Country Guide
Best Health Insurance in South Carolina (2026)
South Carolina did not expand Medicaid — ACA marketplace is especially important for SC residents.
By Itai Varochik | Updated February 20, 2026
Top Exchanges in South Carolina
| # | Exchange | Best For | Fees | Type |
|---|---|---|---|---|
| 1 | BlueCross BlueShield SC | Widest SC network | $4,920/yr | — |
| 2 | Molina Healthcare SC | Budget plans | $4,200/yr | — |
| 3 | Ambetter South Carolina | Lowest premium | $3,960/yr | — |
| 4 | UnitedHealthcare SC | Plan variety | $5,280/yr | — |
| 5 | Cigna South Carolina | National network | $4,680/yr | — |