- Health Insurance
- Affordable Care Act
Affordable Care Act
Individual Market Open Enrollment for 2023 Plans
November 1, 2022 - January 15, 2023
2023 QHPs Available in the Health Insurance Marketplace (Healthcare.gov)
- 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:
- 25 Year Old (No Tobacco Use) Shopping on Healthcare.gov
- 25 Year Old (Tobacco User) Shopping on Healthcare.gov
- 40 Year Old (No Tobacco Use) Shopping on Healthcare.gov
- 40 Year Old (Tobacco User) Shopping on Healthcare.gov
- 60 Year Old (No Tobacco Use) Shopping on Healthcare.gov
- 60 Year Old (Tobacco User) Shopping on Healthcare.gov
2023 Maximum, Minimum & Overall Average Rate Changes
- Individual Market
- Small Group Market
Note: For instructions on how to access copies of rate filings, please click here.
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.
- Absolute Total Care (available through Healthcare.gov and the private market)
- BlueCross BlueShield of South Carolina (available through Healthcare.gov and the private market)
- Molina Healthcare of South Carolina, LLC (available through Healthcare.gov and the private market)
- BlueChoice Health Plan (available through the private market only)
Small Group Market
(All plans are sold strictly through the private market)
- Aetna Health Inc.
- Aetna Life Insurance Company
- BlueCross BlueShield of South Carolina
- BlueChoice Health Plan
- UnitedHealthcare Insurance Company
- UnitedHealthcare Insurance Company of the River Valley
- UnitedHealthcare of South Carolina, Inc.
You can contact the Federally-facilitated Health Insurance Marketplace by visiting Healthcare.gov or by calling 1 (800) 318-2596. Find Local Help here at localhelp.healthcare.gov
Other Useful Resources
Public Information on Rate Reviews
- Website: ratereview.healthcare.gov
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
- The National Association of Insurance Commissioners (NAIC) is an organization of the chief insurance regulators from across the U.S. Their website includes useful information for consumers, industry and state insurance regulators.