US 2028 COBRA vs ACA

2028 COBRA: pay full premium (employer + employee share) + 2% admin = $1,500-$2,500/mo typical family. ACA marketplace often beats — especially with subsidy.

Winner
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COBRA total
ACA total (after subsidy)
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COBRA continuation lets employees continue employer health plan after job loss — but at full premium (employer + employee share) + 2% admin fee. Typically $1,500-$2,500/month family. ACA marketplace coverage with subsidies often costs 30-70% less. Job loss = qualifying event for ACA Special Enrollment Period (60-day window).

COBRA Math Brutal

Employer typically covers 70-80% of family premium. After job loss, you pay 100% of premium + 2% admin. Family plan $400/mo employee share becomes $1,800+/mo COBRA. 60-day reversal: COBRA elected retroactively — but pay all back-premiums.

ACA Often Wins

With subsidies for income < 400% FPL: ACA Silver plan often $200-$800/mo for family. Compare against $1,800+ COBRA = $1,000+/mo savings. Use HealthCare.gov calculator with projected income (job-search income often low).

HSA + COBRA Combo

If high-deductible plan available via COBRA: HSA-eligible. Triple-tax-advantage shelter. Some scenarios COBRA HDHP wins over ACA Silver. Run both with HSA factored in.

Last updated May 2026. Sources: DOL ERISA.