COBRA Is Expensive. Here's the Private PPO Alternative
COBRA coverage after job loss can cost significantly more than you expect — you're now paying 100% of the premium with no employer subsidy. For healthy applicants, a private underwritten PPO is often a lower-cost alternative with no open enrollment restrictions.
Private PPO • COBRA Alternative • Self-Employed
COBRA Is Expensive. Here's the Private PPO Alternative
Why COBRA costs so much
When you're employed, your employer typically covers a significant portion of your health insurance premium — often 70–80% of the cost. You only see your small share in your paycheck. When you leave that job and elect COBRA, you suddenly become responsible for the entire premium — your share plus your employer's share — plus an administrative fee.
For individual coverage, COBRA costs can be a significant monthly expense. For family coverage, it can be considerably more. Most people are shocked by the amount when they see their COBRA election notice.
COBRA vs Private PPO
- Keeps your existing coverage and doctors
- No health screening required
- Retroactive — can elect after a gap
- You pay full employer + employee premium
- Plus up to 2% administrative fee
- Limited to 18 months in most cases
- Expensive for most healthy individuals
- Underwritten based on your health
- Healthy applicants often pay significantly less
- Nationwide PPO access — no referrals
- Lower deductible options — including $0 deductible plans
- Available any month — no enrollment window
- No time limit on coverage
When COBRA makes sense vs when to switch
COBRA may be better if...
- You have ongoing treatment in progress
- You're mid-year with a deductible nearly met
- You have a health condition that affects PPO eligibility
- You need continuity with specific doctors
Private PPO may be better if...
- You're healthy with no active conditions
- COBRA cost is a significant financial burden
- You want long-term coverage, not just 18 months
- You want nationwide PPO access going forward
How RKA helps
What we do
- Compare your COBRA cost vs private PPO options
- Pre-screen your PPO eligibility
- Verify your doctors are in the new network
- Help you time the transition correctly
What you get
- An honest side-by-side cost comparison
- Coverage that doesn't expire in 18 months
- No income reporting or reconciliation
- A licensed advisor — not a call center
We run the numbers for your specific situation. Most healthy applicants are surprised at the difference. No pressure, no obligation.
Frequently Asked Questions
Is private PPO cheaper than COBRA?
For healthy applicants, private PPO plans are frequently significantly less expensive than COBRA. COBRA requires you to pay the full group premium including the portion your employer was covering. Private PPO premiums are based on your individual health profile.
Can I switch from COBRA to a private PPO any time?
Yes. You can leave COBRA and switch to a private PPO at any time. Private PPO plans are available year-round with no enrollment window.
What if I have a health condition and can't get private PPO?
If you don't qualify for private underwriting, COBRA may be the right choice — especially if you have ongoing treatment or a deductible nearly met. ACA Special Enrollment may also apply if you've recently lost employer coverage.
How long does COBRA coverage last?
In most cases, COBRA coverage lasts 18 months. Some situations — such as disability — may extend it to 29 or 36 months. Private PPO plans have no such time limit.
Robert Adams * President & Licensed Agent * NPN 19540130 * Licensed in 32 states. For educational purposes only. *Premium estimates vary significantly by age, state, health history, and plan. Speak to a licensed advisor for exact figures.
