Standard Silver
Silver · HMO · Ambetter from Absolute Total Care · South Carolina
At age 40 it costs between $455.77 and $788.01 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 | 79222SC0010032 |
|---|---|
| Insurer | Ambetter from Absolute Total Care |
| 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 | 99.97% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-833-270-5443 |
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 |
|---|---|---|---|---|---|
| Abbeville County | $356.64 | $404.77 | $455.77 | $636.94 | $967.89 |
| Bamberg County | $389.36 | $441.91 | $497.59 | $695.38 | $1,056.70 |
| Edgefield County | $389.94 | $442.57 | $498.33 | $696.42 | $1,058.27 |
| Greenwood County | $391.88 | $444.77 | $500.81 | $699.88 | $1,063.54 |
| Georgetown County | $393.63 | $446.75 | $503.04 | $703 | $1,068.27 |
| McCormick County | $395.61 | $449.01 | $505.58 | $706.55 | $1,073.67 |
| Williamsburg County | $403.08 | $457.48 | $515.12 | $719.88 | $1,093.93 |
| Charleston County | $409.67 | $464.97 | $523.55 | $731.65 | $1,111.82 |
| Kershaw County | $412 | $467.61 | $526.52 | $735.81 | $1,118.13 |
| Fairfield County | $414.95 | $470.96 | $530.30 | $741.09 | $1,126.16 |
| Lee County | $415.10 | $471.13 | $530.49 | $741.35 | $1,126.55 |
| Jasper County | $422.86 | $479.93 | $540.40 | $755.20 | $1,147.60 |
| Darlington County | $424.16 | $481.42 | $542.07 | $757.54 | $1,151.16 |
| Horry County | $425.13 | $482.52 | $543.31 | $759.27 | $1,153.79 |
| Aiken County | $425.18 | $482.57 | $543.37 | $759.36 | $1,153.92 |
| Marion County | $426.83 | $484.44 | $545.48 | $762.30 | $1,158.39 |
| Newberry County | $427.22 | $484.88 | $545.97 | $762.99 | $1,159.44 |
| Orangeburg County | $428.43 | $486.26 | $547.52 | $765.16 | $1,162.73 |
| Calhoun County | $430.95 | $489.12 | $550.74 | $769.66 | $1,169.57 |
| Dillon County | $432.36 | $490.71 | $552.54 | $772.17 | $1,173.39 |
| Saluda County | $441.71 | $501.33 | $564.50 | $788.88 | $1,198.78 |
| Florence County | $446.37 | $506.61 | $570.44 | $797.19 | $1,211.41 |
| Sumter County | $450.10 | $510.85 | $575.21 | $803.86 | $1,221.54 |
| Barnwell County | $450.15 | $510.91 | $575.28 | $803.95 | $1,221.67 |
| Beaufort County | $452.57 | $513.66 | $578.37 | $808.27 | $1,228.25 |
| Laurens County | $455.19 | $516.63 | $581.72 | $812.95 | $1,235.36 |
| Berkeley County | $458.82 | $520.75 | $586.36 | $819.44 | $1,245.22 |
| Clarendon County | $458.87 | $520.81 | $586.43 | $819.53 | $1,245.35 |
| Oconee County | $459.26 | $521.25 | $586.92 | $820.22 | $1,246.41 |
| Colleton County | $461.35 | $523.62 | $589.59 | $823.94 | $1,252.06 |
| Chester County | $461.44 | $523.73 | $589.71 | $824.12 | $1,252.33 |
| Dorchester County | $464.30 | $526.97 | $593.37 | $829.23 | $1,260.09 |
| Chesterfield County | $466.63 | $529.61 | $596.34 | $833.38 | $1,266.40 |
| Allendale County | $474.29 | $538.31 | $606.13 | $847.06 | $1,287.19 |
| Richland County | $488.64 | $554.59 | $624.46 | $872.69 | $1,326.13 |
| Lexington County | $493.53 | $560.15 | $630.72 | $881.43 | $1,339.42 |
| Hampton County | $495.81 | $562.73 | $633.63 | $885.50 | $1,345.60 |
| Lancaster County | $497.65 | $564.82 | $635.99 | $888.79 | $1,350.60 |
| Marlboro County | $497.75 | $564.93 | $636.11 | $888.96 | $1,350.87 |
| Pickens County | $504.49 | $572.58 | $644.72 | $901 | $1,369.15 |
| Greenville County | $505.02 | $573.19 | $645.40 | $901.95 | $1,370.60 |
| Cherokee County | $516.56 | $586.28 | $660.15 | $922.55 | $1,401.91 |
| Anderson County | $548.99 | $623.09 | $701.59 | $980.47 | $1,489.93 |
| Union County | $552.77 | $627.38 | $706.43 | $987.23 | $1,500.19 |
| Spartanburg County | $581.81 | $660.34 | $743.53 | $1,039.09 | $1,578.99 |
| York County | $616.61 | $699.84 | $788.01 | $1,101.25 | $1,673.45 |
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.