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Health Insurance Carriers in South Carolina (SC)

South Carolina’s rules on health insurance providers and plans are specific to the state. For more information on the options available to you, check out the links provided below as well as the details on South Carolinian insurance regulations below. When you are ready, request your personalized quote free of charge.

Health Insurance regulations differ from state to state, and the carriers that offer health care coverage in South Carolina have different plans and options. We hope you will find this resource informative and useful. First, review the list of carriers we recommend in South Carolina and click the links to learn more about them. Second, review basic information about South Carolina Health Insurance regulations and laws at the bottom of this page.

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Health Insurance Providers in South Carolina

Assurant Health (Formerly Fortis)
BlueCross BlueShield of South Carolina

Celtic
Clarendon National
Fairmont Specialty Group/TIG
Golden Rule
Principal Life
Security Life

Group Health Insurance in South Carolina

  • Eligible applicants may not be denied group coverage or charged more because of health issues.
  • If applicants are late enrolling, providers may deny coverage based on health issues.
  • Life changes related to family or job loss entitle policy holders to more insurance opportunities.
  • Newborn, adopted, and disabled kids have the opportunity for special coverage.
  • Employers may require a waiting period for new employees.
  • Providers may review medical records for the six months prior to coverage.
  • In the case of a pre-existing condition, providers may impose an exclusion period of up to 12 months.
  • If continuous coverage has been maintained without a break longer than 63 days, creditable coverage is available.

Small Business Health Insurance in South Carolina

  • Small businesses with fewer than 50 employees may not be denied coverage or cancelled based on health problems within the employee group.
  • There are cost limits for small group insurance.

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Self-Employed Health Insurance in South Carolina

  • The self-employed may not purchase small group insurance.
  • Contact the South Carolina Department of Insurance for regulations concerning business or professional associations offering group coverage.

South Carolina Department of Insurance
300 Arbor Lake Drive, Suite 1200
Columbia, SC 29223
www.doi.state.sc.us

Individual Health Insurance in South Carolina

  • Individual health coverage may be denied based on health.
  • Policies bought with a comprehensive form application may have an exclusion period of up to 24 months or have an elimination rider attached to the policy.
  • Applicants who applied with a simplified form, the rules are different. Contact the South Carolina Department of Insurance for details.
  • HMOs may review medical records for the 12 months prior to coverage and may require an exclusion period of up to 12 months on pre-existing conditions.
  • Pregnancy may be classified as a pre-existing condition, but not genetic information.
  • There are no limits on the cost of premiums or at the time of renewal.
  • However, coverage may not be cancelled because of sickness.

South Carolina Health Care Programs

Assistance for low income individuals and families is available to residents through Medicaid, Best Chance Network, and other South Carolina programs.

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Health-Insurance-Carriers is not an insurer and cannot issue health insurance policies. This site provides free information on insurance services and coverage options.
Products and policies may not be available in all states.