Affordable Care Act

Individual Market Open Enrollment for 2023 Plans

November 1, 2022 - January 15, 2023

2023 QHPs Available in the Health Insurance Marketplace (

    • Absolute Total Care is now statewide - writing in all 46 counties - added Anderson, Cherokee, Spartanburg, and Union for Plan Year 2023.
    • BlueCross BlueShield of South Carolina is statewide - writing in all 46 counties.        .
    • Cigna HealthCare of South Carolina, Inc. is new to the South Carolina Marketplace for Plan Year 2023 and is writing in 4 counties: Berkeley, Charleston, Dorchester, Horry.
    • Molina Healthcare is writing in 43 counties:  Abbeville, Aiken, Allendale, Bamberg, Barnwell, Beaufort, Berkeley, Calhoun, Charleston, Cherokee, Chester, Chesterfield, Clarendon, Colleton, Darlington, Dillon, Dorchester, Edgefield, Fairfield, Florence, Georgetown, Greenville, Greenwood, Hampton, Horry, Jasper, Kershaw, Lancaster, Laurens, Lee, Lexington, McCormick, Marion, Marlboro, Newberry, Orangeburg, Richland, Saluda, Spartanburg, Sumter, Union, Williamsburg, and York.
    • Select Health of South Carolina, Inc. is new to the South Carolina Marketplace for Plan Year 2023 and is writing a total of 17 counties:  Anderson, Berkeley, Calhoun, Charleston, Chester, Dillon, Dorchester, Fairfield, Georgetown, Greenville, Horry, Kershaw, Lancaster, Laurens, Marion, Pickens, Richland.    

      View County Availability Chart by clicking here 
      View County Availability Maps by clicking here.   

Sample Rate Scenarios for Individual Market Coverage Available in the Federal Health Insurance Marketplace

Premium comparisons are provided for self-only coverage purchased in Charleston, Greenville, Horry, Richland, or York County meeting the following criteria:

2023 Maximum, Minimum & Overall Average Rate Changes

Consumer Justification Narratives for Rate Increases

South Carolina requires all health insurance issuers offering ACA plans in the individual or small group markets to submit a simple and brief narrative describing the reasons for a rate increase. Copies of those narratives are available in the publicly available rate filings (see instructions on how to access them here) but are also provided below for the public to review. 

Individual Market

Small Group Market

(All plans are sold strictly through the private market)

You can contact the Federally-facilitated Health Insurance Marketplace by visiting or by calling 1 (800) 318-2596.  Find Local Help here at

Other Useful Resources

Public Information on Rate Reviews

  • Website:
    Under the ACA, every premium rate increase of 10% or more for non-grandfathered coverage in the individual and small group markets must be reviewed and made publicly available. This federal website allows consumers to search for rate requests that meet or exceed the 10% threshold by state.

Kaiser Family Foundation 

  • This website includes helpful information for consumers and employers regarding the Affordable Care Act. 

Center for Consumer Information and Insurance Oversight (CCIIO) 

  • CCIIO is a part of the U.S. Department of Health and Human Services and oversees the implementation of the ACA's provisions relating to private health insurance. 

NAIC Special Section: PPACA and State Insurance Regulation