Originally Posted by papadad111
Don't forget to not just consider the cost of premiums but also deductible and copays.
Suspect cobra may be more expensive premium wise vs ACA+travel policy but the oop maximums and the deductibles of cobra could be cheaper if you had high usage of insurance - as the cobra would add / pool all that you spend in all locations together to meet deductible and max oop limits.
I am learning real time here trying to get global-coverage insurance myself.
You are so right about the deductibles and the copays!
My current insurance is set up differently from other ones and it gives me up front $1000 to spend (which I have spent $100 on so far this year) and after that is spent, I have to pay out of pocket up to $1600 and then it goes to 70/30 or 60/40 (depending upon if the doctor is within the network or not, and the rate is fixed for network providers.) Anyway, out of pocket maximum is $3150 (a little more for Out of Network). My understanding is I can continue on with the same coverage for Cobra and this covers my Dr's visits anywhere in the US plus emergency visits in foreign countries (while the NY insurance will only cover doctors in the area), so it is not such a bad deal, is it, because when I look at the NY plans, the deductible is higher and the out of pocket maximum is twice as much on Silver Plan although the premium is lower by almost $200/mo. I am leaning more and more toward Cobra at this point (since NY one I will have to add a traveler's health insurance on top of it.) although I may pay more up front with Cobra, the maximum out of pocket is lower.
Thank you very much for reminding me these points!