Why are COBRA premiums so high?

Asked by: Stevie Miller  |  Last update: November 6, 2025
Score: 4.2/5 (62 votes)

COBRA premiums are often higher than what you're used to paying under a group health insurance plan. This is because, with COBRA, you're responsible for the full cost of your health coverage. Under a regular health plan, your employer typically covers a portion of the premium, but that subsidy disappears under COBRA.

Why is my COBRA coverage so expensive?

In general, COBRA is expensive because you pay both your employee side of premiums AND the employer side of premiums. For example, this could be a total of like $600 for a single person that's young.

Is there a cheaper alternative to COBRA?

Not only are Marketplace health insurance plans typically less expensive than COBRA, most Marketplace applicants (91% in 2022) qualify for at least some government subsidy to help pay their premiums. The amount of the subsidy depends on your income, where you live and the size of your family.

How much is the average COBRA premium?

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

Is COBRA even worth it?

If your medical expenses are going to be more than the COBRA premiums and you are close to meeting your deductible or out-of-pocket maximum, then it might be worth it to stay on COBRA.

Why is COBRA So Expensive?

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Is it better to go with COBRA or marketplace?

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.

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.

How do I find out how much COBRA will cost me?

Two Ways To Determine Your Cost

Determining your COBRA insurance cost can be done in two ways: using our COBRA Premium Cost Calculator or referencing your W-2 form. Both methods give an accurate estimate of your monthly premium, including any potential administrative fees.

Is COBRA cost 102%?

COBRA premiums are calculated at 102% of the Basic premiums, but some carriers may charge less than these maximum amounts. 1These premiums cover all Kaiser out-of-state areas.

Can you cancel a COBRA at any time?

Yes, you can cancel COBRA coverage at any time. However, be aware that cancellation does not trigger a special enrollment period for new health insurance.

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 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 ...

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.

What insurance is cheaper than COBRA?

COBRA insurance lets individuals continue their employer-sponsored health coverage for a limited period after leaving their job. Alternatives to COBRA may offer more affordable or appropriate coverage. These include the health insurance marketplace, short-term insurance, Medicaid, or a new employer's plan.

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.

Do COBRA rates change every year?

COBRA self-pay rates are subject to change every year for an effective date of January 1st. Coverage will be provided only as required by law.

Why is my Cobra insurance 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 the cost of COBRA 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.

Can I get ACA instead of COBRA?

If you choose to enroll in COBRA, you can switch to ACA health insurance under the following circumstances: You have used up all of your COBRA coverage. You have another qualifying life event that makes you eligible for another Special Enrollment Period. It is the annual Open Enrollment Period.

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.

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 use Obamacare instead of employer insurance?

Answer: Legally speaking, you certainly can decide to purchase insurance through the online Healthcare Marketplace or health insurance exchange rather than choosing your employer's plan. Obamacare is available to everyone, whether or not their employers offer insurance.

What percentage of people take COBRA?

Roughly 15 percent of UI beneficiaries received health insurance coverage via COBRA. Taking into account the main eligibility requirements for the ARRA subsidy, we estimate that between a quarter and a third of eligible unemployed workers enrolled in subsidized COBRA for continuing health insurance.

What happens if I decline COBRA coverage?

After Open Enrollment ends, however, if you voluntarily drop your COBRA coverage or stop paying premiums, you generally will not be eligible for a special enrollment opportunity and will have to wait until the next Open Enrollment period.

Is COBRA a mandatory benefit?

COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985) is a federal law that requires employers of 20 or more employees who offer health care benefits to offer the option of continuing this coverage to individuals who would otherwise lose their benefits due to termination of employment, reduction in hours or ...