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What Is COBRA Health Insurance and How Does It Work?

๐Ÿ“… June 2025โฑ 6 min read๐Ÿ‘ค MyHealthCostCalculator Team

What Is COBRA?

COBRA (Consolidated Omnibus Budget Reconciliation Act) is a federal law that lets you continue your employer-sponsored health insurance after you leave a job, lose coverage, or experience another qualifying event โ€” for up to 18 months.

The catch: you pay the full cost of the premium โ€” what you were paying plus what your employer was paying โ€” plus a 2% administrative fee.

โš ๏ธ COBRA is expensive. The average employer pays over 70% of your health insurance premium. On COBRA, you pay all of it. A plan that cost you $150/month at work might cost $600โ€“800/month on COBRA.

Who Qualifies for COBRA?

How Long Does COBRA Last?

COBRA vs ACA Marketplace โ€” Which Is Better?

In most cases, checking the ACA Marketplace is worth it before choosing COBRA. If your income qualifies for subsidies, a Marketplace plan may cost significantly less with equivalent or better coverage.

The 60-Day Decision Window

You have 60 days from losing coverage to elect COBRA. You also have 60 days to enroll in a Marketplace plan after a qualifying life event. Don't let both windows expire without choosing one.

Check Your ACA Subsidy First

See if you qualify for ACA subsidies before paying full COBRA premiums.

Check Your ACA Subsidy First โ†’

Frequently Asked Questions

How much does COBRA cost?
COBRA costs vary widely but are typically $400โ€“700/month for individual coverage and $1,200โ€“2,000/month for family coverage. You pay the full premium your employer was paying plus a 2% admin fee. Check your last pay stub โ€” the total premium is usually listed there.
Can I use an HSA to pay COBRA premiums?
Yes โ€” COBRA premiums are one of the few insurance premiums you can pay with HSA funds. This can help offset the cost if you have HSA savings.
What happens if I miss a COBRA payment?
You have a 30-day grace period for each monthly payment. If you miss a payment and the grace period expires, your COBRA coverage is terminated and cannot be reinstated.
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Disclaimer: For educational purposes only. Always verify with your insurer. Full disclaimer โ†’