Health Coverage Options in Charleston County, South Carolina
Charleston County residents shop for health insurance through the ACA marketplace at healthcare.gov. Plan availability, carriers, and premium rates vary by ZIP code — so comparing options specific to your address is essential before enrolling.
Whether you're self-employed, between jobs, or simply don't have access to employer coverage, an independent broker can compare every plan available in Charleston County at no cost to you.
ACA Marketplace Plans in Charleston County
ACA marketplace plans available in Charleston County, South Carolina include all four metal tiers:
- Bronze — lowest premium, highest deductible. Best for healthy, low-utilization buyers.
- Silver — moderate premium with cost-sharing reductions available at qualifying income levels. Often the best overall value.
- Gold — higher premium, lower cost-sharing. Best for regular healthcare users.
- HDHP + HSA — high-deductible plan paired with a Health Savings Account. Popular with self-employed and higher-income residents.
Subsidy Eligibility for Charleston County Residents
ACA premium subsidies are based on your household income relative to the federal poverty level. For a single adult in 2026, subsidies generally apply at incomes between ~$15,650 and $62,600 — though enhanced provisions may extend credits higher depending on your county's benchmark plan premium. A licensed broker can calculate your exact subsidy before you choose a plan.
Self-Employed in Charleston County?
Self-employed residents of Charleston County — freelancers, contractors, small business owners, and 1099 workers — can deduct 100% of health insurance premiums on their federal tax return, provided they aren't eligible for coverage through a spouse's employer. This deduction reduces adjusted gross income dollar-for-dollar, lowering both taxes and potentially increasing subsidy eligibility.
Open Enrollment and Special Enrollment in South Carolina
Open Enrollment for South Carolina runs November 1 through January 15 each year. Outside this window, qualifying life events — job loss, marriage, divorce, having a baby, moving, or turning 26 — trigger a 60-day Special Enrollment Period. Call (713) 575-9904 if you need coverage outside of Open Enrollment.
Charleston County Plan Data for 2026
4 carrier(s) have filed 60 plans in Charleston County for 2026: Ambetter from Absolute Total Care, BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare. Plan types available: EPO, HMO, PPO.
Lowest full-price premium by metal tier for a 40-year-old in Charleston County:
- Bronze: from $391/month at age 40 — Blue Cooper Bronze 2 (BlueCross BlueShield of South Carolina), $10,600 deductible, No Charge after Deductible primary-care visit.
- Silver: from $506/month at age 40 — Molina Silver Saver (Molina Healthcare), $7,000 deductible, $40 primary-care visit.
- Gold: from $520/month at age 40 — Molina Gold Core 1640 (Molina Healthcare), $1,640 deductible, $25 primary-care visit.
Source: CMS Plan Year 2026 Qualified Health Plan Landscape file. Figures are full-price filed rates before any premium tax credit and are not a quote or an offer of coverage. Your actual cost depends on age, county, tobacco use, household size and subsidy eligibility. Verify current rates at enrollment.