of their employees' coverage.

How much is cobra insurance per month?

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

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.

Are COBRA payments tax deductible?

Are my COBRA premiums deductible? Yes they are tax deductible as a medical expense. 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.

How do I calculate COBRA costs?

Using the information provided in Box 12 of your most recent W-2 form, labeled Code DD, you will find the total annual cost of your employer-sponsored health coverage. To determine your monthly COBRA premium, divide this annual amount by 12 and include any applicable administrative fees, which may be up to 2%.

What happens if I turn 65 while on COBRA?

In addition, a COBRA carrier may be able to bill you for any benefits paid by mistake when Medicare should have paid first. If you're already on COBRA when you become eligible for Medicare, you will lose your COBRA benefits and none of this applies to you.

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.