South Carolina · Insurer
Ambetter Marketplace Plans in South Carolina
Ambetter from Absolute Total Care sells HMO plans in all 46 counties, with about 67,070 people on its 2027 filing. It is the second-largest Marketplace insurer in the state.
- Proposed changes are as filed. Final 2027 rates are published when open enrollment starts.
Compare plans for my ZIP codeFree. See your price after tax credits.
What makes Ambetter different from other South Carolina insurers?
Centene says the plans are offered statewide. The 2027 filing covers about 67,070 people, well behind BlueCross but ahead of every other insurer.
The My Health Pays program rewards health activities in 2026 with up to $500. It can pay premiums, copays and deductibles, but not pharmacy copays.
Virtual 24/7 Care connects you to a licensed provider by phone or video for colds, ear infections and similar problems. Cost sharing may apply.
CMS rated Ambetter 3 of 5 stars for 2026, up from 2 in 2025, with 5 stars for member experience.
Is Ambetter a good Marketplace option in South Carolina?
Ambetter is a good fit if you want an HMO that is sold in every county. The proposed 2027 increase is 22.1%, higher than BlueCross at 14.8%.
Who should consider Ambetter?
- You want an HMO that is sold in every county
- You like rewards and virtual care built into your plan
- You want a bronze plan with a vision and adult dental option
Who should look elsewhere?
- The proposed 2027 increase is 22.1%, higher than BlueCross at 14.8%.
- Medical care scored 2 of 5 in both CMS rating years.
- As an HMO, it generally covers only emergencies outside its network.
Which Ambetter plans should you look at first?
2027 plan-by-plan prices and copays appear here once HealthCare.gov publishes them on November 1.
See my price after tax creditsCompare every insurer in your county and check your doctors.
How much do Ambetter plans cost in South Carolina?
Ambetter sold 9 plans in South Carolina for 2026, starting at $357 a month at age 40 before tax credits. Its average proposed change for 2027 is +22.1%.
Which Ambetter plans were sold in South Carolina in 2026?
| Plan | Metal | Type | Premium (age 40) | Deductible | OOP max | Primary care | Specialist | Generic Rx | HSA | Counties | Compare |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Everyday Bronze | MetalBronze | TypeHMO | Premium (age 40)$357 | Deductible$8,450 | OOP max$10,150 | Primary care$40 | Specialist$90 | Generic Rx$3 | HSANo | Counties46 | Compare |
| Standard Expanded Bronze | MetalBronze | TypeHMO | Premium (age 40)$358 | Deductible$7,500 | OOP max$10,000 | Primary care$50 | Specialist$100 | Generic Rx$25 | HSANo | Counties46 | Compare |
| Everyday Bronze + Vision + Adult Dental | MetalBronze | TypeHMO | Premium (age 40)$369 | Deductible$8,450 | OOP max$10,150 | Primary care$40 | Specialist$90 | Generic Rx$3 | HSANo | Counties46 | Compare |
| Elite Bronze | MetalBronze | TypeHMO | Premium (age 40)$408 | Deductible$0 | OOP max$10,500 | Primary care$60 | Specialist$120 | Generic Rx$3 | HSANo | Counties46 | Compare |
| Elite Bronze + Vision + Adult Dental | MetalBronze | TypeHMO | Premium (age 40)$421 | Deductible$0 | OOP max$10,500 | Primary care$60 | Specialist$120 | Generic Rx$3 | HSANo | Counties46 | Compare |
| Standard Silver | MetalSilver | TypeHMO | Premium (age 40)$456 | Deductible$6,000 | OOP max$8,900 | Primary care$40 | Specialist$80 | Generic Rx$20 | HSANo | Counties46 | Compare |
| Focused Silver | MetalSilver | TypeHMO | Premium (age 40)$461 | Deductible$6,300 | OOP max$8,400 | Primary care$40 | Specialist$85 | Generic Rx$3 | HSANo | Counties46 | Compare |
| Standard Silver + Vision + Adult Dental | MetalSilver | TypeHMO | Premium (age 40)$471 | Deductible$6,000 | OOP max$8,900 | Primary care$40 | Specialist$80 | Generic Rx$20 | HSANo | Counties46 | Compare |
| Standard Gold | MetalGold | TypeHMO | Premium (age 40)$476 | Deductible$2,000 | OOP max$8,200 | Primary care$30 | Specialist$60 | Generic Rx$15 | HSANo | Counties46 | Compare |
Which other insurers sell Marketplace plans in South Carolina?
Sources
- SERFF CECO-135026656, Ambetter PY2027 on- and off-exchange continuance letters, July 27, 2026
- CMS Rate Review, South Carolina 2027 individual filings, June 2026
- Absolute Total Care 2027 filing, via ACASignups, August 2026
- Centene, Ambetter from Absolute Total Care 2026 announcement, November 10, 2025
- Novant Health, 2027 marketplace plan options, accessed October 8, 2026
- CMS Marketplace Quality Rating System, PY2026, October 2025
- CMS QHP Landscape PY2026 (county counts, our tally), October 2025
- CMS State-based Exchange Public Use Files, plan year 2026, checked October 4, 2026
← South Carolina Marketplace guide and all insurers
Reviewed by Jacob Guidi, licensed health insurance agent (NPN 19902041), Thrive Benefits Group.
Thrive Benefits Group is not HealthCare.gov or a government agency. Premiums shown are before tax credits, for one person age 40, and most people who qualify for tax credits pay less. Your price depends on your county, age, household and income. Plan details can change; the insurer's plan documents are final.