2026 plan year · South Carolina
2026 health insurance plans in Sumter County, SC
50 Marketplace plans from 3 insurers. Premiums below are full monthly prices before tax credits. Use the age columns to see how price changes with age.
- $538benchmark silver (age 40)
- $377cheapest bronze (age 40)
- 3insurers
- +20.3%benchmark change vs. 2025
Expanded Bronze plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Blue Direction Bronze 1 BlueCross BlueShield of South Carolina · POS | $295 | $377 | $801 | $7,300 | $10,600 | $50 |
| Blue Direction Standard Expanded Bronze BlueCross BlueShield of South Carolina · POS | $299 | $382 | $811 | $7,500 | $10,000 | $50 |
| Blue VirtuConnect Bronze 1 BlueCross BlueShield of South Carolina · EPO | $312 | $399 | $847 | $7,500 | $10,000 | $50 |
| BlueEssentials Standard Expanded Bronze BlueCross BlueShield of South Carolina · EPO | $318 | $406 | $862 | $7,500 | $10,000 | $50 |
| BlueEssentials Bronze 4 BlueCross BlueShield of South Carolina · EPO | $318 | $406 | $863 | $7,200 | $10,000 | $43 |
| BlueExtend PPO Standard Expanded Bronze BlueCross BlueShield of South Carolina · PPO | $342 | $437 | $927 | $7,500 | $10,000 | $50 |
| BlueExtend PPO HD Bronze 2 BlueCross BlueShield of South Carolina · PPO | $348 | $445 | $945 | $8,300 | $8,300 | No Charge after Deductible |
| Everyday Bronze Ambetter from Absolute Total Care · HMO | $353 | $451 | $958 | $8,450 | $10,150 | $40 |
| Standard Expanded Bronze Ambetter from Absolute Total Care · HMO | $354 | $452 | $961 | $7,500 | $10,000 | $50 |
| BlueExtend PPO HD Bronze 1 BlueCross BlueShield of South Carolina · PPO | $358 | $457 | $971 | $7,300 | $7,300 | No Charge after Deductible |
| Everyday Bronze + Vision + Adult Dental Ambetter from Absolute Total Care · HMO | $365 | $466 | $989 | $8,450 | $10,150 | $40 |
| BlueEssentials Bronze 6 BlueCross BlueShield of South Carolina · EPO | $374 | $478 | $1,015 | $0 | $10,600 | $50 |
| Elite Bronze Ambetter from Absolute Total Care · HMO | $403 | $515 | $1,093 | $0 | $10,500 | $60 |
| Elite Bronze + Vision + Adult Dental Ambetter from Absolute Total Care · HMO | $416 | $532 | $1,129 | $0 | $10,500 | $60 |
Silver plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Blue Direction Silver 1 BlueCross BlueShield of South Carolina · POS | $420 | $537 | $1,140 | $6,500 | $10,600 | $25 |
| Blue Direction Silver 1 + Adult Vision BlueCross BlueShield of South Carolina · POS | $421 | $538 | $1,143 | $6,500 | $10,600 | $25 |
| Blue Direction Silver 2 BlueCross BlueShield of South Carolina · POS | $434 | $554 | $1,177 | $5,300 | $10,600 | $30 |
| Blue Direction Standard Silver BlueCross BlueShield of South Carolina · POS | $436 | $557 | $1,182 | $6,000 | $8,900 | $40 |
| Molina Silver Saver Molina Healthcare · HMO | $439 | $561 | $1,192 | $7,000 | $10,150 | $40 |
| Molina Silver Standard Molina Healthcare · HMO | $442 | $565 | $1,199 | $6,000 | $8,900 | $40 |
| Molina Silver Core Molina Healthcare · HMO | $443 | $566 | $1,201 | $6,000 | $8,990 | $35 |
| Molina Silver Core Plus with Adult Vision Molina Healthcare · HMO | $445 | $569 | $1,209 | $6,000 | $8,990 | $35 |
| Standard Silver Ambetter from Absolute Total Care · HMO | $450 | $575 | $1,222 | $6,000 | $8,900 | $40 |
| BlueEssentials Silver 14 BlueCross BlueShield of South Carolina · EPO | $453 | $579 | $1,230 | $7,400 | $9,700 | $25 |
| BlueEssentials Silver 14 + Adult Vision BlueCross BlueShield of South Carolina · EPO | $454 | $581 | $1,233 | $7,400 | $9,700 | $25 |
| Focused Silver Ambetter from Absolute Total Care · HMO | $455 | $582 | $1,235 | $6,300 | $8,400 | $40 |
| Blue VirtuConnect Silver 1 BlueCross BlueShield of South Carolina · EPO | $455 | $582 | $1,236 | $6,000 | $8,900 | $40 |
| Molina Silver Core Plus with Adult Dental and Vision Molina Healthcare · HMO | $459 | $587 | $1,246 | $6,000 | $8,990 | $35 |
| BlueEssentials Silver 40 BlueCross BlueShield of South Carolina · EPO | $464 | $593 | $1,258 | $6,000 | $8,900 | $40 |
| BlueEssentials Standard Silver BlueCross BlueShield of South Carolina · EPO | $464 | $593 | $1,259 | $6,000 | $8,900 | $40 |
| Standard Silver + Vision + Adult Dental Ambetter from Absolute Total Care · HMO | $465 | $594 | $1,262 | $6,000 | $8,900 | $40 |
| BlueExtend PPO Standard Silver BlueCross BlueShield of South Carolina · PPO | $500 | $638 | $1,356 | $6,000 | $8,900 | $40 |
| BlueExtend PPO HD Silver 2 BlueCross BlueShield of South Carolina · PPO | $517 | $661 | $1,404 | $5,990 | $5,990 | No Charge after Deductible |
| BlueExtend PPO HD Silver 1 BlueCross BlueShield of South Carolina · PPO | $529 | $676 | $1,436 | $5,300 | $5,300 | No Charge after Deductible |
Gold plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Molina Gold Core 1640 Molina Healthcare · HMO | $451 | $576 | $1,224 | $1,640 | $8,100 | $25 |
| Molina Gold Core 1640 Plus with Adult Vision Molina Healthcare · HMO | $454 | $580 | $1,232 | $1,640 | $8,100 | $25 |
| Molina Gold Value Molina Healthcare · HMO | $455 | $581 | $1,235 | $2,250 | $8,000 | $15 |
| Molina Gold Value Plus with Adult Vision Molina Healthcare · HMO | $458 | $585 | $1,243 | $2,250 | $8,000 | $15 |
| Blue Direction Standard Gold BlueCross BlueShield of South Carolina · POS | $465 | $594 | $1,262 | $2,000 | $8,200 | $30 |
| BlueEssentials Gold 5 BlueCross BlueShield of South Carolina · EPO | $470 | $601 | $1,275 | $250 | $9,200 | $20 |
| Standard Gold Ambetter from Absolute Total Care · HMO | $471 | $601 | $1,277 | $2,000 | $8,200 | $30 |
| Molina Gold Standard Molina Healthcare · HMO | $471 | $602 | $1,278 | $2,000 | $8,200 | $30 |
| Molina Gold Value Plus with Adult Dental and Vision Molina Healthcare · HMO | $472 | $603 | $1,280 | $2,250 | $8,000 | $15 |
| Molina Gold Core 1640 Plus with Adult Dental and Vision Molina Healthcare · HMO | $483 | $618 | $1,311 | $1,640 | $8,100 | $25 |
| Blue VirtuConnect Gold 1 BlueCross BlueShield of South Carolina · EPO | $486 | $621 | $1,319 | $2,000 | $8,200 | $30 |
| BlueEssentials Gold 1 BlueCross BlueShield of South Carolina · EPO | $493 | $631 | $1,339 | $2,700 | $5,400 | $20 |
| BlueEssentials Standard Gold BlueCross BlueShield of South Carolina · EPO | $495 | $633 | $1,344 | $2,000 | $8,200 | $30 |
| BlueExtend PPO HD Gold 2 BlueCross BlueShield of South Carolina · PPO | $519 | $663 | $1,408 | $4,150 | $4,150 | No Charge after Deductible |
| BlueExtend PPO Standard Gold BlueCross BlueShield of South Carolina · PPO | $533 | $682 | $1,447 | $2,000 | $8,200 | $30 |
| BlueExtend PPO HD Gold 1 BlueCross BlueShield of South Carolina · PPO | $534 | $682 | $1,449 | $3,400 | $3,400 | No Charge after Deductible |
Care quality in Sumter County
Marketplace plans use networks. Check that the hospitals and doctors you'd want are in network, and how they're rated.
Turning 65?
Marketplace plans are for people who aren't on Medicare. See Medicare Advantage plans in Sumter County.
Frequently asked questions
How many Marketplace health plans are available in Sumter County, SC for 2026?
50 plans from 3 insurers: Ambetter from Absolute Total Care, BlueCross BlueShield of South Carolina, Molina Healthcare.
What is the benchmark silver plan premium in Sumter County, SC?
For 2026, the second-lowest-cost silver plan costs $538 a month for a 40-year-old before tax credits, up 20.3% from 2025. Tax credits are calculated from this plan, so most people who qualify pay much less.
What is the cheapest health plan in Sumter County, SC?
The lowest bronze premium for a 40-year-old is $377 a month before tax credits. Bronze plans have low premiums but high deductibles.