COBRA & coverage gaps

COBRA Alternatives: You Have Options — Fast.

Whether your COBRA is running out, you're between jobs, or you just left an employer plan, a gap in coverage is the last thing you need. The good news: losing coverage is usually a qualifying life event, which means you don't have to wait for open enrollment to get insured again.

Is COBRA my only option when I lose coverage?

No. COBRA lets you keep your exact former plan, but you pay the full premium with no employer contribution, so it is often the most expensive route. Because losing coverage is a qualifying life event, you usually have about 60 days to instead choose an ACA marketplace plan (a lower income often means new subsidies) or a private under-65 plan, which can be cheaper for similar coverage. The right pick depends on your income, your providers, and how long the gap is. An independent broker compares them at no cost to you.

Why COBRA often isn't the answer

COBRA lets you keep your old plan — but you pay the full premium with no employer contribution, which is often shockingly expensive. For a lot of healthy people, a private plan offers comparable flexibility for meaningfully less.

The sticker shock is real: the same plan that felt affordable through work can more than double once your employer stops chipping in. Before you auto-enroll in COBRA, it's worth seeing what else is on the table.

COBRA vs. the alternatives: how to decide

There's no single right answer — it usually comes down to four things, and I'll walk you through all of them:

  • Cost. COBRA means paying the full premium plus an admin fee with zero employer help. A private or marketplace plan is priced for you, and for many healthy people that's meaningfully less — but not always, so we compare the real numbers both ways.
  • Your doctors. If keeping specific doctors matters, we check whether they're in-network before you commit. COBRA keeps your exact plan; a new plan may use a different network.
  • Timing. Losing coverage opens a special enrollment window of about 60 days, and many plans can take effect the first of the next month. Waiting is the main thing that creates a gap.
  • Your health. Marketplace plans are guaranteed-issue; some private plans involve underwriting, so your history can affect approval and price. I'll tell you honestly which door is realistic before you apply.

Is COBRA ever worth it?

Sometimes — and being honest about when is the whole point. COBRA's one real advantage is that nothing changes: same plan, same network, same progress toward your deductible. What you give up is money, because you now pay the full premium plus up to a 2% administrative fee with no employer share, often two to three times what the coverage cost you as an employee. For a healthy person early in the plan year, that premium usually buys something a marketplace or private plan can match for less. But there are a few specific situations where keeping COBRA genuinely is the smarter move:

  • You're mid-treatment. In the middle of a course of care, a surgery, or managing a serious condition, keeping the exact plan and doctors without re-checking networks is worth paying for.
  • You've already met (or nearly met) your deductible or out-of-pocket max. Starting over at zero on a new plan mid-year can cost more than COBRA's higher premium for the months left.
  • A specific doctor or facility is non-negotiable and only your current plan's network includes them.
  • The gap is short. If a new job's plan starts in a few weeks, a month or two of COBRA can be simpler than switching coverage twice.

Outside those cases, paying full freight to keep a plan you could replace for less rarely makes sense — but it's a real comparison, not a slogan. That's exactly the math I'll run with you, both ways, for free.

Health insurance between jobs

A stretch between jobs is one of the most common reasons people find themselves suddenly uninsured — you've left one employer's plan and the next job's benefits haven't kicked in yet, or you're taking time between roles on purpose. The reassuring part: leaving job-based coverage opens a special enrollment window, so you don't have to wait for open enrollment to get covered again. Depending on how long the gap runs, a private under-65 plan or an ACA marketplace plan can carry you through — and if it's only a few weeks until new benefits start, a short-term bridge plan is sometimes the simplest fit. The move that matters most is not waiting: tell me your last-covered date and I'll line up options so there's no gap you have to sweat.

How I help

I move quickly. Tell me when your coverage ends and I'll compare private options that can bridge the gap so you're never left uninsured. Many can be enrolled outside open enrollment, and I handle the details so you can focus on the transition.

  • Because losing coverage counts as a life event, you likely don't have to wait for the usual enrollment season
  • Often more affordable than full-price COBRA
  • Fast turnaround when coverage is ending
  • Coverage that travels with you to your next chapter
When timing matters

Why people in transition call me.

You Probably Won't Have to Wait

Losing coverage often opens a special window to enroll — so you may not have to wait for the usual open-enrollment season.

Usually Costs Less Than Full COBRA

For many healthy people, a private plan can offer comparable flexibility for meaningfully less than full-price COBRA.

I Move Fast When Time Is Short

When your coverage is ending soon, I respond quickly so you're never stuck making a big decision under pressure.

Coverage That Comes With You

Your plan isn't tied to a former employer — it moves with you into whatever comes next.

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Coverage-gap questions

Quick answers for life in transition.

What are alternatives to COBRA after leaving a job?

COBRA lets you keep your old plan, but you pay the full premium — often a shock. A private under-65 plan or an ACA marketplace plan is frequently cheaper for similar coverage. I'll compare COBRA against your other options so you're not overpaying out of habit.

How do I get health insurance between jobs?

Losing job-based coverage triggers a special enrollment window, and many private plans can start fast. Tell me your last-covered date and I'll move quickly so you don't end up with a gap.

Is COBRA or a private plan cheaper?

A private plan is often cheaper — with COBRA you pay 100% of the premium plus an admin fee, while an individual plan is priced for you. But not always, so I run the actual numbers both ways before you decide.

I'm retiring before 65 — what are my options until Medicare?

Early retirees are one of the groups I help most. Until you reach Medicare at 65, I'll find you a private or marketplace plan to bridge the gap — built around your doctors and budget, not a former employer's.

How fast can I get covered so I don't have a gap?

Coverage can often start quickly — many plans can take effect the first of the month after you apply, sometimes sooner. The key is not waiting, so reach out before your current coverage ends.

Can I keep my doctors if I leave COBRA for a private plan?

Often, yes. Many private and marketplace plans offer PPO-style networks, so leaving COBRA doesn't have to mean leaving your care team. Checking whether your doctors are in-network is part of how I compare your options before you commit.

Is a short gap in coverage between jobs a problem?

There's no federal penalty for a short gap now, so a brief lapse won't fine you — but it can still leave you exposed if something unexpected happens, and it can complicate timing when you re-enroll. Because losing job-based coverage opens a special enrollment window, you can usually avoid a gap entirely. I'll help you bridge it so you're not rolling the dice.

If I skip COBRA for a private plan, can I be turned down for my health?

Possibly. Private under-65 plans are often medically underwritten, so a pre-existing condition can mean a higher rate or a decline, while COBRA and ACA marketplace plans are guaranteed-issue regardless of health. If your health makes a private plan uncertain, the marketplace is the safer path, and losing coverage opens a window to enroll. An independent broker can tell you which fits before you commit, at no cost.

What happens when COBRA runs out?

When COBRA ends — usually after about 18 months — that loss of coverage is itself a qualifying life event, so it opens a special enrollment window of roughly 60 days to move onto an ACA marketplace or private under-65 plan without waiting for open enrollment. The main thing is to line the next plan up before COBRA actually ends so there's no gap. Reach out a month or two ahead and I'll have your options ready, at no cost.

Will you pressure me to decide fast while I'm stressed about losing coverage?

No. There's often a real 60-day window, so timing matters, but I'll never use that to rush you into a decision. I'll help you understand your options calmly, at your pace, and if something doesn't fit, I'll tell you. You'll never get a hard sell from me, especially not when you're already dealing with enough.

My COBRA is too expensive — can I drop it for a cheaper plan now?

Often you can, but timing matters. You can switch during Open Enrollment, and ending COBRA can open a special enrollment window — but voluntarily dropping COBRA on its own usually doesn't, so it's worth lining up the next plan before you cancel. A private under-65 plan or a marketplace plan is frequently cheaper than paying the full COBRA premium yourself. Tell me where you are in your COBRA period and I'll map the cleanest path to something more affordable without a gap.

Official sources: for the government rules on COBRA and coverage after losing a job, see HealthCare.gov — COBRA coverage and HealthCare.gov — what COBRA is. Michalek Health Solutions is an independent broker and is not affiliated with these agencies.

Not sure this is your lane? If the marketplace, COBRA, or a bridge plan turns out to be your better path, you're not on your own — I'll connect you to a partner I trust who does exactly that, and I stay in your corner either way. One honest starting point, whatever fits your family. Meet the partners I trust →

Facing a coverage gap? Let's line up what's next.

Tell me where things stand and I'll email you a plain-English rundown of your options — COBRA vs. marketplace vs. private under-65 — no spam, no health questions. Want to talk it through instead? I'll call you.

This guide is educational and general — not an offer, quote, or guarantee of coverage. It names no carriers and states no premiums. Nothing here is legal, tax, or financial advice.

In their words

“My COBRA was expiring so I reached out to Ryan at Michalek Health Solutions for health insurance options. Ryan was punctual, professional, and resourceful in all our interactions via email, text, and voice calls. …”

— Elizabeth A.

“Ryan was a great help and very accommodating when it came to helping my newly retired Father transition from his work insurance to his new insurance. …”

— John T.

“Ryan was so helpful in guiding me through the health insurance application process. Also when there was an issue with my policy, Ryan was very quick to call for me and remedy the situation. He is very personable, kind, and knowledgeable. I definitely recommend him!”

— Sydney C.

Read more reviews on Google ★ →

Let's close the gap before it opens.

Tell me when your coverage ends and I'll move fast to line up what's next.

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