South Carolina Health Insurance (2026)
ACA marketplace health insurance rates, Medicaid eligibility, and top insurers in South Carolina. Rates shown before premium tax credits — most buyers qualify for subsidies.
Silver Premium
$560/mo
Age 40, before credits
Avg Deductible
$4,900
Silver plan
Medicaid
Not Expanded
Gap may exist
Insurers
4
On marketplace
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Top Health Insurers in South Carolina
1
Compare PlansBlue Cross Blue Shield
Nationwide network
Avg Monthly
$480
Network
Very Large
Rating
4.5/5
2
Compare PlansUnitedHealthcare
Employer plans
Avg Monthly
$510
Network
Large
Rating
4.3/5
3
Compare PlansAetna
CVS integration
Avg Monthly
$495
Network
Large
Rating
4.2/5
4
Compare PlansCigna
Mental health coverage
Avg Monthly
$490
Network
Large
Rating
4.2/5
5
Compare PlansKaiser Permanente
Integrated care
Avg Monthly
$440
Network
Regional
Rating
4.7/5
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Enrollment Requirements & Key Dates
- •Open Enrollment: Nov 1 – Jan 15
- •No Medicaid expansion — income gap exists for adults below poverty line
- •ACA subsidies available above poverty line via HealthCare.gov
South Carolina Health Insurance Facts
South Carolina has not expanded Medicaid.
BlueCross BlueShield of SC dominates the marketplace.
High uninsured rate persists due to non-expansion.
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