BlueEssentials Standard Silver
Silver · EPO · BlueCross BlueShield of South Carolina · South Carolina
At age 40 it costs between $563.45 and $769.99 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 | $10 |
| 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 | 26065SC0690002 |
|---|---|
| Insurer | BlueCross BlueShield of South Carolina |
| Metal level | Silver |
| Plan type | EPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| 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 | $350 Copay 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 | $440.89 | $500.40 | $563.45 | $787.42 | $1,196.56 |
| Horry County | $448.26 | $508.77 | $572.87 | $800.58 | $1,216.56 |
| Georgetown County | $448.78 | $509.37 | $573.54 | $801.52 | $1,217.99 |
| Edgefield County | $456.41 | $518.03 | $583.30 | $815.16 | $1,238.71 |
| Greenwood County | $456.41 | $518.03 | $583.30 | $815.16 | $1,238.71 |
| Sumter County | $464.05 | $526.69 | $593.05 | $828.79 | $1,259.43 |
| Abbeville County | $470.10 | $533.57 | $600.79 | $839.60 | $1,275.86 |
| Aiken County | $471.42 | $535.06 | $602.47 | $841.95 | $1,279.43 |
| Saluda County | $471.42 | $535.06 | $602.47 | $841.95 | $1,279.43 |
| Orangeburg County | $476.68 | $541.03 | $609.20 | $851.35 | $1,293.72 |
| Hampton County | $489.84 | $555.97 | $626.02 | $874.86 | $1,329.43 |
| Oconee County | $495.90 | $562.84 | $633.76 | $885.67 | $1,345.86 |
| Williamsburg County | $498.79 | $566.13 | $637.46 | $890.84 | $1,353.72 |
| Barnwell County | $500.11 | $567.62 | $639.14 | $893.19 | $1,357.29 |
| Kershaw County | $501.42 | $569.12 | $640.82 | $895.54 | $1,360.87 |
| Jasper County | $501.69 | $569.42 | $641.16 | $896.01 | $1,361.58 |
| Allendale County | $504.06 | $572.10 | $644.18 | $900.25 | $1,368.01 |
| Dorchester County | $509.06 | $577.78 | $650.58 | $909.18 | $1,381.58 |
| Beaufort County | $518.01 | $587.94 | $662.01 | $925.16 | $1,405.87 |
| Fairfield County | $518.53 | $588.54 | $662.69 | $926.10 | $1,407.30 |
| Charleston County | $521.43 | $591.82 | $666.39 | $931.27 | $1,415.16 |
| Pickens County | $526.69 | $597.80 | $673.11 | $940.67 | $1,429.45 |
| Clarendon County | $528.01 | $599.29 | $674.80 | $943.02 | $1,433.02 |
| Bamberg County | $530.12 | $601.68 | $677.49 | $946.79 | $1,438.73 |
| Greenville County | $532.48 | $604.37 | $680.51 | $951.02 | $1,445.16 |
| Marion County | $532.75 | $604.67 | $680.85 | $951.49 | $1,445.88 |
| Calhoun County | $534.33 | $606.46 | $682.87 | $954.31 | $1,450.16 |
| Union County | $537.75 | $610.34 | $687.24 | $960.42 | $1,459.45 |
| Dillon County | $539.33 | $612.14 | $689.26 | $963.24 | $1,463.73 |
| Darlington County | $542.22 | $615.42 | $692.96 | $968.41 | $1,471.59 |
| Cherokee County | $542.49 | $615.72 | $693.30 | $968.88 | $1,472.31 |
| Marlboro County | $548.28 | $622.29 | $700.70 | $979.22 | $1,488.02 |
| Richland County | $551.17 | $625.58 | $704.40 | $984.39 | $1,495.88 |
| Florence County | $555.38 | $630.36 | $709.78 | $991.92 | $1,507.31 |
| Laurens County | $556.17 | $631.26 | $710.79 | $993.33 | $1,509.45 |
| York County | $558.54 | $633.95 | $713.82 | $997.56 | $1,515.88 |
| Chester County | $566.44 | $642.91 | $723.91 | $1,011.66 | $1,537.31 |
| Berkeley County | $569.86 | $646.79 | $728.28 | $1,017.77 | $1,546.60 |
| Chesterfield County | $571.18 | $648.29 | $729.96 | $1,020.12 | $1,550.17 |
| Lexington County | $572.76 | $650.08 | $731.98 | $1,022.94 | $1,554.46 |
| Colleton County | $578.28 | $656.35 | $739.05 | $1,032.81 | $1,569.46 |
| Newberry County | $578.81 | $656.95 | $739.72 | $1,033.75 | $1,570.89 |
| Lancaster County | $579.86 | $658.14 | $741.06 | $1,035.63 | $1,573.75 |
| Spartanburg County | $584.86 | $663.82 | $747.46 | $1,044.57 | $1,587.32 |
| Anderson County | $590.13 | $669.80 | $754.18 | $1,053.97 | $1,601.61 |
| Lee County | $602.50 | $683.84 | $769.99 | $1,076.06 | $1,635.18 |
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.