BlueEssentials Silver 40
Silver · EPO · BlueCross BlueShield of South Carolina · South Carolina
At age 40 it costs between $562.97 and $769.34 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $6,000 | $8,900 | $40 | $20 |
| up to 150% of the federal poverty level | $0 | $2,200 | No Charge | No Charge |
| 150% to 200% | $700 | $3,300 | $20 | $9 |
| 200% to 250% | $3,000 | $7,400 | $40 | $20 |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 26065SC0380052 |
|---|---|
| Insurer | BlueCross BlueShield of South Carolina |
| Metal level | Silver |
| Plan type | EPO |
| Deductible (individual) | $6,000 |
| Deductible (family) | $12,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,900 |
| Family maximum | $17,800 |
| Primary care visit | $40 |
| Specialist visit | $80 |
| Emergency room | 40% Coinsurance after deductible |
| Inpatient stay | 40% Coinsurance after deductible |
| Generic drugs | $20 |
| Preferred brand drugs | $40 |
| Specialty drugs | 40% 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 | $440.51 | $499.98 | $562.97 | $786.75 | $1,195.54 |
| Horry County | $447.87 | $508.33 | $572.38 | $799.90 | $1,215.52 |
| Georgetown County | $448.40 | $508.93 | $573.05 | $800.84 | $1,216.95 |
| Edgefield County | $456.02 | $517.59 | $582.80 | $814.46 | $1,237.65 |
| Greenwood County | $456.02 | $517.59 | $582.80 | $814.46 | $1,237.65 |
| Sumter County | $463.65 | $526.24 | $592.55 | $828.08 | $1,258.35 |
| Abbeville County | $469.70 | $533.11 | $600.28 | $838.88 | $1,274.77 |
| Aiken County | $471.02 | $534.60 | $601.96 | $841.23 | $1,278.33 |
| Saluda County | $471.02 | $534.60 | $601.96 | $841.23 | $1,278.33 |
| Orangeburg County | $476.27 | $540.57 | $608.68 | $850.63 | $1,292.61 |
| Hampton County | $489.42 | $555.50 | $625.48 | $874.11 | $1,328.30 |
| Oconee County | $495.47 | $562.36 | $633.21 | $884.92 | $1,344.71 |
| Williamsburg County | $498.37 | $565.65 | $636.91 | $890.08 | $1,352.57 |
| Barnwell County | $499.68 | $567.14 | $638.59 | $892.43 | $1,356.13 |
| Kershaw County | $501 | $568.63 | $640.27 | $894.78 | $1,359.70 |
| Jasper County | $501.26 | $568.93 | $640.61 | $895.25 | $1,360.42 |
| Allendale County | $503.63 | $571.62 | $643.63 | $899.48 | $1,366.84 |
| Dorchester County | $508.62 | $577.29 | $650.02 | $908.40 | $1,380.40 |
| Beaufort County | $517.56 | $587.44 | $661.45 | $924.37 | $1,404.67 |
| Fairfield County | $518.09 | $588.03 | $662.12 | $925.31 | $1,406.10 |
| Charleston County | $520.98 | $591.32 | $665.82 | $930.48 | $1,413.95 |
| Pickens County | $526.24 | $597.29 | $672.54 | $939.87 | $1,428.22 |
| Clarendon County | $527.56 | $598.78 | $674.22 | $942.22 | $1,431.79 |
| Bamberg County | $529.66 | $601.17 | $676.91 | $945.98 | $1,437.50 |
| Greenville County | $532.03 | $603.85 | $679.93 | $950.20 | $1,443.93 |
| Marion County | $532.29 | $604.15 | $680.27 | $950.67 | $1,444.64 |
| Calhoun County | $533.87 | $605.94 | $682.29 | $953.49 | $1,448.92 |
| Union County | $537.29 | $609.82 | $686.65 | $959.60 | $1,458.20 |
| Dillon County | $538.87 | $611.61 | $688.67 | $962.42 | $1,462.48 |
| Darlington County | $541.76 | $614.90 | $692.37 | $967.58 | $1,470.34 |
| Cherokee County | $542.02 | $615.20 | $692.70 | $968.05 | $1,471.05 |
| Marlboro County | $547.81 | $621.76 | $700.10 | $978.39 | $1,486.75 |
| Richland County | $550.70 | $625.05 | $703.80 | $983.55 | $1,494.60 |
| Florence County | $554.91 | $629.82 | $709.17 | $991.07 | $1,506.02 |
| Laurens County | $555.70 | $630.72 | $710.18 | $992.48 | $1,508.16 |
| York County | $558.06 | $633.40 | $713.21 | $996.70 | $1,514.59 |
| Chester County | $565.95 | $642.36 | $723.29 | $1,010.79 | $1,536 |
| Berkeley County | $569.37 | $646.24 | $727.66 | $1,016.90 | $1,545.28 |
| Chesterfield County | $570.69 | $647.73 | $729.34 | $1,019.25 | $1,548.85 |
| Lexington County | $572.27 | $649.52 | $731.36 | $1,022.07 | $1,553.13 |
| Colleton County | $577.79 | $655.79 | $738.41 | $1,031.93 | $1,568.12 |
| Newberry County | $578.32 | $656.39 | $739.09 | $1,032.87 | $1,569.55 |
| Lancaster County | $579.37 | $657.58 | $740.43 | $1,034.75 | $1,572.40 |
| Spartanburg County | $584.36 | $663.25 | $746.82 | $1,043.67 | $1,585.96 |
| Anderson County | $589.62 | $669.22 | $753.54 | $1,053.07 | $1,600.24 |
| Lee County | $601.98 | $683.25 | $769.34 | $1,075.14 | $1,633.78 |
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.