Standard Silver + Vision + Adult Dental
Silver · HMO · Ambetter from Absolute Total Care · South Carolina
At age 40 it costs between $470.82 and $814.03 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 | 79222SC0020032 |
|---|---|
| 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 | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 96.77% |
| 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 | $368.41 | $418.14 | $470.82 | $657.97 | $999.84 |
| Bamberg County | $402.21 | $456.50 | $514.01 | $718.33 | $1,091.58 |
| Edgefield County | $402.81 | $457.18 | $514.78 | $719.41 | $1,093.21 |
| Greenwood County | $404.82 | $459.46 | $517.34 | $722.98 | $1,098.64 |
| Georgetown County | $406.62 | $461.50 | $519.65 | $726.20 | $1,103.54 |
| McCormick County | $408.67 | $463.83 | $522.27 | $729.87 | $1,109.11 |
| Williamsburg County | $416.38 | $472.58 | $532.13 | $743.64 | $1,130.04 |
| Charleston County | $423.19 | $480.31 | $540.83 | $755.81 | $1,148.52 |
| Kershaw County | $425.60 | $483.04 | $543.90 | $760.10 | $1,155.04 |
| Fairfield County | $428.65 | $486.51 | $547.80 | $765.55 | $1,163.33 |
| Lee County | $428.80 | $486.68 | $548 | $765.82 | $1,163.74 |
| Jasper County | $436.81 | $495.77 | $558.24 | $780.13 | $1,185.49 |
| Darlington County | $438.17 | $497.31 | $559.96 | $782.55 | $1,189.16 |
| Horry County | $439.17 | $498.44 | $561.24 | $784.34 | $1,191.87 |
| Aiken County | $439.22 | $498.50 | $561.31 | $784.43 | $1,192.01 |
| Marion County | $440.92 | $500.43 | $563.48 | $787.47 | $1,196.63 |
| Newberry County | $441.32 | $500.89 | $564 | $788.18 | $1,197.72 |
| Orangeburg County | $442.57 | $502.31 | $565.60 | $790.42 | $1,201.12 |
| Calhoun County | $445.18 | $505.26 | $568.92 | $795.07 | $1,208.18 |
| Dillon County | $446.63 | $506.91 | $570.78 | $797.66 | $1,212.12 |
| Saluda County | $456.29 | $517.88 | $583.13 | $814.92 | $1,238.35 |
| Florence County | $461.10 | $523.34 | $589.27 | $823.51 | $1,251.40 |
| Sumter County | $464.96 | $527.71 | $594.20 | $830.39 | $1,261.86 |
| Barnwell County | $465.01 | $527.77 | $594.27 | $830.48 | $1,262 |
| Beaufort County | $467.51 | $530.61 | $597.47 | $834.96 | $1,268.80 |
| Laurens County | $470.21 | $533.68 | $600.92 | $839.78 | $1,276.13 |
| Berkeley County | $473.97 | $537.94 | $605.72 | $846.49 | $1,286.33 |
| Clarendon County | $474.02 | $538 | $605.78 | $846.58 | $1,286.46 |
| Oconee County | $474.42 | $538.46 | $606.30 | $847.30 | $1,287.55 |
| Colleton County | $476.57 | $540.90 | $609.05 | $851.14 | $1,293.39 |
| Chester County | $476.67 | $541.01 | $609.18 | $851.32 | $1,293.67 |
| Dorchester County | $479.63 | $544.37 | $612.95 | $856.60 | $1,301.68 |
| Chesterfield County | $482.03 | $547.09 | $616.02 | $860.89 | $1,308.21 |
| Allendale County | $489.94 | $556.07 | $626.14 | $875.02 | $1,329.68 |
| Richland County | $504.77 | $572.90 | $645.08 | $901.49 | $1,369.91 |
| Lexington County | $509.82 | $578.64 | $651.54 | $910.53 | $1,383.63 |
| Hampton County | $512.18 | $581.31 | $654.55 | $914.73 | $1,390.02 |
| Lancaster County | $514.08 | $583.47 | $656.98 | $918.13 | $1,395.19 |
| Marlboro County | $514.18 | $583.58 | $657.11 | $918.31 | $1,395.46 |
| Pickens County | $521.14 | $591.48 | $666 | $930.74 | $1,414.35 |
| Greenville County | $521.69 | $592.11 | $666.71 | $931.72 | $1,415.84 |
| Cherokee County | $533.61 | $605.64 | $681.94 | $953.01 | $1,448.19 |
| Anderson County | $567.11 | $643.66 | $724.75 | $1,012.84 | $1,539.11 |
| Union County | $571.02 | $648.09 | $729.74 | $1,019.82 | $1,549.71 |
| Spartanburg County | $601.01 | $682.14 | $768.08 | $1,073.39 | $1,631.11 |
| York County | $636.96 | $722.94 | $814.03 | $1,137.60 | $1,728.69 |
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.