Molina Silver Standard
Silver · HMO · Molina Healthcare · South Carolina
At age 40 it costs between $496.78 and $739.12 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 | 42326SC0010009 |
|---|---|
| Insurer | Molina Healthcare |
| Metal level | Silver |
| Plan type | HMO |
| 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 | 99.98% |
| 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 | $388.72 | $441.20 | $496.78 | $694.25 | $1,054.98 |
| Greenwood County | $389.20 | $441.74 | $497.39 | $695.10 | $1,056.28 |
| McCormick County | $391.04 | $443.83 | $499.75 | $698.40 | $1,061.29 |
| Charleston County | $398.34 | $452.12 | $509.08 | $711.44 | $1,081.10 |
| Barnwell County | $403.34 | $457.79 | $515.46 | $720.36 | $1,094.65 |
| Aiken County | $417.93 | $474.35 | $534.12 | $746.43 | $1,134.27 |
| Edgefield County | $421.35 | $478.23 | $538.48 | $752.53 | $1,143.54 |
| Bamberg County | $424.54 | $481.86 | $542.57 | $758.23 | $1,152.21 |
| Kershaw County | $432.20 | $490.55 | $552.35 | $771.91 | $1,173 |
| Berkeley County | $435.15 | $493.90 | $556.12 | $777.18 | $1,181 |
| Allendale County | $435.45 | $494.23 | $556.50 | $777.71 | $1,181.81 |
| Hampton County | $436.93 | $495.92 | $558.40 | $780.37 | $1,185.84 |
| Marion County | $441.28 | $500.85 | $563.95 | $788.12 | $1,197.63 |
| Sumter County | $441.87 | $501.52 | $564.71 | $789.18 | $1,199.24 |
| Lee County | $442.50 | $502.24 | $565.52 | $790.31 | $1,200.95 |
| Colleton County | $446.16 | $506.39 | $570.19 | $796.84 | $1,210.87 |
| Newberry County | $447.07 | $507.42 | $571.35 | $798.46 | $1,213.34 |
| Darlington County | $447.43 | $507.83 | $571.81 | $799.10 | $1,214.31 |
| Jasper County | $449.36 | $510.02 | $574.28 | $802.55 | $1,219.55 |
| Calhoun County | $450.33 | $511.12 | $575.52 | $804.29 | $1,222.20 |
| Williamsburg County | $453.22 | $514.40 | $579.21 | $809.45 | $1,230.03 |
| Fairfield County | $453.87 | $515.14 | $580.04 | $810.61 | $1,231.79 |
| Dorchester County | $454.36 | $515.70 | $580.67 | $811.49 | $1,233.13 |
| Clarendon County | $458.16 | $520.01 | $585.53 | $818.27 | $1,243.44 |
| Marlboro County | $459.78 | $521.86 | $587.60 | $821.18 | $1,247.86 |
| Saluda County | $462.89 | $525.38 | $591.58 | $826.73 | $1,256.29 |
| Florence County | $465.84 | $528.73 | $595.34 | $831.99 | $1,264.29 |
| Beaufort County | $467.67 | $530.81 | $597.69 | $835.27 | $1,269.27 |
| Richland County | $469.43 | $532.80 | $599.93 | $838.40 | $1,274.03 |
| Chesterfield County | $469.98 | $533.43 | $600.64 | $839.39 | $1,275.53 |
| Chester County | $472.44 | $536.22 | $603.77 | $843.77 | $1,282.19 |
| Lancaster County | $473.10 | $536.97 | $604.62 | $844.95 | $1,283.99 |
| Dillon County | $488.88 | $554.88 | $624.79 | $873.14 | $1,326.81 |
| York County | $501.02 | $568.66 | $640.31 | $894.83 | $1,359.77 |
| Lexington County | $515.10 | $584.64 | $658.30 | $919.97 | $1,397.98 |
| Cherokee County | $569.90 | $646.83 | $728.33 | $1,017.83 | $1,546.70 |
| Union County | $578.34 | $656.42 | $739.12 | $1,032.92 | $1,569.62 |
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.
Get told when this changes
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.