South Carolina health insurance 2027: prices, plans and free help

South Carolina health insurance facts

Marketplace

South Carolina uses HealthCare.gov, the federally facilitated Marketplace.Source

2027 open enrollment

November 1, 2026 to January 15, 2027. Enroll by December 15, 2026 for coverage that starts January 1, 2027; enroll December 16 to January 15 for a February 1 start.Source All states' 2027 dates.

Medicaid expansion

South Carolina has not adopted Medicaid expansion. Adults without children generally do not qualify for Medicaid on income alone, and people below the poverty line may fall into a coverage gap.Source

State insurance department

South Carolina Department of Insurance. File complaints and check agent licenses here.Source

Facts checked 2026-09-17. Rules change; confirm anything you plan around at the linked source.

Average cost of health insurance in South Carolina for 2027

The benchmark plan, the second-lowest-cost silver plan that tax credits are measured against, averages $702 a month for a 40-year-old in South Carolina for 2027, before any credit. That is up 24% from $564 in 2026.Source By county, the 2027 benchmark runs from $601 to $789 a month.Source

2027 benchmark silver price by age in South Carolina

Age 40 is the KFF benchmark. Other ages use the CMS default age curve.SourceSource Tax credits lower these prices for most buyers. See your own price with the 2027 price checker.

The 2026 Marketplace in South Carolina, in numbers

For 2026, 587,567 South Carolina residents picked a Marketplace plan during Open Enrollment, and 89.2% of them received an advance premium tax credit. The average premium was $655 a month per person before the credit and $139 after it, counting everyone who picked a plan. 30% paid $10 a month or less after the credit.Source

The benchmark plan, the second-lowest-cost silver plan that tax credits are measured against, averaged $564 a month for a 40-year-old in South Carolina in 2026, before any credit.Source 6 insurers offered individual-market plans through HealthCare.gov in South Carolina for 2026.Source

Your own price depends on your age, county, household income and the plan you pick, and you see exact 2027 numbers only on a Marketplace application or a quote. How the pieces fit together is in how much health insurance costs per month.

What our clients in South Carolina actually paid each month is in health insurance cost by state.

Health insurance companies in South Carolina for 2027

CMS lists 6 insurers selling 136 Marketplace plans in South Carolina for 2027, across 46 counties. Which ones you can buy depends on your county.Source

• BlueCross BlueShield of South Carolina: all 46 counties
• Ambetter from Absolute Total Care: all 46 counties
• First Choice Next: 27 of 46 counties
• UnitedHealthcare: 9 of 46 counties
• Oscar Health Plan, Inc.: 6 of 46 counties
• InStil Health: 4 of 46 counties

This is CMS’s list of insurers on HealthCare.gov, not a list of the companies America First Healthcare works with.

Cheap health insurance in South Carolina: where the low prices are

Before tax credits, the lowest-cost bronze plan for a 40-year-old costs $516 a month in the middle South Carolina county for 2027, from $436 to $622 across the state. The lowest-cost silver plan costs $675 in the middle county.Source

Tax credits change the price most. For 2026, 89.2% of South Carolina Marketplace enrollees got a premium tax credit, and 30% paid $10 a month or less after it.Source

South Carolina has not expanded Medicaid, so some adults with low incomes fall between Medicaid and Marketplace tax credits.Source For people who mainly want protection from a large bill, a catastrophic plan can cost less; what our own clients pay is in health insurance cost by state.

Free, impartial help in South Carolina

If you have Medicare or will soon: South Carolina’s State Health Insurance Assistance Program (SHIP) is State Health Insurance Assistance Program (SHIP), 1-800-868-9095.Source SHIPs are federally funded, give objective one-on-one Medicare counseling, and there is no cost to use them.Source

If you are buying a Marketplace plan: HealthCare.gov’s Find Local Help directory lists assisters trained and certified by the Marketplace, who are required to give fair, impartial information.Source

America First Healthcare is a licensed agency, not a SHIP or a Marketplace assister. Use them, us, or both; a second opinion costs you nothing either way.

Who we usually help in South Carolina

New to private coverage? Start with private health insurance in the USA.

• Self-employed and 1099 workers, plus the five coverage alternatives and how the rules differ by state
• Small business owners
• Early retirees bridging to Medicare
• People losing employer coverage
• People who are out of work
• Families who want catastrophic-first coverage

We work with families across South Carolina, including Charleston, Columbia, Greenville and North Charleston, and everywhere in between. The review is by phone or video, so where you live in the state does not change how it works.

What a licensed advisor does and how advisors are paid is on talk to a licensed advisor near you.

South Carolina health insurance FAQs

Educational only. Not medical, legal, or personalized insurance advice. Plans are offered and underwritten by third-party carriers. All states.