BlueEssentials Gold 5
Gold · EPO · BlueCross BlueShield of South Carolina · South Carolina
At age 40 it costs between $570.56 and $779.71 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 26065SC0380048 |
|---|---|
| Insurer | BlueCross BlueShield of South Carolina |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $250 |
| Deductible (family) | $500 |
| Drug deductible | $1,000 |
| Most you could pay in a year | $9,200 |
| Family maximum | $18,400 |
| Primary care visit | $20 |
| Specialist visit | $40 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $10 |
| Preferred brand drugs | $40 |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-855-404-6752 · TTY 1-855-889-4325 |
Where it is sold, and what it costs there
46 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| McCormick County | $446.45 | $506.72 | $570.56 | $797.35 | $1,211.65 |
| Horry County | $453.91 | $515.19 | $580.10 | $810.68 | $1,231.91 |
| Georgetown County | $454.44 | $515.79 | $580.78 | $811.63 | $1,233.36 |
| Edgefield County | $462.17 | $524.56 | $590.66 | $825.44 | $1,254.33 |
| Greenwood County | $462.17 | $524.56 | $590.66 | $825.44 | $1,254.33 |
| Sumter County | $469.90 | $533.34 | $600.53 | $839.24 | $1,275.31 |
| Abbeville County | $476.03 | $540.30 | $608.37 | $850.19 | $1,291.95 |
| Aiken County | $477.36 | $541.81 | $610.07 | $852.57 | $1,295.57 |
| Saluda County | $477.36 | $541.81 | $610.07 | $852.57 | $1,295.57 |
| Orangeburg County | $482.69 | $547.86 | $616.88 | $862.09 | $1,310.03 |
| Hampton County | $496.02 | $562.98 | $633.92 | $885.89 | $1,346.20 |
| Oconee County | $502.15 | $569.94 | $641.75 | $896.84 | $1,362.84 |
| Williamsburg County | $505.08 | $573.27 | $645.50 | $902.08 | $1,370.80 |
| Barnwell County | $506.42 | $574.78 | $647.20 | $904.46 | $1,374.41 |
| Kershaw County | $507.75 | $576.30 | $648.90 | $906.84 | $1,378.03 |
| Jasper County | $508.02 | $576.60 | $649.24 | $907.32 | $1,378.75 |
| Allendale County | $510.41 | $579.32 | $652.31 | $911.60 | $1,385.27 |
| Dorchester County | $515.48 | $585.07 | $658.78 | $920.64 | $1,399.01 |
| Beaufort County | $524.54 | $595.35 | $670.36 | $936.83 | $1,423.60 |
| Fairfield County | $525.07 | $595.96 | $671.04 | $937.78 | $1,425.05 |
| Charleston County | $528.01 | $599.29 | $674.79 | $943.02 | $1,433.01 |
| Pickens County | $533.34 | $605.34 | $681.60 | $952.54 | $1,447.48 |
| Clarendon County | $534.67 | $606.85 | $683.31 | $954.92 | $1,451.09 |
| Bamberg County | $536.80 | $609.27 | $686.03 | $958.73 | $1,456.88 |
| Greenville County | $539.20 | $611.99 | $689.10 | $963.01 | $1,463.39 |
| Marion County | $539.47 | $612.29 | $689.44 | $963.49 | $1,464.11 |
| Calhoun County | $541.07 | $614.11 | $691.48 | $966.34 | $1,468.45 |
| Union County | $544.53 | $618.04 | $695.91 | $972.53 | $1,477.86 |
| Dillon County | $546.13 | $619.86 | $697.95 | $975.39 | $1,482.20 |
| Darlington County | $549.06 | $623.19 | $701.70 | $980.62 | $1,490.15 |
| Cherokee County | $549.33 | $623.49 | $702.04 | $981.10 | $1,490.88 |
| Marlboro County | $555.19 | $630.14 | $709.54 | $991.57 | $1,506.79 |
| Richland County | $558.12 | $633.47 | $713.28 | $996.81 | $1,514.75 |
| Florence County | $562.39 | $638.31 | $718.73 | $1,004.43 | $1,526.32 |
| Laurens County | $563.19 | $639.22 | $719.75 | $1,005.85 | $1,528.49 |
| York County | $565.59 | $641.94 | $722.82 | $1,010.14 | $1,535 |
| Chester County | $573.58 | $651.02 | $733.04 | $1,024.42 | $1,556.71 |
| Berkeley County | $577.05 | $654.95 | $737.47 | $1,030.61 | $1,566.11 |
| Chesterfield County | $578.38 | $656.46 | $739.17 | $1,032.99 | $1,569.73 |
| Lexington County | $579.98 | $658.28 | $741.21 | $1,035.84 | $1,574.07 |
| Colleton County | $585.58 | $664.63 | $748.37 | $1,045.84 | $1,589.26 |
| Newberry County | $586.11 | $665.24 | $749.05 | $1,046.79 | $1,590.70 |
| Lancaster County | $587.18 | $666.45 | $750.41 | $1,048.70 | $1,593.60 |
| Spartanburg County | $592.24 | $672.19 | $756.88 | $1,057.74 | $1,607.34 |
| Anderson County | $597.57 | $678.24 | $763.70 | $1,067.26 | $1,621.81 |
| Lee County | $610.10 | $692.46 | $779.71 | $1,089.64 | $1,655.81 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.