COBRA (Consolidated Omnibus Budget Reconciliation) Plan in Medical Billing

  • The COBRA is an act passed in 1985 that offers employees health coverage when they lose their job.
  • The COBRA plan also covers the employee's families.
  • COBRA plan applies to health coverage offered by private sector employers only with more than 20 employees.
  • The COBRA coverage begins on a day after the employee loses his/her job. An employee must be given 60 days time period to decide whether to accept or decline the coverage.
  • When an employee accepts the coverage then the first payment is made by the employer after that it's the employee's responsibility to pay the premium to keep the coverage effective.
  • The COBRA plan allows coverage for 18 months. It can be extended for 36 months for the spouse in case of divorce or the death of an employee. 
  • When an employer loses his business then COBRA coverage does not apply.
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