Deciding between options? See the COBRA vs Marketplace side-by-side comparison.
COBRA
Lets you keep your current plan after coverage would otherwise end. Time-limited. COBRA is usually not free — confirm the exact monthly cost with your plan administrator before electing.
Marketplace (HealthCare.gov)
Job loss is a qualifying event for a Special Enrollment Period. May be cheaper with subsidies.
Spouse / partner plan
Job loss may open a special enrollment window to join a partner's plan. Confirm the deadline with the plan administrator.
Medicaid
Income-based; may be available depending on household income.
Decision checklist
- Date your current health coverage ends
- COBRA election notice received? When?
- COBRA monthly cost estimate
- Marketplace plan estimate (Special Enrollment Period applies)
- Spouse / partner employer plan option
- Medicaid possibility based on household income
- Dependents' coverage continuity
We don't recommend a specific plan. You may want to talk to a licensed health insurance broker — they are often free to you.
Still weighing the options? The COBRA vs Marketplace comparison shows cost, deadlines, networks, and what to verify, all in one table.
Once you pick coverage, pair it with the 7-day checklist, a money runway estimate, and unemployment prep.
References
Benefit continuation topics in this guide reference materials published by the U.S. Department of Labor (Employee Benefits Security Administration) on the Consolidated Omnibus Budget Reconciliation Act, by the Centers for Medicare and Medicaid Services, and by HealthCare.gov on Special Enrollment Periods after loss of job-based coverage. Medicaid eligibility is administered by each state's Medicaid agency. For your specific situation, confirm coverage options and deadlines with your plan administrator and consider a licensed health insurance broker.
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Laid Off in America provides educational planning support only. It does not provide legal, immigration, financial, tax, employment, insurance, or benefits advice.