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Private PPO vs. COBRA

COBRA is the coverage you already know, at the price your employer was hiding from you. That sentence explains most of the decision.

COBRA

Continuation of your former employer's group plan, now paid entirely by you.

What works

  • Identical plan — same network, same doctors, same benefits, no disruption
  • Deductible and out-of-pocket amounts you already paid this year carry over
  • Guaranteed — no health questions, no underwriting
  • Any treatment already in progress continues uninterrupted

What does not

  • You now pay the entire premium plus a 2% administrative fee
  • For a family this often lands between $1,400 and $2,000+ a month
  • Time-limited — typically 18 months, then you need something else anyway
  • You are paying group rates that were never priced for an individual buyer

Private PPO

Best Value

Your own policy, underwritten on you rather than a group.

What works

  • Underwritten rates — a healthy applicant often pays far less
  • Broad nationwide PPO networks instead of a narrow local HMO
  • Deductibles as low as $0, and low or $0 copays on routine visits
  • Apply any day of the year, not just during a six-week window

What does not

  • New plan means a new deductible — money you already spent this year resets
  • Your current doctors need checking against the new network before you switch
  • Underwritten, so a significant condition may price it up or rule it out
The Verdict

So which one should you actually pick?

If you are mid-treatment, have already met a large deductible this year, or have a condition underwriting would penalize, keep COBRA and do not let anyone talk you out of it. If you are healthy, early in the plan year, and staring at a $1,600 monthly invoice to continue coverage you barely used, a private PPO usually costs a fraction of that.

When the other option wins

Keep COBRA if you are in active treatment, have already met most of your deductible, or are within a few months of Medicare eligibility.

Not sure which side you are on? One licensed advisor will tell you plainly, including when the alternative is the better fit.

See What Plans May Be Available
A man thinking through his options at a desk at home
The 60-Day Window

COBRA keeps your plan, at the full price.

When you leave a job, COBRA lets you keep the exact same coverage — but you now pay the whole premium your employer used to share, plus an admin fee.

You have 60 days to elect it, and coverage is retroactive. That gives you time to compare a private PPO before committing to eighteen months of full-price premiums.

  • Ask HR for your exact COBRA premium in writing
  • Note any deductible you have already met this year
  • Compare before the 60-day election window closes
Member Stories

What the call usually sounds like.

  • 5.0
    I was paying $690 a month for a plan with a $7,000 deductible. The advisor found a PPO my cardiologist already takes, and I stopped dreading the renewal letter.
    Self-employed contractor, 47 · Texas
  • 5.0
    COBRA wanted $1,180 a month for the two of us. The call took twenty minutes and I understood my options for the first time in years.
    Recently laid off, 52 · Ohio
  • 5.0
    He told me my income meant a subsidized Marketplace plan would beat anything he could sell me. I did not expect that from a phone call about insurance.
    Part-time seasonal worker, 34 · Oregon
How It Works

Three steps, and you are in control of all three.

Your Move

Find out which side of this you actually fall on.

Four questions, then one licensed advisor calls you back. If the alternative on this page is the better fit for your household, they will tell you that.

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