Do I need to have Cobra coverage to aviod a one month lapse?

My husband is starting a new job next week. Our current insurance (United Healthcare) would not cover the surgery due to an employer exclusion. My husband's new job offers Aetna USHC and United Healthcare. Will there be some sort of waiting period? Also, if I don't buy Cobra, will they still approve if there is a lapse in my insurance?

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