South Carolina · 2026 plan year

Silver health insurance plans in South Carolina

There are 53 Silver plans on the South Carolina Marketplace from 6 insurers, and they are not interchangeable — premiums run from $357 to $503 a month for the same metal tier. Here is what separates them.

53
Silver plans
6
Insurers
46
Counties covered
$357
Cheapest premium
$6,188
Average deductible
These are benchmark premiums, not your price. Every dollar figure here is the individual rate at age 21 for a non-tobacco user, before any premium tax credit — the standard way plans are compared like for like. What you actually pay depends on your age, county, household and income. Estimate your real cost.

One carrier files 60% of South Carolina's Silver plans.

BlueCross BlueShield of South Carolina accounts for 32 of the 53 Silver plans in South Carolina. A long plan list can look like a wide choice while most of it resolves to one network and one formulary — worth knowing before you treat plan count as a measure of competition.

South Carolina Silver deductibles run 26% above the national median.

The average Silver deductible here is $6,188, against a $4,899 median across the 30 states in this tier. A lower premium in this state is more likely to be buying you a higher deductible than it would elsewhere.

Metal tiers describe roughly what share of covered costs a plan pays, not the quality of its care or network. How the metal tiers actually differ walks through the trade, and how ACA subsidies work explains why the prices below are rarely what anyone pays.

Lowest premiums

The cheapest Silver plans in South Carolina

Showing 5 of 53. See all South Carolina Silver plans →

Who sells here

Silver plans by insurer

InsurerSilver plansCheapestTier average
BlueCross BlueShield of South Carolina32$389$432
UnitedHealthcare6$491$494
Molina Healthcare5$386$392
InStil Health4$414$422
Ambetter from Absolute Total Care3$357$362
First Choice Next3$441$443
Other tiers in South Carolina

How Silver compares to the rest

All South CarolinaMarketplace plans →

Nearby on price

States with similar Silver premiums

Common questions

South Carolina Silver plans, answered

What are the copays on a South Carolina Silver plan?
Copays vary plan by plan rather than by tier — the metal level sets roughly what share of total care costs the plan covers, not the individual amounts. Across the 53 Silver plans in South Carolina, deductibles average $6,188 and the out-of-pocket maximum averages $9,265. Open any plan below to see its full cost-sharing schedule, including primary care, specialist and prescription tiers.
Who is eligible for a Silver plan in South Carolina?
Anyone eligible to buy Marketplace coverage in South Carolina can pick a Silver plan — there is no separate test for the tier. What Silver uniquely unlocks is cost-sharing reductions, available if your household income is roughly 100–250% of the federal poverty level. Those reductions apply only to Silver plans, which is why Silver is usually the right choice at those incomes even though its sticker price here ($431 a month on average) is higher than Gold in some states.
What is the deductible on a South Carolina Silver plan?
The average across all 53 Silver plans in South Carolina is $6,188, with an average out-of-pocket maximum of $9,265. The range within the tier is wide, so two plans at a similar premium can differ by thousands in what you would actually pay during a year with significant care. Deductible is usually a better basis for comparison than premium alone.
Are Silver plans available in my South Carolina county?
Silver plans are sold in 46 South Carolina counties, from 6 insurers. Which specific plans you can buy depends on where you live — a plan offered in a metro county is often not sold in a rural one. Enter your ZIP code to narrow the list to plans actually available to you.
When can I enroll in a South Carolina Marketplace plan?
South Carolina uses the federal Marketplace, so open enrollment runs November 1 to January 15. Outside that window you need a qualifying life event — losing job-based coverage, moving, marriage, or a birth — to open a special enrollment period. Cheapest Silver premiums in South Carolina start at $357 a month before any subsidy.

Stop comparing sticker prices.
See what you would actually pay.

Simplivera simulates a full year of your real costs across all 53 South Carolina Silver plans.

Estimate my costs — it’s free →