Molina Gold Standard
Gold · HMO · Molina Healthcare · South Carolina
At age 40 it costs between $529.58 and $787.91 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 | 42326SC0010008 |
|---|---|
| Insurer | Molina Healthcare |
| Metal level | Gold |
| Plan type | HMO |
| 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 | 99.99% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-855-885-3176 · TTY 1-855-885-3176 |
Where it is sold, and what it costs there
37 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 |
|---|---|---|---|---|---|
| Abbeville County | $414.38 | $470.32 | $529.58 | $740.08 | $1,124.63 |
| Greenwood County | $414.89 | $470.90 | $530.23 | $740.99 | $1,126.01 |
| McCormick County | $416.86 | $473.13 | $532.74 | $744.51 | $1,131.35 |
| Charleston County | $424.64 | $481.97 | $542.69 | $758.41 | $1,152.47 |
| Barnwell County | $429.96 | $488.01 | $549.49 | $767.91 | $1,166.92 |
| Aiken County | $445.52 | $505.67 | $569.38 | $795.71 | $1,209.15 |
| Edgefield County | $449.16 | $509.80 | $574.03 | $802.21 | $1,219.03 |
| Bamberg County | $452.57 | $513.67 | $578.38 | $808.29 | $1,228.27 |
| Kershaw County | $460.73 | $522.93 | $588.82 | $822.87 | $1,250.43 |
| Berkeley County | $463.88 | $526.50 | $592.84 | $828.49 | $1,258.96 |
| Allendale County | $464.19 | $526.86 | $593.24 | $829.05 | $1,259.82 |
| Hampton County | $465.78 | $528.66 | $595.27 | $831.88 | $1,264.12 |
| Marion County | $470.41 | $533.91 | $601.18 | $840.15 | $1,276.69 |
| Sumter County | $471.04 | $534.63 | $601.99 | $841.28 | $1,278.41 |
| Lee County | $471.71 | $535.39 | $602.85 | $842.48 | $1,280.23 |
| Colleton County | $475.61 | $539.82 | $607.83 | $849.44 | $1,290.81 |
| Newberry County | $476.58 | $540.92 | $609.07 | $851.17 | $1,293.44 |
| Darlington County | $476.96 | $541.35 | $609.56 | $851.86 | $1,294.48 |
| Jasper County | $479.02 | $543.69 | $612.19 | $855.53 | $1,300.06 |
| Calhoun County | $480.06 | $544.87 | $613.51 | $857.38 | $1,302.88 |
| Williamsburg County | $483.14 | $548.36 | $617.45 | $862.88 | $1,311.23 |
| Fairfield County | $483.83 | $549.15 | $618.33 | $864.12 | $1,313.11 |
| Dorchester County | $484.35 | $549.74 | $619.01 | $865.06 | $1,314.54 |
| Clarendon County | $488.40 | $554.34 | $624.18 | $872.29 | $1,325.53 |
| Marlboro County | $490.14 | $556.31 | $626.40 | $875.39 | $1,330.23 |
| Saluda County | $493.45 | $560.07 | $630.63 | $881.30 | $1,339.23 |
| Florence County | $496.59 | $563.63 | $634.64 | $886.91 | $1,347.75 |
| Beaufort County | $498.55 | $565.85 | $637.14 | $890.41 | $1,353.06 |
| Richland County | $500.42 | $567.97 | $639.53 | $893.75 | $1,358.14 |
| Chesterfield County | $501.01 | $568.65 | $640.29 | $894.80 | $1,359.74 |
| Chester County | $503.62 | $571.61 | $643.63 | $899.47 | $1,366.84 |
| Lancaster County | $504.33 | $572.41 | $644.53 | $900.73 | $1,368.75 |
| Dillon County | $521.15 | $591.51 | $666.03 | $930.78 | $1,414.40 |
| York County | $534.10 | $606.20 | $682.58 | $953.90 | $1,449.54 |
| Lexington County | $549.11 | $623.23 | $701.76 | $980.70 | $1,490.27 |
| Cherokee County | $607.52 | $689.53 | $776.41 | $1,085.03 | $1,648.80 |
| Union County | $616.52 | $699.75 | $787.91 | $1,101.11 | $1,673.24 |
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.