Health coverage in South Carolina
South Carolina puts a lot of people on the Marketplace for a state its size. It has also not expanded Medicaid, and both facts change what to do about coverage here.
Has South Carolina expanded Medicaid?
No. South Carolina has not expanded Medicaid.
Help with a Marketplace premium starts at 100% of the federal poverty level, and South Carolina Medicaid covers a narrower group of adults than that.
Is there a coverage gap in South Carolina?
Yes. Below 100% of the poverty level, some adults have too much income for South Carolina Medicaid and too little for help with a Marketplace premium. That is the coverage gap.
It follows from a state policy decision. Apply for South Carolina Medicaid anyway: the rules cover more people than most expect, especially households with children, someone who is pregnant, or someone with a disability. Community health centres and hospital charity care are there too.
Who gets the most help in South Carolina?
Between 100% and 138% of the poverty level. Households there get the largest help with the premium the Marketplace offers, along with cost-sharing reductions that lower what you pay when you use the plan.
That band is on the Marketplace here because South Carolina did not widen Medicaid to 138% of the poverty level.
How many people used the Marketplace in South Carolina?
CMS counted 126,058 new Marketplace consumers in South Carolina for 2026, from a state of about 5.4 million people.
Can this page tell me whether I qualify for help?
No. That depends on your household size and your exact income, and it is more than this page can work out.
The reliable way to find out is to apply — for South Carolina Medicaid through the state, or for a Marketplace plan with a licensed agent. Both are worth checking.
Which parts of South Carolina do you cover?
All 46 counties. Wherever you are in South Carolina, your details go to an agent who holds a licence in South Carolina — that is the only agent this system will route you to.
The county count comes from the US Census Bureau's ZIP-code-to-county relationship file, 2020 geographies.
The other states we work in
The rules are not the same in each one, so each state has its own page.
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