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ACA Health Insurance Coverage Options in South Carolina

South Carolina uses the federal HealthCare.gov Marketplace for ACA health insurance. Review coverage options and enrollment information for South Carolina residents.

Eligibility considerations

Plan tiers

Bronze plans

Lower monthly premium; higher cost-sharing when care is used.

Silver plans

The benchmark tier for subsidy calculations; the only tier eligible for additional cost-sharing reductions.

Gold plans

Higher monthly premium; lower cost-sharing at the point of care.

South Carolina Medicaid and Marketplace information

Medicaid expansion status
Not expanded
South Carolina Medicaid agency
Healthy Connections (SC Department of Health and Human Services)
ACA Marketplace
HealthCare.gov (federal Marketplace)

Common questions

How is ACA Marketplace coverage administered in South Carolina?

South Carolina uses HealthCare.gov (federal Marketplace) rather than a state-run exchange. Enrollment, plan comparison, and subsidy determinations run through the federal system.

Has South Carolina expanded Medicaid under the ACA?

South Carolina has not adopted ACA Medicaid expansion. Some adults with income too high for traditional Medicaid but too low to qualify for Marketplace premium tax credits may fall into a coverage gap. A licensed agent can review what applies to a specific household.

Is there a cost to speak with a licensed agent?

No. Reviewing ACA Marketplace options by phone with a licensed agent has no cost. Any plan ultimately selected carries its own separate premium, determined by the plan and carrier, not by GetFastRates.com.

Questions are easier by phone.

Call 855-367-1095 to talk through your situation with licensed insurance help.

  • Licensed insurance help
  • No guaranteed eligibility, pricing, or availability
  • Educational starting point

Information on this site is educational and does not guarantee eligibility, enrollment, pricing, or availability. It is not a recommendation to buy any specific plan or policy.