Why is my COBRA insurance so expensive?

Asked by: Mrs. Tatyana Mohr Sr.  |  Last update: December 18, 2023
Score: 4.9/5 (8 votes)

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 2022, employees paid an average of $111 per month for an individual plan and $509 per month for a family plan, according to KFF.

Is there a cheaper alternative to COBRA?

Typically ACA insurance is more affordable than COBRA insurance because you can be eligible for federal ACA subsidies, depending on your income. COBRA costs an average of $599 per month.

What is COBRA insurance and why is it so expensive?

COBRA plans are the exact same plan that you were offered by your employer, except much more expensive, because your employer is no longer covering part of the cost; So its important to know what is included, the terms and conditions of your employer plan before considering COBRA.

What are typical COBRA costs?

With COBRA insurance, the individual becomes responsible for the costs the employer once was responsible for. This may result in paying average monthly premiums of $623 to continue your individual coverage or $1,778 for family coverage. COBRA premiums range depending on if you have an individual or family plan.

Can you negotiate COBRA?

Many employers will offer to pay for three, six or 12 months of COBRA premiums on behalf of the terminated employee. While this can be done, be careful how you word it in the severance agreement. Most employer sponsored plans are on a 12 month contract.

Everything you Need to Know about COBRA Insurance

17 related questions found

What do I do if COBRA is too expensive?

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.

How do I avoid paying COBRA?

If you want to avoid paying the COBRA cost, go with a short-term plan if you're waiting for approval on another health plan. Choose a Marketplace or independent plan for broader coverage. Choose a high-deductible plan to keep your costs low.

How do I know how much my COBRA will cost?

If you want to figure this out on your own, ask HR how much your employer is contributing toward your monthly coverage. Then, check your pay stub to see how much you're contributing. After adding these figures, add another 2% (for the service fee). This will show you exactly how much you'll expect to pay for COBRA.

Is COBRA tax deductible?

You can deduct the cost of COBRA health insurance on your federal income taxes. But as with most types of health insurance, COBRA premiums are considered a medical expense and can only be deducted if you itemize your deductions and your medical expenses are greater than 7.5% of your AGI for the taxable year.

How is COBRA pricing determined?

Your monthly COBRA premiums (or payments) will equal the total cost of the premium under your employer-sponsored health insurance, plus a 2% administration charge. If you've had insurance through your employer for a while, the price to continue that coverage on your own is going to sting.

Is COBRA ever worth it?

You can keep using the same claims filing methods, doctors, and pharmacists that you're used to. COBRA can save you money on out-of-pocket costs. Employer-sponsored health plans may provide broader networks than non-group health plans if you travel out of state or have more than one home.

Can you cancel COBRA and get Obamacare?

No, having COBRA doesn't affect your eligibility for premium tax credits. However, 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.

Is COBRA going to be free?

The federal government will pay 100 percent of COBRA insurance premiums for eligible employees who lost their jobs and for their covered relatives through September, allowing them to stay on their company-sponsored health plan, under the American Rescue Plan Act (ARPA) that President Joe Biden signed into law on March ...

What is the COBRA loophole?

Cal-COBRA is a California Law that lets you keep your group health plan when your job ends or your hours are cut. It may also be available to people who have exhausted their Federal COBRA.

What is a good alternative to COBRA?

If COBRA doesn't work for you, the Health Insurance Marketplace is a great health coverage option for both individuals and families. Many states run their own health exchanges where you can shop, compare and enroll in a plan that works best for you and your budget.

What happens if I don't want Cobra insurance?

Keep in mind if you choose to terminate your COBRA continuation coverage early with no special enrollment opportunity at that time, you generally will have to wait to enroll in other coverage until the next open enrollment period for the new group health plan or the Marketplace.

Can COBRA premiums be refunded?

If you have overpaid for COBRA for any reason, premium over payments are generally applied to future premium obligations and returned to you once your CO- BRA coverage period is exhaust- ed or you request to have your COBRA account terminated early.

Is COBRA reported on w2?

What are the COBRA guidelines? You are not required to report the value of coverage provided for a COBRA participant. You are only required to report the value of the coverage provided during the time the person was an active employee.

What happens to my deductible if I go on COBRA?

Do I have to start over with my deductible and out-of-pocket maximum accruals? No. COBRA coverage is an extension of the same coverage held during active employment. If you already satisfied your deductible during the current plan year, you will not have to do so again during the current plan year while on COBRA.

Why use Cobra insurance?

It gives you time to find another health plan or covers you until your next employer plan kicks in, like when you start a new job. Federal coverage lasts 18 months but may extend up to 36 months if you have a second “qualifying event.” For instance, a divorce or death of a spouse.

Is COBRA a 2 percent administrative fee?

Paying for COBRA coverage

The employee generally pays the full cost of the insurance premiums. In fact, the law allows the employer to charge 102 percent of the premium, and to keep the 2 percent to cover your administrative costs.

Can I keep COBRA if I quit my job?

COBRA allows you to continue coverage — typically for up to 18 months — after you leave your employer. You can buy an Affordable Care Act (ACA) plan through a public exchange on the health insurance marketplace. Or you can switch to your spouse or partner's plan, if possible.

What happens if I don't pay COBRA premium?

Late Paying for Ongoing COBRA Health Insurance

But if you don't make your premium payment within the 30-day grace period, your coverage can be canceled permanently. You're still covered during the grace period, as long as you ultimately do end up making your payment by the end of the grace period.

Can I do COBRA if I quit my job?

You Can Get COBRA Insurance After You Quit Your Job.

Can you switch plans on COBRA?

You May Change COBRA Plans Only During An Open Enrollment

However, you will be able to change the health plan when your previous employer has open enrollment. You will need to contact the previous employer's HR department or Benefits Manager to find out the date of open enrollment.