QHP Index

First Choice Next Silver Premier

Silver · HMO · First Choice Next · South Carolina

At age 40 it costs between $567.89 and $666.74 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 isDeductibleMost you could pay in a yearPrimary careGeneric drugs
Above 250%, or not applied for$400$10,200$50$25
up to 150% of the federal poverty level$0$1,800No ChargeNo Charge
150% to 200%$0$3,400$35$15
200% to 250%$300$8,450$50$25

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 ID73107SC0010007
InsurerFirst Choice Next
Metal levelSilver
Plan typeHMO
Deductible (individual)$400
Deductible (family)$800
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$10,200
Family maximum$20,400
Primary care visit$50
Specialist visit$110
Emergency room50% Coinsurance after deductible
Inpatient stay50% Coinsurance after deductible
Generic drugs$25
Preferred brand drugs$40
Specialty drugs$350 Copay after deductible
Adult dental includedNo
Child dental includedNo
Share of premium buying essential health benefits99.81%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-833-983-7272 · TTY 711

Where it is sold, and what it costs there

20 counties. The premium is the price before any tax credit; what you pay depends on your income.

CountyAt 21At 30At 40At 50At 60
Georgetown County $444.36$504.35 $567.89$793.63 $1,205.99
Calhoun County $457.08$518.79 $584.15$816.35 $1,240.51
Berkeley County $461.14$523.39 $589.33$823.59 $1,251.52
Horry County $467.25$530.33 $597.14$834.50 $1,268.10
Fairfield County $474.93$539.04 $606.96$848.22 $1,288.94
Dillon County $477.80$542.31 $610.63$853.35 $1,296.75
Charleston County $488.09$553.98 $623.78$871.73 $1,324.67
Greenville County $492.62$559.12 $629.56$879.81 $1,336.96
Chester County $503.90$571.92 $643.98$899.96 $1,367.57
Cherokee County $505.20$573.40 $645.65$902.29 $1,371.11
Kershaw County $505.20$573.40 $645.65$902.29 $1,371.11
Laurens County $505.20$573.40 $645.65$902.29 $1,371.11
Marion County $505.20$573.40 $645.65$902.29 $1,371.11
Richland County $505.20$573.40 $645.65$902.29 $1,371.11
Spartanburg County $505.20$573.40 $645.65$902.29 $1,371.11
Union County $505.20$573.40 $645.65$902.29 $1,371.11
Lancaster County $507.17$575.64 $648.16$905.80 $1,376.46
Pickens County $514.51$583.96 $657.54$918.90 $1,396.36
Dorchester County $517.98$587.90 $661.97$925.10 $1,405.78
Anderson County $521.71$592.14 $666.74$931.77 $1,415.91

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.