The cost of health insurance continues to rise, making it difficult for individuals and families to afford necessary medical coverage. In 2025, COBRA (Consolidated Omnibus Budget Reconciliation Act) premiums have significantly increased, leaving many people searching for budget-friendly alternatives. If you have recently lost your job or are facing a lapse in health insurance, understanding your options is crucial to maintaining financial stability while ensuring adequate healthcare coverage.
Why Are COBRA Premiums Rising in 2025?
COBRA allows individuals to continue their employer-sponsored health insurance after losing a job. However, this comes at a high cost since individuals must pay the full premium plus an administrative fee. In 2025, these premiums have surged by 7%–15%, making them unaffordable for many families.
The key reasons behind this increase include:
- Rising healthcare costs – The overall cost of medical services and prescription drugs continues to increase.
- Employer cost-shifting – More companies are covering higher insurance costs for active employees, passing additional expenses to COBRA enrollees.
- Higher demand for health coverage – More individuals are opting for comprehensive plans, increasing insurance company expenditures.
- Inflation and administrative costs – Inflation impacts all industries, including the healthcare sector, leading to higher premiums.
- Post-pandemic adjustments – Healthcare providers and insurers are still adjusting to shifts in medical service demands post-COVID-19.
With the average COBRA premium costing between $400–$700 per month per person, many individuals are seeking affordable alternatives.
Top 6 Affordable Alternatives to COBRA in 2025
If COBRA is too expensive, consider these more affordable options:
1. ACA Marketplace Plans (Obamacare) – Best for Comprehensive Coverage
The Affordable Care Act (ACA) Marketplace offers government-subsidized health insurance for those who qualify based on income. Many people can secure plans for under $50 per month after subsidies.
Eligibility Requirements:
- Annual income between 100%–400% of the Federal Poverty Level (FPL)
- Unemployed or do not have access to employer-sponsored health insurance
- Must be a legal U.S. resident
Pros:
- Lower premiums with subsidies
- Covers pre-existing conditions
- Offers comprehensive benefits (hospital, maternity, prescription, mental health, etc.)
- Large network of healthcare providers
Cons:
- Limited enrollment periods unless you qualify for Special Enrollment
- Some plans have higher deductibles
- Premiums may increase yearly
Where to Apply: Healthcare.gov
2. Short-Term Health Insurance – Best for Temporary Coverage
If you need quick, temporary coverage, short-term health insurance can be a cost-effective solution. These plans typically last 3–12 months and offer limited benefits.
Who Should Consider It?
- Individuals between jobs
- Recent graduates without employer coverage
- People waiting for ACA Open Enrollment
- Freelancers or gig workers needing emergency coverage
Pros:
- Affordable monthly premiums ($50–$200)
- Quick approval process
- Available year-round
- Flexible coverage options
Cons:
- Limited benefits (may not cover prescriptions, maternity, or mental health care)
- Not ACA-compliant
- May require high out-of-pocket payments
Where to Apply: eHealthInsurance
3. Medicaid – Best for Low-Income Individuals
Medicaid is a state-run program that provides free or low-cost health coverage to low-income individuals and families. If your income is below 138% of the Federal Poverty Level, you may qualify.
Pros:
- No or very low monthly premiums
- Comprehensive coverage, including preventive care
- Available year-round
- Often includes dental and vision coverage
Cons:
- Eligibility rules vary by state
- Limited provider networks in some regions
- Lengthy approval process in some cases
Where to Check Eligibility: Medicaid.gov
4. Joining a Spouse’s Employer Plan – Best for Families
If your spouse has an employer-sponsored health insurance plan, you may be able to join as a dependent. This option is often cheaper than COBRA and provides full benefits.
Pros:
- Lower premiums than COBRA
- Comprehensive benefits, including family coverage
- No need to shop for a separate plan
Cons:
- May have to wait for Open Enrollment unless you qualify for a Special Enrollment Period
- Employer contributions determine premium costs
- Some employer plans have high deductibles
Where to Apply: Contact your spouse’s HR department
5. Health Sharing Plans – A Unique Alternative
Health sharing plans are membership-based programs where participants share medical costs. They are not traditional insurance plans but can be an affordable alternative.
Pros:
- Lower monthly costs ($100–$300 per person)
- Available year-round
- Often faith-based or secular
- Community-driven support system
Cons:
- Not regulated like traditional insurance
- May not cover pre-existing conditions
- Coverage is not guaranteed
Where to Apply: Medi-Share or Samaritan Ministries
6. Direct Primary Care (DPC) – Best for Routine Care
Direct Primary Care (DPC) is a subscription-based healthcare model where individuals pay a flat monthly fee ($50–$100) for unlimited primary care visits.
Pros:
- No deductibles or copays
- Unlimited primary care visits
- Personalized doctor-patient care
- Predictable costs with transparent pricing
Cons:
- Does not cover hospitalizations or major medical expenses
- Limited availability in some states
- Additional insurance may be needed for specialized care
Where to Find Providers: DPC Frontier