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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.
The new 2027 plans become available November 1, 2026. Call 855-367-1095 now to get a sneak peek at the new plans before then, and we will have your options ready the day they open.
Medicaid is a government program that gives free or low-cost health coverage to people with limited income, such as some adults, children, pregnant women, seniors and people with disabilities. Each state runs its own Medicaid program and decides who qualifies. We are an independent insurance agency, and we cannot enroll you in Medicaid or check your Medicaid.
South Carolina Medicaid: Healthy Connections (SC Department of Health and Human Services) · 1-888-549-0820 (Healthy Connections Member Contact Center) · scdhhs.gov
If your income is too high for Medicaid, or you want to compare health plans, call us. We can help with that.
Eligibility considerations
- No coverage available through an employer, Medicare, or Medicaid
- Interest in comparing South Carolina Marketplace plans by metal tier
- Uncertainty about premium tax credit eligibility based on household income
Plan tiers
Lower monthly premium; higher cost-sharing when care is used.
The benchmark tier for subsidy calculations; the only tier eligible for additional cost-sharing reductions.
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)
South Carolina counties: ACA open enrollment
Choose your county for the dates, Medicaid status and how to get help.
- Greenville County
- Richland County
- Charleston County
- Horry County
- Spartanburg County
- Lexington County
- York County
- Berkeley County
- Anderson County
- Beaufort County
- Aiken County
- Dorchester County
- Florence County
- Pickens County
- Lancaster County
- Sumter County
- Orangeburg County
- Oconee County
- Kershaw County
- Greenwood County
- Laurens County
- Georgetown County
- Darlington County
- Cherokee County
- Chesterfield County
- Colleton County
- Newberry County
- Jasper County
- Chester County
- Clarendon County
- Williamsburg County
- Marion County
- Dillon County
- Edgefield County
- Union County
- Marlboro County
- Abbeville County
- Barnwell County
- Fairfield County
- Saluda County
- Hampton County
- Lee County
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.