Updated October 15, 2019 to include new plan information!

Big news for South Carolina residents shopping for marketplace health insurance in 2020!

Ambetter by Absolute Total Care will be expanding their health insurance footprint in South Carolina for 2020! This will provide South Carolina residents in 11 counties with more health insurance options for 2020!

Ambetter SC Health Insurance 2020: Where?

Ambetter first offered plans in SC for 2019, covering only Charleston County. For 2020, Ambetter will offer plans in 12 South Carolina Counties: Beaufort, Berkeley, Charleston, Chester, Colleton, Dorchester, Florence, Horry, Jasper, Lancaster, Marion, and York.

For a full list of marketplace plan offerings by county from the South Carolina Department of Insurance, CLICK HERE

Ambetter SC Health Insurance 2020: Plans

For 2020, we expect Ambetter to offer 2 Gold plans, 9 Silver Plans, and 3 Bronze Plans in most South Carolina counties: For plan year 2020, Gold plans will be branded as “Secure Care”. Silver plans will be branded as “Balanced Care”. Bronze plans will be branded as “Essential Care”.

In many areas, we expect the Ambetter SC Essential Care 2 (HSA) plan to be the lowest cost plan Ambetter offers. The Essential Care 2 plan is expected to be a Qualified High Deductible Health Plan (HDHP) eligible for use in conjunction with a health savings account (HSA). See below for a partial listing of proposed plan details, however, please refer to the complete Summary of Benefits (SOB) available from Ambetter or the health insurance marketplace for complete plan coverage and exclusions:

For 2020, we expect the Balanced Care 11 Plan to be the one of the most popular Silver Plans offered by Ambetter SC health insurance. The base Balanced Care 11 plan is expected to have a $6000 deductible and an $8100 out of pocket maximum limit. In addition, the Balanced Care 11 will have various Cost Share Reduction levels (CSRs) for qualifying enrollees. See below for proposed details, however, please refer to the complete Summary of Benefits (SOB) available from Ambetter or the health insurance marketplace for complete plan coverage and exclusions:

Ambetter Bronze Plans available in South Carolina for 2020 will include 3 offerings (click plan name to view Summary of benefits):

1. Ambetter Essential Care 1
2. Ambetter Essential Care 1 + Vision + Adult Dental
3. Ambetter Essential Care 2 HSA

Ambetter Silver Plans in South Carolina for 2020 will include 9 offerings :

1. Ambetter Balanced Care 12
2. Ambetter Balanced Care 11
3. Ambetter Balanced Care 5
4. Ambetter Balanced Care 11 + Vision + Adult Dental 
5. Ambetter Balanced Care 5 + Vision + Adult Dental
6. Ambetter Balanced Care 15
7. Ambetter Balanced Care 14
8. Ambetter Balanced Care 15 + Vision + Adult Dental
9. Ambetter Balanced Care 14 + Vision + Adult Dental

Ambetter Gold Plans in South Carolina for 2020 will include 2 offerings :

1. Ambetter Secure Care 5
2. Ambetter Secure Care 5 + Vision + Adult Dental 

New for 2020! Enhanced Benefits!

For plan year 2020, Ambetter SC health insurance plans will have some great improvements! First, Ambetter has increased the My Health Pays benefit to $500 per member. My Health Pays is a program that rewards members for health behavior. The program uses a My Health Pays Visa card. Member can earn reward dollars for healthy behavior such as a Well Being Survey, an annual Well Visit, and getting a flu shot in the Fall. 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.

In addition, Ambetter SC health insurance plans will offer telehealth with a $0 copay (except for HSA qualified plans) for 2020. To access $0 copay telehealth, members will need to use Teledoc, by calling 1-800-TELADOC (1-800-835-2362) or by going online to www.teladoc.com/ambetter. Ambetter SC health insurance members will need to have their member ID card handy when calling.

Ambetter South Carolina 2020: Network

For 2020, Ambetter has expanded their network of providers in South Carolina. When comparing health insurance plans, it is always important to check the provider network to ensure you can visit the providers you desire.

You can search the Ambetter South Carolina network by CLICKING HERE: https://providersearch.ambetterhealth.com/

A few notable hospital systems in South Carolina in network for 2020 include: MUSC, East cooper Medical Center, Piedmont Medical Center , Trident Medical Center, among others. As always, please verify the network status of any provider before seeking benefits.