If you’ve just left a job, you probably heard about COBRA. It lets you keep the same health plan you had while employed, but you’ll pay the full price plus a small admin fee. That sounds simple, but the exact cost can vary a lot. Let’s break it down so you know what to expect.
First, the base premium is the amount your employer used to pay for your share of the plan. When you switch to COBRA, you take over that part and also the employer’s contribution. So if your employer covered 70% of a £200 monthly premium, you’ll now pay the full £200 plus a 2% admin charge – about £204.
The type of plan matters too. A high‑deductible health plan (HDHP) is cheaper than a fully‑covered provider‑network plan, but you’ll pay more out‑of‑pocket when you need care. Also, family coverage costs more than individual coverage because you’re covering everyone’s premiums.
Your location influences the price. States with higher healthcare costs tend to have higher insurance premiums. Finally, the length of coverage matters. COBRA can last up to 18 months (or 36 months for certain disabilities), and the longer you stay on it, the more you’ll spend overall.
Before you sign up, compare the COBRA quote with plans on the health‑insurance marketplace. Sometimes a marketplace plan with a subsidy is cheaper than COBRA, even after you factor in the tax credit.
If you qualify for Medicaid or a low‑income health‑care program, you might drop COBRA altogether. Check eligibility quickly online; the process is usually fast.
Another trick is to see if your former employer offers a “bridge” plan or a cheaper continuation option. Some companies have a short‑term plan that costs less than full COBRA but still gives basic coverage.
Don’t forget to use your Health Savings Account (HSA) or Flexible Spending Account (FSA) to pay for the premiums. Those funds are pre‑tax, which lowers the real cost.
Finally, talk to your HR department about the admin fee. In rare cases they can waive or reduce it if you’re experiencing financial hardship.
Bottom line: COBRA can feel pricey because you’re paying the whole premium yourself. By checking marketplace options, exploring Medicaid, and using tax‑advantaged accounts, you can often bring the cost down.
Take a few minutes now to request your COBRA quote, run the numbers, and see if there’s a cheaper alternative that still meets your health needs. Knowing the factors that drive the price and the ways to lower it will give you peace of mind while you transition to your next job or insurance plan.