No job, what about insurance?

I found this article today that I thought was quite helpful as this question often arises.  Many times after people lose their jobs, they still need health insurance but are not always aware of their options.  If you work at a company, your human resources person should always give you information about your insurance options so be sure to ask for it.  One option is choosing Cobra where you can continue to pay a certain premium so that you can keep your current insurance for a certain amount of time.  This article explains it pretty well!

What are health insurance options after job loss?

By TOM MURPHY AP Business Writer

(AP) – Q: I just lost my job. What are the best options for preserving some form of health insurance?

A: Don’t confuse “best” with “affordable.” One of the first lessons many unemployed people learn is how expensive health insurance really can be.

f you’re lucky, you can switch to coverage from the job of a spouse or family member. For most people, though, the best option lies with coverage provided under the Consolidated Omnibus Budget Reconciliation Act, or COBRA.

Employee-sponsored coverage generally ends when a job does, although some people may get a few extra weeks because their company paid premiums through the end of a month, said Cheryl Fish-Parcham, deputy director of health policy at Families USA, a nonprofit organization that advocates for affordable health care.

COBRA allows people to continue the plan they had at work after that coverage ends. The former employee must make a decision within two months of leaving the job, and he or she will pay a hefty price to keep the coverage going.

Full premiums can average out to about $400 a month for individuals or $1,000 for families, said Karen Pollitz, a research professor at the Georgetown Health Policy Institute.

Employers normally pay a large chunk of that cost for their employees. People who become unemployed wind up paying all of it, plus a small administrative fee.

A COBRA plan’s price often becomes a “conversation stopper” for someone who just lost their income, Pollitz said. Studies show only 20 percent of people who become eligible for COBRA plans actually use them.

People who opt for a COBRA plan need to know whether they will be billed for premiums or if they’re expected to make them without the paperwork. Read the notices carefully because your coverage could be dropped if you miss a premium payment, Fish-Parcham said.

COBRA plans last 18 months but can stretch longer for people with disabilities or special circumstances. That act applies to employers with 20 people or more. State laws generally provide coverage guidelines for businesses smaller than that.

Some people may find other health coverage through a trade group or association or possibly their church. But for many, COBRA plans are the best option. The individual market can be “pretty grim,” Pollitz said.

Individual policies often exclude pre-existing conditions like diabetes, and they can be even more expensive than the COBRA option.

“Be very careful if you decide to go with something cheaper that you’re buying on the individual market because you really don’t have the same protections,” Fish-Parcham said.

For low-income families with children, Medicaid may provide some coverage. Some states also offer a high-risk coverage program aimed at people who can’t find insurance on the open market. But those can be “hugely expensive” depending on the state, Fish-Parcham said.

As unattractive as all these options sound, they’re still better than gambling and going without insurance for a few months between jobs.

“You can’t really predict when you’re going to be in an accident, when you’re going to be diagnosed with cancer, when something bad is going to happen,” Fish-Parcham said. “Unfortunately, we talk every day to people who’ve paid the price of these high risks.”

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About Stephanie Cohen

I'm Stephanie Cohen. An attorney by trade but the law can be boring so let's put some spice into the law and other topics to evoke empowerment, inspiration and creativity, whether it has to do with the law or not. Write in if you have a topic you would like to see covered! View all posts by Stephanie Cohen

3 Responses to “No job, what about insurance?”

  • Zoe

    COBRA may not be there for you. First, if your employer goes out of business and stops its medical plan, there is no COBRA. Second, the penalties are so low for COBRA non-compliance, it is no problem for the COBRA providers who work for the employers to just blow you off. I left my job on 8/1/2008 (staying the extra day at the request of the employer). They misrepresented my parting date as 7/31/2008 to avoid their own policy of insuring the entire month if you work one day in the month. Then, I timely elected COBRA and paid for the first month, and then paid for the second month, all timely payments. I still have no coverage and had to fight just to get a prescription for which I paid cash. They didn’t even want to give it to me for cash without the insurance and I had to fight with them to get it.

    The insurance company says the COBRA provider has sent them nothing and the COBRA provider says they sent it and there is nothing more they can do. They both use the HIPPA privacy laws to avoid communicating with each other and only this morning used the same to avoid talking to the US Dept. of Labor COBRA enforcement department. So, now I’ve paid for two months of COBRA at a very high premium, have to pay another month by 10/1/2008 or I’ll be cancelled and I still have no coverage and no one will help me and no one cares. Do they get penalized? I read the statute and I could be wrong, but it looks to me at most they will get a $100 fine if they even get fined at all.

  • John McCormick

    Catching up on Stephanie’s Blog:

    Ironic that I should check in with your blog today, I am a nurse, presently without health insurance but have a job. 20% don’t use Cobra because it’s very expensive. However, can you imagine what great shape we would all be if we took the minimal $400. a month for health insurance, joined health clubs, had personal trainers, our own exercise equipment and ate organic foods? Plug: I haven’t written Arnold yet suggesting a tax write-off for health club memberships.

    Maybe some attorneys self-destruct on their license because money alone just doesn’t cut the loss of value of living? Looking forward to working with Stephanie someday in one of our productions.

    Stephanie’s Blog on Capitol Punishment – Once dead they don’t kill again. I don’t get it why some don’t get it.

  • dkrauss999

    I’ve been unemployed for about 10 months. I’ve been using COBRA during that time but I’m not going to be able to afford the 600+ payment (a very reasonable payment given what I’ve read here) very soon. Is Medicade and option for me?. . . .someone whose been on unemployment for most of 2008

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