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COBRA health insurance

Posted on 7/26/26 at 2:47 pm
Posted by Reubaltaich
A nation under duress
Member since Jun 2006
5624 posts
Posted on 7/26/26 at 2:47 pm
Cliffs:

I am going to need a total hip replacement done in the near future. I estimate that I am going to need to take off 4-6 weeks off from my job for a full recovery.

I have been putting this off for about a year now. I am nearing retirement (next year) and need to get this done before I step down.

My boss has been acting funky about me taking off time lately. I figure boss is going to give me a lot of static and maybe tell me I cannot have an extended leave of absence due to my hip replacement.

This is in NELA and I have been there a little over 4 years.
We have about 16 employees.
Insurance is through BlueCross/BlueShield.

The FMLA is out of the picture due to 16 employees at my location (must have at least 20 employees for FMLA to be valid).

I know COBRA insurance is expensive, but this hip issue is getting worse and is holding me back from doing a lot of things I need to do and activities I love like golf, fishing and hunting...

This is the question: If I 'quit' my job, will I still be able to use COBRA to get this hip replacement done?

I will hang up and listen.

TIA

Posted by 10tiger
Member since Jan 2021
293 posts
Posted on 7/26/26 at 2:50 pm to
You don’t want to put it off and wait until you’re on Medicare?
Posted by Finch
Member since Jun 2015
3757 posts
Posted on 7/26/26 at 2:51 pm to
Why wouldn’t you get the surgery then quit?
Posted by VolsOut4Harambe
Baw Land
Member since Sep 2017
14821 posts
Posted on 7/26/26 at 2:51 pm to
Here for the responses. I’m kind of in the same boat. Got laid off this past week and have a knee surgery scheduled for September. I’ve met my deductible on my outgoing plan so COBRA seems to be the way to go.

OP, my thoughts and prayers are with you.
Posted by Riverside
Member since Jul 2022
11310 posts
Posted on 7/26/26 at 2:53 pm to
COBRA coverage is usually prohibitively expensive. I say take your leave and have your surgery.
Posted by RanchoLaPuerto
Jena
Member since Aug 2023
2319 posts
Posted on 7/26/26 at 2:55 pm to
quote:

This is the question: If I 'quit' my job, will I still be able to use COBRA to get this hip replacement done?


I'm no expert, but your group may be too small to qualify you for COBRA. You had better check that.

My wife is of a certain age, and we use her heatlh insurance. She is close enough to Medicare to quit and COBRA out until then. But remember that you have to pay the ENTIRE premium yourself.

You might want to talk to a lawyer about ADA protections. That might be enough to keep them from firing you.

I had one hip done, and I was able to work within a day or two. But I have a desk job. Recovery from a hip is really not bad.

Good luck. When you head off to the hospital, tell everybody you are going to buy a very expensive joint.
Posted by Reubaltaich
A nation under duress
Member since Jun 2006
5624 posts
Posted on 7/26/26 at 3:09 pm to
quote:

You don’t want to put it off and wait until you’re on Medicare?


I am about 4 years away from Medicare eligibility. I have been dealing with this hip issue for over 5 years.

I need to get this done. I am afraid that my place of employment may deny me taking an extended leave of absence.
Posted by Reubaltaich
A nation under duress
Member since Jun 2006
5624 posts
Posted on 7/26/26 at 3:10 pm to
quote:

Why wouldn’t you get the surgery then quit?


I want to get this approved through my company. Trying to do this the right way.
Posted by JerryTheKingBawler
South of Memphis
Member since Jan 2023
9195 posts
Posted on 7/26/26 at 3:10 pm to
quote:

This is the question: If I 'quit' my job, will I still be able to use COBRA to get this hip replacement done?

Yes, but don’t. COBRA is ridiculously expensive. Use your PTO and BCBS, and let your boss bitch about it. They offer benefits, you use the benefits.
Posted by Tiger Ryno
#WoF
Member since Feb 2007
108636 posts
Posted on 7/26/26 at 3:12 pm to
Juat retire baw. F working.
Posted by BluegrassBelle
RIP Hefty Lefty - 1981-2019
Member since Nov 2010
108762 posts
Posted on 7/26/26 at 3:12 pm to
Get it done under your current insurance. COBRA is ridiculously expensive.
Posted by Reubaltaich
A nation under duress
Member since Jun 2006
5624 posts
Posted on 7/26/26 at 3:22 pm to
quote:

I'm no expert, but your group may be too small to qualify you for COBRA. You had better check that.

My wife is of a certain age, and we use her heatlh insurance. She is close enough to Medicare to quit and COBRA out until then. But remember that you have to pay the ENTIRE premium yourself.

You might want to talk to a lawyer about ADA protections. That might be enough to keep them from firing you.

I had one hip done, and I was able to work within a day or two. But I have a desk job. Recovery from a hip is really not bad.

Good luck. When you head off to the hospital, tell everybody you are going to buy a very expensive joint.


Yep. this is what I have been pondering. And yes, COBRA is expensive.

I am just trying to cover my bases here.

I do moderate lifting and a fair amount of walking at my job (I work in an office/counter and have to go to a warehouse a lot.)

I think I can get back in a couple of weeks. I just want to make sure I am fully healed.

I have been looking for an employment lawyer to consult with (Ouachita parish).

I have another job offer that provides health insurance after the first of the year and I have a couple of other options.
Posted by MMauler
Primary This RINO Traitor
Member since Jun 2013
24706 posts
Posted on 7/26/26 at 3:31 pm to
quote:

This is the question: If I 'quit' my job, will I still be able to use COBRA to get this hip replacement done?


The simple answer to that is YES.

As far as planning goes, keep in mind that most employers pay their insurance premiums at the beginning of a month. Therefore, if you start in a particular month, your coverage is good throughout that last month, even if you quit or are fired.

Then, COBRA will kick in the following month. However, you’ll have 60 days to determine whether or not you want COBRA AFTER they send you your COBRA notice (which is usually over a month later). As I recall, your employer has 60 to 90 days to even send out the COBRA notice. You then have 60 days to determine if you want it. Further, you can take as much or as little COBRA as you want. Therefore, if you only want one month of COBRA, even if you make the decision three or four months later, you still only have to pay for one month. And you’ll already know whether or not you need it for that month.

So, if you’re going to quit, schedule your surgery for something like the 3rd or the 4th of the month and let your boss know on the 1st of the month that you’re gonna be having surgery and will need some time off using as much of your sick time and/or personal time as necessary. This way, if he really wants to be an arse and fire you, at least your surgery and a good part of your rehab will be covered by your last month of "regular" insurance. You may have to pay for one month of COBRA if he fires you, but it’s better than paying for the COBRA to get the surgery and the rehab over two or three months.
This post was edited on 7/26/26 at 3:42 pm
Posted by Bayou Warrior 64
Member since Feb 2021
1145 posts
Posted on 7/26/26 at 3:37 pm to
Take your leave and have the surgery. Let your boss pound sand! WIth HIPPA employers aren't allowed to ask many IF any questions regarding medical issues and related medical leave taken. I would schedule the surgery, call in the morning of the surgery and report you are having emergency surgery. I would say no more.

Also, under NO circumstance would I quit my job. Make them terminate you. Hang in there brother. Prayers sent your way!
Posted by Reubaltaich
A nation under duress
Member since Jun 2006
5624 posts
Posted on 7/26/26 at 3:42 pm to
quote:

MMauler


This is what I have been looking 4. Thanks
Posted by MMauler
Primary This RINO Traitor
Member since Jun 2013
24706 posts
Posted on 7/26/26 at 3:46 pm to
quote:

Reubaltaich


Posted by Red Stick Tigress
Tiger Stadium
Member since Nov 2005
21442 posts
Posted on 7/26/26 at 4:37 pm to
Get your surgery ASAP with your current job.

Talk to other job and put off starting there until you recover from surgery.
Posted by Finch
Member since Jun 2015
3757 posts
Posted on 7/26/26 at 4:38 pm to
quote:

I want to get this approved through my company. Trying to do this the right way.


So if they don’t approve your leave, your plan is to quit and try to use COBRA?

Seems awfully skewed but knock yourself out
Posted by Tygerfan
Member since Jan 2004
33899 posts
Posted on 7/26/26 at 4:47 pm to
quote:

This is the question: If I 'quit' my job, will I still be able to use COBRA to get this hip replacement done?



If you're okay with leaving the job regardless, tell your boss to screw himself, get the surgery under BCBS and if he fires you for it, oh well. You were prepared to quit anyways, but at least this way the surgery would be covered.
Posted by AllDayEveryDay
The Sticks
Member since Jun 2015
9910 posts
Posted on 7/26/26 at 4:54 pm to
I got fired due my son's health issues preventing me from traveling "the appropriate amount", as if a week a month wasn't enough, and had to go on Cobra for about 5 months at roughly $2500/mo. He ended up getting an incredibly invasive surgery that lasted about 7 hours to the tune of about $500,000 all of which was covered by my previous company/COBRA.

It paid off, but would have been much cheaper not on Cobra. Stay with your employer and get the surgery. Go on STD, then long then ltd if needed.
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