Honest comparison
Losing employer coverage: your real options.
Losing group coverage is the most common reason people end up buying their own, and it arrives with deadlines attached — which is why so many decisions get made badly, in a hurry, from a packet.
There are four realistic paths. None of them is right for everybody, and the honest answer usually depends on two things: your health right now, and whether your household income qualifies for a premium tax credit.
The alternative
COBRA or the marketplace
The two options that will find you on their own.
Where it genuinely wins
- COBRA keeps your exact plan, doctors and met deductible with no health questions
- Losing group coverage opens a marketplace special enrollment period
- Marketplace plans are guaranteed issue regardless of health history
- Premium tax credits can make a marketplace plan very affordable at qualifying incomes
- COBRA elections are retroactive within the window, which buys you time to shop
Where it costs you
- COBRA typically costs several times your old payroll deduction
- COBRA is time-limited, usually 18 months
- Unsubsidized marketplace premiums are high and deductibles higher
- Marketplace networks are often narrow local HMOs
- The special enrollment period has a hard deadline, commonly 60 days
What we do
Private PPOAn underwritten private policy you choose rather than inherit.
Where it genuinely wins
- Often far cheaper than COBRA for a healthy household
- Not time-limited the way COBRA is
- Broad nationwide PPO networks
- You pick the deductible and network rather than inheriting the employer's choices
- Can be applied for immediately — no waiting for a window
Where it costs you
- Medically underwritten — an active condition may be excluded, rated, or declined
- Your deductible resets
- No premium tax credits
- Wrong choice if you're mid-treatment
Side by side
The differences that actually change your bill.
| Feature | COBRA / Marketplace | Private PPO |
|---|---|---|
| Health questions | None | Yes — underwritten |
| Typical cost | Full group rate, or subsidized exchange rate | Priced to your household |
| Keep your doctors | COBRA: yes. Marketplace: check | Depends on the network |
| Deductible already met | COBRA: carries over | Resets |
| Time limit | COBRA: ~18 months | None |
| Deadline to act | Typically 60 days | None |
| Network breadth | COBRA: your old plan. Marketplace: often narrow | Nationwide PPO |
| Start date | COBRA: retroactive | Usually the 1st of a following month |
Health questions
COBRA / Marketplace
None
Private PPO
Yes — underwritten
Typical cost
COBRA / Marketplace
Full group rate, or subsidized exchange rate
Private PPO
Priced to your household
Keep your doctors
COBRA / Marketplace
COBRA: yes. Marketplace: check
Private PPO
Depends on the network
Deductible already met
COBRA / Marketplace
COBRA: carries over
Private PPO
Resets
Time limit
COBRA / Marketplace
COBRA: ~18 months
Private PPO
None
Deadline to act
COBRA / Marketplace
Typically 60 days
Private PPO
None
Network breadth
COBRA / Marketplace
COBRA: your old plan. Marketplace: often narrow
Private PPO
Nationwide PPO
Start date
COBRA / Marketplace
COBRA: retroactive
Private PPO
Usually the 1st of a following month
Actual premiums, deductibles, networks and benefits vary by age, location, household, health history and the plan selected.
The questions behind it
What people ask once they’ve seen the table.
What should I do in the first week?
Find three dates and write them down: the exact date your group coverage ends, the last day of your COBRA election window, and the last day of your marketplace special enrollment period. Everything else follows from those.
Then get the private-coverage question answered early, because it's the only path with an approval step. Applying immediately costs nothing and tells you whether it's even an option before the other deadlines close.
Can I use the COBRA window as a safety net while I shop?
That's one of its genuine strengths. Because a COBRA election is generally retroactive to the day your group plan ended, you can usually apply for private coverage first and elect COBRA only if the application doesn't go your way.
Verify the dates on your own election notice before relying on this — the windows are strict and there's no grace once they close.
What if my income just dropped a lot?
Then check the marketplace first, seriously. Premium tax credits are based on your expected income for the coverage year, not last year's. A household that never qualified while employed may qualify comfortably after a job loss.
If that's your situation, we'll tell you the marketplace is your better deal. It usually is.
What if I'm starting a new job in a few weeks?
Then you're looking at a defined gap, and the answer is usually the cheapest thing that covers a catastrophe: a short-term plan, or COBRA if you're mid-treatment or close to your deductible.
Confirm the new employer's waiting period in writing. "First of the month following 30 days" can mean six weeks uncovered, not two.
What happens if I just go without for a couple of months?
Financially it's a gamble on nothing happening, and the odds are usually in your favor — right up until they aren't. A single emergency admission can outrun several years of premiums.
The practical risk is also forward-looking: a condition that turns up during an uninsured gap becomes a pre-existing condition for underwriting purposes afterward, which narrows your options later.
COBRA or the marketplace is better if…
- You're mid-treatment or have a procedure scheduled
- You've met most of your deductible this plan year
- Your income now qualifies you for a premium tax credit
- You've been declined for underwritten coverage
Private PPO is better if…
- You're in good health and COBRA is priced out of reach
- You earn too much to qualify for a subsidy
- You need coverage for longer than 18 months
- You want a nationwide network rather than your old employer's
The plain-language verdict
Start with the dates, then answer two questions: are you mid-treatment, and do you qualify for a subsidy? A yes to the first points at COBRA. A yes to the second points at the marketplace. A no to both is where underwritten private coverage usually wins on price and network — and a licensed advisor can tell you which of those it is in one call, well inside your deadlines.
Still not sure?
Ask a licensed advisor. It's free either way.
Five short questions and a real person will tell you which of these options actually fits your household — including when the answer isn't us.
- Free, no-obligation review
- One licensed advisor — never a call center
- Your details are never sold to third parties
- Enroll any day of the year
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