For most people, losing a job historically meant losing their health insurance. Under COBRA (the Consolidated Omnibus Budget Reconciliation Act) most employers have to offer terminated employees similar coverage to the health insurance provided while they were employed. The problem is, COBRA is usually offered at full price plus a two percent administrative fee. This basically means once you’re unemployed, your monthly premium is going to be pretty expensive. However, due to the Affordable care Act, new options are available through the Health Insurance Marketplace.
While you are employed, your employer typically pays the majority of the premium for your group health plan. Under COBRA, you pay your current premium plus your former employer's portion. In 2019, employers paid an average of $599 per month for an individual employee's insurance. That means a worker who loses their job – and doesn’t need additional coverage for their family – might have to pay around $599 a month if they elected to get COBRA. The good news is that there are options to get access to quality, affordable care that doesn't necessarily cost $599 per month.
If you lose your job, you still have quite a few options for health insurance:
Pro Tip: It’s also important to know you only have 60 days from the date of unemployment to decide.
Keep in mind that failing to have health insurance not only puts you at risk physically but financially. For example, a broken leg may cost you up to $7,500 and on average a 3-day hospital stay costs roughly $30,000. Plus, without qualifying health insurance, you could be fined under the ACA "Individual Responsibility Mandate" during tax season — which can cost 2.5% of your household income or $695 per person.
Losing your job-based health insurance qualifies you to enroll anytime throughout the year. In the Marketplace, you'll find several affordable plan options according to your anticipated income for the year. An estimated 8 out of 10 people who choose a Marketplace plan pay less than $100 a month as a premium, in large part due to tax credits and financial subsidies that can save you money.
If you want to apply for Marketplace health insurance, the first thing to do is get a quote. It only takes a few minutes and no personally identifiable information is required. You'll enter your zip code, information about each person who needs coverage, and then you'll find out if you qualify from savings. From there you can compare plans and enroll!
Additionally, depending on your state, household size, and projected income, you might qualify for low or no-cost Medicaid benefits.
Want to understand your health care options after employment? Call or make an appointment with a HealthSherpa Consumer Advocate. Don't delay, though, since you only have 60 days from the date of unemployment to decide.