Health Insurance in Marion County, SC: 2027 Plans, Prices & Hospitals (Marion & Mullins)
For Marion County residents who buy their own health insurance: four insurance companies, 62 plans, and a 14.0% rise for 2027 in the price of the silver plan your tax credit is based on. See prices by age, which plans include MUSC Health Marion Medical Center, and how to choose.
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In this guide
If you buy your own health insurance in Marion County, you have four Marketplace insurance companies to choose from for 2027: Ambetter from Absolute Total Care, BlueCross BlueShield of SC, First Choice Next and Oscar, offering 62 plans in all. The silver plan your tax credit is based on costs $629 a month for a 40-year-old at full price before tax credits, up from $551 in 2026 (+14.0%). Molina is leaving the county, and Oscar is new.
MUSC Health Marion Medical Center is in the BCBS EPO, the Blue Pee Dee HMO, Ambetter and First Choice Next but not Oscar.
Marion County in 2027 at a glance
| Tax credit plan price, age 40 | $629 a month, up 14.0% from $551 in 2026 (statewide average +24.8%) |
|---|---|
| Plan your tax credit is based on | Signature Silver, Ambetter from Absolute Total Care |
| Insurance companies | Ambetter from Absolute Total Care, BlueCross BlueShield of SC, First Choice Next, Oscar. Oscar is new; Molina is leaving. |
| Plans | 62 |
| Tax credit plan price, ages 27 and 60 | $515 and $1,335 a month |
| Cheapest bronze, age 40 | $504 a month, Blue Pee Dee Bronze 2, BlueCross BlueShield of SC |
| Cheapest gold, age 40 | $657 a month, Signature Gold, Ambetter from Absolute Total Care |
| 2026 sign-ups | 3,584 (2025 population 28,242) |
Full monthly prices before any tax credit. Source: Murdock Insurance Group analysis of 2027 South Carolina Marketplace plan data.
2027 prices by age and insurance company
Your tax credit is sized from one silver plan, the second-lowest-cost silver plan in the county. Its price rose 14.0% at every age.
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| Age | 2026 price | 2027 price | Change |
|---|---|---|---|
| 27 | $452 | $515 | +14.0% |
| 40 | $551 | $629 | +14.0% |
| 60 | $1,171 | $1,335 | +14.0% |
Full-price monthly premium before tax credits for the second-lowest-cost silver plan in Marion County, the plan your tax credit is based on.
Each insurance company's lowest-priced plan at each metal level:
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| Insurance company | Lowest-priced plan at | Age 27 | Age 40 | Age 60 |
|---|---|---|---|---|
| BlueCross BlueShield of SC | Bronze | $413 | $504 | $1,070 |
| BlueCross BlueShield of SC | Silver | $600 | $732 | $1,554 |
| BlueCross BlueShield of SC | Gold | $639 | $779 | $1,654 |
| First Choice Next | Bronze | $458 | $558 | $1,185 |
| First Choice Next | Silver | $597 | $728 | $1,546 |
| First Choice Next | Gold | $604 | $736 | $1,563 |
| Ambetter | Bronze | $418 | $510 | $1,083 |
| Ambetter | Silver | $503 | $614 | $1,304 |
| Ambetter | Gold | $539 | $657 | $1,395 |
| Oscar | Bronze | $720 | $878 | $1,865 |
| Oscar | Silver | $884 | $1,078 | $2,289 |
| Oscar | Gold | $964 | $1,175 | $2,495 |
Full-price monthly premiums before tax credits in Marion County. Bronze includes expanded bronze. Age-40 prices are from plan data; ages 27 and 60 apply the federal default age curve (1.048 and 2.714 vs. 1.278 at age 40), which matches the figures for the plan your tax credit is based on in the same data.
Ambetter has the lowest silver price, $614 at age 40, which is $15 below the silver plan your tax credit is based on. Because your tax credit is tied to that $629 plan, a buyer with a tax credit who picks the lowest-priced silver pays a little less than they would for the $629 plan after the tax credit. Oscar is the highest-priced insurance company here at every metal level it sells.
What changed in Marion County for 2027
Molina is leaving. Molina sold 12 plans here in 2026 and has none for 2027, so Molina members need a new plan. Our article on Molina's exit walks through the options.
Oscar is new. Oscar enters with 14 plans; its lowest silver is $1,078 at age 40. Our Oscar 2027 article covers its plans and network.
Plan counts changed. Ambetter went from 9 plans to 17; BCBS went from 31 plans to 23; First Choice Next stays at 8 plans. BCBS kept its Blue Pee Dee HMO and statewide EPO plans.
The silver plan your tax credit is based on changed. In 2026 it was Ambetter Focused Silver. In 2027 it is Ambetter Signature Silver. The insurance company is the same, but the plan and its price are different, and your tax credit moves with that plan. That is why we tell clients not to auto-renew without checking.
Local hospitals and which plans include them
The table also lists hospitals in neighboring counties from our network data.
| Hospital | BCBS EPO | Blue Pee Dee HMO | Ambetter | First Choice Next | Oscar |
|---|---|---|---|---|---|
| MUSC Health Marion Medical CenterMarion County | In network | In network | In network | In network | Not in network |
| MUSC Health Florence Medical CenterFlorence County | In network | In network | In network | In network | Not in network |
| McLeod Regional Medical Center (Florence)Florence County | In network | Not in network | In network | Not in network | Not in network |
| Conway Medical CenterHorry County | In network | In network | In network | In network | Not in network |
- MUSC Health Marion Medical CenterMarion CountyIn network: BCBS EPO, Blue Pee Dee HMO, Ambetter, First Choice Next. Not in network: Oscar.
- MUSC Health Florence Medical CenterFlorence CountyIn network: BCBS EPO, Blue Pee Dee HMO, Ambetter, First Choice Next. Not in network: Oscar.
- McLeod Regional Medical Center (Florence)Florence CountyIn network: BCBS EPO, Ambetter. Not in network: Blue Pee Dee HMO, First Choice Next, Oscar.
- Conway Medical CenterHorry CountyIn network: BCBS EPO, Blue Pee Dee HMO, Ambetter, First Choice Next. Not in network: Oscar.
Networks and covered drug lists can change; we verify with the insurance company before you enroll. Last verified: November 2026.
- The BCBS EPO includes all four hospitals on this list.
- The Blue Pee Dee HMO includes MUSC Health Marion Medical Center, MUSC Health Florence Medical Center and Conway Medical Center but not McLeod Regional Medical Center.
- Ambetter includes all four hospitals on this list.
- First Choice Next includes MUSC Health Marion Medical Center, MUSC Health Florence Medical Center and Conway Medical Center but not McLeod Regional Medical Center.
- Oscar includes none of the hospitals on this list in our data.
Which plan fits your situation
Every plan here is an HMO except the BCBS BlueEssentials and BlueConnect EPOs; the SC Marketplace has no PPOs. Neither type covers out-of-network care except emergencies. Our guide to BCBS networks covers the Blue Pee Dee HMO and the EPO.
You rarely see a doctor and want the lowest premium. BCBS Blue Pee Dee Bronze 2 is the cheapest plan at $504 for a 40-year-old, but its $10,600 deductible equals its yearly limit on what you pay, so beyond preventive care it pays little until you spend $10,600. Of the hospitals above, it includes MUSC Health Marion Medical Center, MUSC Health Florence Medical Center and Conway Medical Center.
You want the lowest silver price. Ambetter Streamlined Silver is $614 at age 40, with a $4,700 deductible, an $11,300 yearly limit on what you pay, $20 primary care visits and $3 generics. It includes every hospital in the table above.
You expect regular care and want a low deductible. Ambetter Signature Gold is $657 at age 40, $28 more than the silver plan your tax credit is based on, with a $2,500 deductible, an $8,600 yearly limit on what you pay, $30 primary care visits and $15 generics. It also includes every hospital in the table.
You want the widest choice of SC hospitals. BCBS's BlueEssentials and BlueConnect plans use a statewide EPO network, which can matter if you get care outside the county. BCBS also sells the Blue Pee Dee HMO here, which uses a smaller regional network.
Your income is lower. Below 250% of the federal poverty level, silver plans come with cost-sharing reductions that lower the deductible and the yearly limit on what you pay. Our cost-sharing reductions guide explains how it works.
Call us and we will compare all four insurance companies against your doctors and prescriptions.
Common questions
The silver plan your tax credit is based on is $629 a month for a 40-year-old at full price before tax credits, $515 for a 27-year-old and $1,335 for a 60-year-old. The cheapest bronze is $504 at age 40. In 2026 the average enrollee here paid $86 a month after tax credits.
In our 2027 network data, the BCBS EPO, the Blue Pee Dee HMO, Ambetter and First Choice Next include it. Oscar does not.
Molina has no 2027 plans here, so pick a new plan by December 15, 2026 for a January 1 start. We can match your doctors and prescriptions to the four remaining insurance companies.
Open enrollment on HealthCare.gov runs November 1, 2026 to January 15, 2027. Enroll by December 15 for coverage starting January 1; enrollments from December 16 to January 15 start February 1. Our 2027 open enrollment guide has every date.
Get your Marion County comparison
With Molina leaving, a new insurance company and a new plan setting your tax credit, compare before you renew for 2027. Tell us your ZIP, ages, household and income, and a licensed agent will price every plan against your doctors and drugs. For the statewide picture, start with our 2027 South Carolina health insurance guide or the 2027 rate changes by county. Nearby, see Florence County, Horry County and Dillon County.
Sources
- FAQ: Health Insurance Marketplace Deadlines for 2027 Coverage (HealthCare Insider)
- How Will the Loss of Enhanced Premium Tax Credits Affect Older Adults? (KFF)
- Guidance Regarding Age Curves and State Reporting (CMS/HHS)
- Murdock Insurance Group analysis of PY2027 SC Marketplace rate filings / plan data (county market data, plan benefits, hospital network matrix and marker-drug formulary check)
Prices are full-price monthly premiums for the stated age, before subsidies, from Murdock Insurance Group analysis of PY2027 SC Marketplace plan data. Your actual cost depends on your age, income, household size, tobacco use and the plan you choose. Ages 27 and 60 for individual carriers are calculated from the age-40 price using the federal default age curve. Networks and drug lists can change; we verify with the carrier before you enroll. Last verified: November 2026. Murdock Insurance Group is a licensed independent insurance agency. We are not affiliated with HealthCare.gov or any government agency.
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Nearby county guides: Florence, Horry, Dillon. All county guides.