Blue Congaree Gold 1
Gold · HMO · BlueCross BlueShield of South Carolina · South Carolina
At age 40 it costs between $543.73 and $621.08 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 | 26065SC0720001 |
|---|---|
| Insurer | BlueCross BlueShield of South Carolina |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $250 |
| Deductible (family) | $500 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,900 |
| Family maximum | $17,800 |
| Primary care visit | $25 |
| Specialist visit | $50 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $12 |
| 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
3 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 |
|---|---|---|---|---|---|
| Kershaw County | $425.45 | $482.89 | $543.73 | $759.86 | $1,154.68 |
| Richland County | $467.66 | $530.80 | $597.67 | $835.25 | $1,269.24 |
| Lexington County | $485.98 | $551.58 | $621.08 | $867.95 | $1,318.94 |
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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When this plan’s price or benefits change.
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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.