Health Insurance

COBRA vs ACA After a Layoff: Which Is Cheaper?

COBRA feels like the "safe" default because it's automatic. It's rarely the cheapest option. Here's how the two actually compare, and how to decide in about 10 minutes.

๐Ÿ“… Updated July 2026ยทโฑ๏ธ 5 min read

โšก Quick answer

COBRA continues your exact same employer plan, but you pay the full premium plus up to a 2% fee โ€” often $500โ€“$900+/month for one person. Because your household income just dropped, you may now qualify for ACA marketplace subsidies COBRA doesn't offer, which frequently makes a marketplace plan meaningfully cheaper for similar coverage. Compare both before your 60-day window closes.

On this page
  1. How COBRA works
  2. How ACA marketplace coverage works
  3. Side-by-side comparison
  4. When COBRA is actually the better choice
  5. When ACA is usually cheaper
  6. How to decide in 10 minutes
  7. Key deadlines
  8. FAQ

How COBRA works

COBRA (the Consolidated Omnibus Budget Reconciliation Act) lets you keep your exact employer-sponsored health plan โ€” same doctors, same network, same prescription coverage โ€” for up to 18 months after your job ends (longer in some circumstances). The catch is cost: your employer was likely covering a significant share of the premium while you worked there. Under COBRA, you pay the full premium yourself, plus an administrative fee of up to 2%.

How ACA marketplace coverage works

Losing job-based health coverage is a qualifying life event that triggers a 60-day Special Enrollment Period to sign up for an ACA marketplace plan at healthcare.gov (or your state's exchange). Unlike COBRA, marketplace plans are priced based on your estimated income for the year โ€” and that's the detail most people miss.

Side-by-side comparison

COBRAACA Marketplace
Keeps your exact current planYesNo โ€” new plan selection
Typical monthly cost (individual)$500โ€“$900+Often lower after subsidies
Subsidy eligibleNoOften yes, post-layoff
Enrollment window60 days60 days
Retroactive coverageYesNo โ€” starts month after enrollment
Pre-existing conditions coveredYesYes
Max duration18 months (up to 36 in some cases)Renewable annually

When COBRA is actually the better choice

Choose COBRA if:

  • You're mid-treatment and can't risk a network change
  • You've already met a high deductible this year
  • Your specific doctors aren't in any available marketplace plan
  • Your former employer subsidizes COBRA as part of severance

Choose ACA if:

  • Your income dropped enough to qualify for subsidies
  • You want a lower monthly premium over network continuity
  • You're comparing several plan tiers, not just one option
  • Your job search may take several months or more
Mid-deductible-year tipIf you've already paid down a significant chunk of your annual deductible under your employer plan, COBRA lets you keep that progress. Switching to a marketplace plan usually resets your deductible to zero for the new plan year.

When ACA is usually cheaper

For most people who don't have a specific medical reason to stay on their exact old plan, ACA marketplace coverage ends up cheaper after a layoff โ€” sometimes dramatically so. The reason is straightforward: COBRA pricing doesn't change no matter what happens to your income, but ACA subsidies are calculated specifically on your new, lower estimated household income for the year.

If your household income for the rest of the year (severance + unemployment + any part-time income) puts you meaningfully below what it was while employed, it's worth running the numbers on healthcare.gov before defaulting to COBRA โ€” even if COBRA feels like the path of least resistance.

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Whichever plan you choose, plug the real monthly premium into your runway calculation to see the true impact on how long your money lasts.

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How to decide in 10 minutes

  1. Find your COBRA premium. It's usually listed on the COBRA election notice, or you can ask HR directly for the exact monthly amount.
  2. Estimate your household income for the rest of the year โ€” severance, unemployment, any freelance or part-time work, and a spouse's income if applicable.
  3. Run that estimate through healthcare.gov's plan browser (you can preview plans and subsidy estimates without formally enrolling).
  4. Check that your must-keep doctors and prescriptions are covered under the marketplace plans you're considering.
  5. Compare the real monthly cost, side by side, not just the sticker premium โ€” factor in deductibles and out-of-pocket maximums too.

Key deadlines to write down

Frequently Asked Questions

Not always, but usually. COBRA requires you to pay the full premium your employer previously subsidized, plus up to a 2% administrative fee, often totaling $500โ€“$900+/month for a single person or $1,800+/month for a family. Because a layoff typically drops your household income, many people qualify for ACA marketplace subsidies that COBRA doesn't offer, which frequently makes marketplace plans cheaper.
You have 60 days from your coverage end date (or from when you receive your COBRA election notice, whichever is later) to elect COBRA. Losing job-based coverage also triggers a 60-day Special Enrollment Period for ACA marketplace plans. Both windows run in parallel, so you have time to compare before choosing.
Generally no, not until the next open enrollment period or another qualifying life event, unless your COBRA coverage runs out entirely. This is why comparing costs before electing COBRA matters โ€” once you're past your Special Enrollment Period window, switching becomes much harder.
Both do. Under the ACA, marketplace plans cannot deny coverage or charge more for pre-existing conditions, and COBRA continues your exact previous plan with no new waiting periods. Neither option requires medical underwriting.
This is one of the strongest reasons to choose COBRA over ACA: it continues your exact same plan and network with no interruption, which matters if you're mid-treatment or don't want to confirm a new marketplace plan includes your specific doctors and facilities.

Keep reading

This guide is for general educational purposes and is not insurance, legal, or tax advice. Premiums, subsidy eligibility, and plan availability vary by state, household income, and individual plan. Confirm exact costs at healthcare.gov or with your COBRA administrator before enrolling.