COBRA with Medicare: Generally, if you are already covered by Medicare before you elect COBRA, you can still choose COBRA coverage. However, COBRA may act as secondary insurance to Medicare. It’s important to consider the benefits and costs of maintaining COBRA in addition to Medicare, as COBRA can be expensive and might not provide significant additional coverage beyond what Medicare offers. Coordination of Benefits: When you have both Medicare and COBRA, Medicare typically pays first for your healthcare bills, and COBRA may cover some remaining costs that Medicare does not fully pay. However, this coordination can vary, so it's essential to understand your specific needs and how both coverages can work together.