Monthly Archives:October 2018

Ambetter South Carolina – Additional Benefits – My Health Pays

30 Oct , 2018,
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Updated October 14, 2020

Ambetter is expanding in South Carolina for 2020! Ambetter is also IMPROVING the MY HEALTH PAYS program by increasing the maximum member reward to $500!

New for 2019!Ambetter by Absolute Total Care will be offering plans on the Federal Health Insurance Marketplace for South Carolina residents living in Charleston County.

Ambetter will offer 5 Plans in Charleston County, South Carolina: 1 Bronze, 3 Silver and 1 Gold plan for 2019.

One of the Value Added features that sets Ambetter Plans apart from other Marketplace plans in South Carolina is the “My Health Pays” value added benefit!

Ambetter South Carolina

WHAT IS “MY HEALTH PAYS Rewards”? My Health Pays is a Wellness program that rewards members for healthy behavior. The program uses a My Health Pays Visa card. Member can earn reward dollars for healthy behavior such as a Well Being Survey (worth $50), an annual Well Visit ($50) and getting a flu shot in the Fall ($25). The annual Well Visit will be at no cost to the member, provided that the member visits an in-network provider. Rewards will be loaded onto the My Health Pays Visa card upon completion of the healthy actions & members can earn up to $125 each year!

HOW DO I USE “MY HEALTH PAYS” Rewards? My Health Rewards are loaded onto the Ambetter My Health Pays Visa card & may be spent on eligible expenses. Eligible expenses include: Monthly Ambetter Premium payments, deductibles, coinsurance and copays!

CLICK HERE to get a quote on an Ambetter South Carolina Marketplace Health Plan


Introducing: Challenges and Power-Ups.
Challenges help Ambetter members set and reach certain goals at their own pace. Power-Ups are activities they can do in a shorter amount of time. As they complete Challenges and Power-Ups, rewards will keep adding up!
And they can continue to be rewarded for activities like completing an annual wellness exam and getting a flu vaccine!
Members can redeem points their way!
Ambetter members can use their points to shop for special items at the online My Health Pays Rewards Store or convert them into dollars to spend on healthcare-related costs, such as doctor copays*, deductibles and coinsurance. It’s their choice!

Beginning 1/1/2020, My Health Pays reward dollars cannot be used at Walmart.

Ambetter by Absolute Total Care (Centene) coming to Marketplace in Charleston County for 2019!

8 Oct , 2018,
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UPDATE 10/29/2018 – These plans will be marketed under the Ambetter brand and we now have 2019 rates available on our quote platform – CLICK HERE to view 2019 rates! We have finally managed to access the provider directory, and it appears that the Medical University of South Carolina (MUSC) is the only in-network hospital in Charleston County. We are currently finding 807 Primary Care Providers within 200 miles of Charleston County. Stay tuned for more details!


Big news concerning marketplace health insurance in South Carolina for 2019! As reported by the Charleston Post & Courier, Absolute Total Care (a subsidiary of Centene) will be offering plans on the health insurance marketplace in South Carolina – however, these plans will only be available in Charleston County for plan year 2019.  Currently we have very limited information on plan details, however stay tuned to this page for breaking news on 2019 Absolute Total Care South Carolina plan information.

The following are sample average rate comparisons for 2019 from the SC Department of Insurance:

25 Year Old (No Tobacco Use) Shopping on Healthcare.gov

40 Year Old (No Tobacco Use) Shopping on Healthcare.gov

60 Year Old (No Tobacco Use) Shopping on Healthcare.gov

Update – 10/12/2018 – A number of sites, including Kaiser Health NewsFierceHealthcare.com and The Wall Street Journal also reports Centene (Absolute Total Care) is expanding into the South Carolina health insurance marketplace! Although fiercehealthcare.com notes the expansion is under the Allwell brand, we are assuming this is a typo based on information provided by the SC Department of Insurance. Stay tuned for more!



Health Insurance for as Low as $0 Per Month!

3 Oct , 2018,
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Do You Qualify? Click Here to Find Out!

Many South Carolina residents may qualify for a premium as low as $0 per month in 2019 BCBS-SC Bronze 4 plan, based on the amount of tax credit, also known as the APTC or Advanced Premium Tax Credit (i.e., financial assistance toward your monthly premium) they’re eligible for. Eligibility for tax credits is based on estimated 2019 income, see below for more details!

If your annual income is below the amounts shown below, you will likely qualify for a subsidy. We can also help determine your eligibility. CLICK this link or call us at 843-882-7062 to find out if you qualify! We would love to help!

Persons in Household         Max. Annual Income
1                                  $36,420
2                                  $49,380
3                                  $62,340
4                                  $75,300
5                                  $88,260
  6                                  $101,220
Source: http://familiesusa.org/product/federal-poverty-guidelines

Bronze 4 Benefits
The BlueCross BlueShield of South Carolina Bronze 4 Plan offers these benefits for 2019:

$0 preventive screenings
$0 immunizations
$15 copay for telehealth visits
$25 copay on primary care doctor visits
$50 copay on specialist visits
$12 on tier 1 or low cost generic prescription drugs


Stay tuned for more information!