I became permanently disabled 17 months ago and enrolled in COBRA so I could continue having healthcare coverage. After 5 months, I stopped paying my COBRA premiums and switched to Medicaid because I can no longer work and can’t afford the high monthly payments. I assumed that the COBRA plan would be automatically terminated due to non-payment when I stopped paying for it. That is what the contract said when I enrolled. Unbeknownst to me, this was not the case.

This month, my doctor prescribed me a medication. My doctor had my Medicaid information on file, but my pharmacy billed the COBRA insurance plan. This is how I found out it was still active. I called the insurance company (BCBS) and asked if they could deny the claim and they said no. They said that because of a new rule due to COVID the grace period was extended by one year and my insurance stayed active the entire time. I am now being billed several thousand dollars for the retroactive cost of COBRA, back to the last date I paid for it a year ago. The medication would have been fully covered by Medicaid had the pharmacy billed them instead. Am I stuck paying thousands of dollars for a medication that should have been free now, or is there any way around this problem? I’m in California.

See also  If someone is eligible for Medicaid by not making enough money at their new job and 90 days prior they had coverage from a previous employer do they HAVE to apply for Cobra if they are in the hospital even if they now qualify for temporary Medicaid?