BlueEssentials Standard Gold
Gold · EPO · BlueCross BlueShield of South Carolina · South Carolina
At age 40 it costs between $601.45 and $821.92 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 | 26065SC0690001 |
|---|---|
| Insurer | BlueCross BlueShield of South Carolina |
| Metal level | Gold |
| Plan type | EPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| 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 | $470.62 | $534.15 | $601.45 | $840.52 | $1,277.25 |
| Horry County | $478.48 | $543.08 | $611.50 | $854.57 | $1,298.60 |
| Georgetown County | $479.05 | $543.72 | $612.22 | $855.57 | $1,300.13 |
| Edgefield County | $487.19 | $552.96 | $622.63 | $870.13 | $1,322.24 |
| Greenwood County | $487.19 | $552.96 | $622.63 | $870.13 | $1,322.24 |
| Sumter County | $495.34 | $562.21 | $633.05 | $884.68 | $1,344.36 |
| Abbeville County | $501.80 | $569.55 | $641.30 | $896.22 | $1,361.89 |
| Aiken County | $503.21 | $571.14 | $643.10 | $898.73 | $1,365.71 |
| Saluda County | $503.21 | $571.14 | $643.10 | $898.73 | $1,365.71 |
| Orangeburg County | $508.83 | $577.52 | $650.28 | $908.77 | $1,380.96 |
| Hampton County | $522.88 | $593.46 | $668.24 | $933.86 | $1,419.09 |
| Oconee County | $529.34 | $600.80 | $676.49 | $945.40 | $1,436.62 |
| Williamsburg County | $532.43 | $604.31 | $680.44 | $950.92 | $1,445.01 |
| Barnwell County | $533.83 | $605.90 | $682.24 | $953.43 | $1,448.82 |
| Kershaw County | $535.24 | $607.50 | $684.03 | $955.94 | $1,452.64 |
| Jasper County | $535.52 | $607.81 | $684.39 | $956.44 | $1,453.40 |
| Allendale County | $538.05 | $610.68 | $687.63 | $960.95 | $1,460.26 |
| Dorchester County | $543.39 | $616.74 | $694.45 | $970.49 | $1,474.75 |
| Beaufort County | $552.94 | $627.59 | $706.66 | $987.55 | $1,500.68 |
| Fairfield County | $553.50 | $628.22 | $707.37 | $988.55 | $1,502.20 |
| Charleston County | $556.59 | $631.73 | $711.32 | $994.07 | $1,510.59 |
| Pickens County | $562.21 | $638.11 | $718.51 | $1,004.11 | $1,525.84 |
| Clarendon County | $563.62 | $639.70 | $720.30 | $1,006.62 | $1,529.65 |
| Bamberg County | $565.86 | $642.26 | $723.17 | $1,010.63 | $1,535.75 |
| Greenville County | $568.39 | $645.13 | $726.41 | $1,015.15 | $1,542.62 |
| Marion County | $568.67 | $645.44 | $726.76 | $1,015.65 | $1,543.38 |
| Calhoun County | $570.36 | $647.36 | $728.92 | $1,018.66 | $1,547.95 |
| Union County | $574.01 | $651.50 | $733.59 | $1,025.18 | $1,557.87 |
| Dillon County | $575.70 | $653.42 | $735.74 | $1,028.20 | $1,562.44 |
| Darlington County | $578.79 | $656.92 | $739.69 | $1,033.72 | $1,570.83 |
| Cherokee County | $579.07 | $657.24 | $740.05 | $1,034.22 | $1,571.59 |
| Marlboro County | $585.25 | $664.26 | $747.95 | $1,045.26 | $1,588.37 |
| Richland County | $588.34 | $667.77 | $751.90 | $1,050.78 | $1,596.76 |
| Florence County | $592.84 | $672.87 | $757.64 | $1,058.81 | $1,608.96 |
| Laurens County | $593.68 | $673.83 | $758.72 | $1,060.31 | $1,611.24 |
| York County | $596.21 | $676.70 | $761.95 | $1,064.83 | $1,618.11 |
| Chester County | $604.64 | $686.26 | $772.73 | $1,079.88 | $1,640.98 |
| Berkeley County | $608.29 | $690.41 | $777.39 | $1,086.40 | $1,650.90 |
| Chesterfield County | $609.69 | $692 | $779.19 | $1,088.91 | $1,654.71 |
| Lexington County | $611.38 | $693.92 | $781.34 | $1,091.92 | $1,659.28 |
| Colleton County | $617.28 | $700.61 | $788.88 | $1,102.46 | $1,675.30 |
| Newberry County | $617.84 | $701.25 | $789.60 | $1,103.47 | $1,676.82 |
| Lancaster County | $618.97 | $702.53 | $791.04 | $1,105.47 | $1,679.87 |
| Spartanburg County | $624.30 | $708.59 | $797.86 | $1,115.01 | $1,694.36 |
| Anderson County | $629.92 | $714.96 | $805.04 | $1,125.04 | $1,709.61 |
| Lee County | $643.13 | $729.95 | $821.92 | $1,148.63 | $1,745.45 |
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.