Standard Gold
Gold · HMO · Ambetter from Absolute Total Care · South Carolina
At age 40 it costs between $476.45 and $823.76 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 | 79222SC0010033 |
|---|---|
| Insurer | Ambetter from Absolute Total Care |
| 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 | 99.97% |
| 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 | $372.82 | $423.14 | $476.45 | $665.83 | $1,011.80 |
| Bamberg County | $407.02 | $461.96 | $520.16 | $726.92 | $1,104.63 |
| Edgefield County | $407.63 | $462.65 | $520.94 | $728.01 | $1,106.28 |
| Greenwood County | $409.66 | $464.95 | $523.53 | $731.63 | $1,111.78 |
| Georgetown County | $411.48 | $467.02 | $525.86 | $734.89 | $1,116.73 |
| McCormick County | $413.56 | $469.38 | $528.52 | $738.60 | $1,122.37 |
| Williamsburg County | $421.36 | $478.24 | $538.49 | $752.54 | $1,143.55 |
| Charleston County | $428.25 | $486.06 | $547.30 | $764.84 | $1,162.26 |
| Kershaw County | $430.69 | $488.82 | $550.41 | $769.19 | $1,168.86 |
| Fairfield County | $433.78 | $492.33 | $554.36 | $774.71 | $1,177.25 |
| Lee County | $433.93 | $492.50 | $554.55 | $774.98 | $1,177.66 |
| Jasper County | $442.04 | $501.70 | $564.91 | $789.46 | $1,199.66 |
| Darlington County | $443.41 | $503.25 | $566.66 | $791.91 | $1,203.38 |
| Horry County | $444.42 | $504.40 | $567.96 | $793.72 | $1,206.13 |
| Aiken County | $444.47 | $504.46 | $568.02 | $793.81 | $1,206.27 |
| Marion County | $446.19 | $506.42 | $570.22 | $796.88 | $1,210.94 |
| Newberry County | $446.60 | $506.88 | $570.74 | $797.61 | $1,212.04 |
| Orangeburg County | $447.87 | $508.32 | $572.36 | $799.87 | $1,215.48 |
| Calhoun County | $450.50 | $511.31 | $575.73 | $804.58 | $1,222.63 |
| Dillon County | $451.97 | $512.97 | $577.60 | $807.20 | $1,226.62 |
| Saluda County | $461.75 | $524.07 | $590.10 | $824.67 | $1,253.16 |
| Florence County | $466.61 | $529.60 | $596.32 | $833.36 | $1,266.37 |
| Sumter County | $470.52 | $534.03 | $601.31 | $840.32 | $1,276.95 |
| Barnwell County | $470.57 | $534.08 | $601.37 | $840.42 | $1,277.09 |
| Beaufort County | $473.10 | $536.96 | $604.61 | $844.94 | $1,283.97 |
| Laurens County | $475.84 | $540.06 | $608.11 | $849.83 | $1,291.40 |
| Berkeley County | $479.64 | $544.38 | $612.96 | $856.62 | $1,301.71 |
| Clarendon County | $479.69 | $544.44 | $613.03 | $856.71 | $1,301.85 |
| Oconee County | $480.09 | $544.90 | $613.55 | $857.43 | $1,302.95 |
| Colleton County | $482.27 | $547.37 | $616.33 | $861.32 | $1,308.86 |
| Chester County | $482.37 | $547.48 | $616.46 | $861.50 | $1,309.14 |
| Dorchester County | $485.36 | $550.88 | $620.28 | $866.84 | $1,317.25 |
| Chesterfield County | $487.80 | $553.64 | $623.39 | $871.19 | $1,323.85 |
| Allendale County | $495.80 | $562.72 | $633.62 | $885.49 | $1,345.58 |
| Richland County | $510.80 | $579.75 | $652.79 | $912.28 | $1,386.29 |
| Lexington County | $515.92 | $585.56 | $659.33 | $921.42 | $1,400.18 |
| Hampton County | $518.30 | $588.26 | $662.38 | $925.67 | $1,406.64 |
| Lancaster County | $520.23 | $590.45 | $664.84 | $929.11 | $1,411.87 |
| Marlboro County | $520.33 | $590.56 | $664.97 | $929.29 | $1,412.15 |
| Pickens County | $527.37 | $598.56 | $673.97 | $941.87 | $1,431.26 |
| Greenville County | $527.93 | $599.19 | $674.68 | $942.87 | $1,432.78 |
| Cherokee County | $539.99 | $612.88 | $690.10 | $964.41 | $1,465.51 |
| Anderson County | $573.89 | $651.36 | $733.42 | $1,024.95 | $1,557.51 |
| Union County | $577.84 | $655.84 | $738.47 | $1,032.01 | $1,568.24 |
| Spartanburg County | $608.20 | $690.29 | $777.26 | $1,086.22 | $1,650.62 |
| York County | $644.58 | $731.59 | $823.76 | $1,151.20 | $1,749.37 |
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.