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Health Insurance in Sumter County, SC: 2027 Plans, Prices & Hospitals (Sumter)

Two insurance companies, 31 plans for 2027, and a 31.6% rise in the price of the plan your tax credit is based on. Sumter County prices by age and company, which plans include Prisma Health Tuomey, and how to choose.

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In this guide

If you buy your own health insurance in Sumter County, you have two Marketplace insurance companies to choose from for 2027: Ambetter from Absolute Total Care and BlueCross BlueShield of SC. Together they offer 31 plans. The silver plan your tax credit is based on costs $709 a month for a 40-year-old at full price, before any tax credit. That is up from $538 in 2026 (+31.6%). Molina is leaving the county. Sumter is one of 11 South Carolina counties with only two Marketplace insurance companies in 2027.

Prisma Health Tuomey is in every network sold here in our 2027 data. So in Sumter County the choice comes down to price, deductible and your doctors.

Sumter County in 2027 at a glance

Tax credit plan price, age 40$709 a month, up 31.6% from $538 in 2026 (statewide average +24.8%)
Plan your tax credit is based onBlueEssentials Silver 14, BlueCross BlueShield of SC
Insurance companiesAmbetter from Absolute Total Care, BlueCross BlueShield of SC. Molina is leaving.
Plans31
Tax credit plan price, ages 27 and 60$581 and $1,505 a month
Cheapest bronze, age 40$479 a month, BlueConnect Bronze 1, BlueCross BlueShield of SC
Cheapest gold, age 40$731 a month, BlueEssentials Gold 5, BlueCross BlueShield of SC
2026 sign-ups12,867 (2025 population 105,067)

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

One silver plan sets the size of your tax credit. Its price rose 31.6% at every age.

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Age2026 monthly price2027 monthly priceChange
27$442$581+31.6%
40$538$709+31.6%
60$1,143$1,505+31.6%

Full-price monthly premium, before any tax credit, for the second-lowest-cost silver plan in Sumter County. This is the plan your tax credit is based on.

Each company's lowest-priced plan at each metal level:

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Insurance companyLowest-priced plan atAge 27Age 40Age 60
BlueCross BlueShield of SCBronze$393$479$1,017
BlueCross BlueShield of SCSilver$567$692$1,470
BlueCross BlueShield of SCGold$599$731$1,552
AmbetterBronze$512$624$1,325
AmbetterSilver$615$750$1,593
AmbetterGold$658$802$1,703

Full-price monthly premiums in Sumter County, before any tax credit. 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.

BCBS has the lowest silver price, $692 at age 40. That is $17 below the plan your tax credit is based on. Because your tax credit is tied to that $709 plan, a buyer with a tax credit who picks BCBS's lowest silver pays a little less than that plan's price after the tax credit.

What changed in Sumter 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.

Plan counts changed. Ambetter went from 9 plans to 17; BCBS went from 29 plans to 14. Every BCBS plan here uses its statewide BlueEssentials or BlueConnect EPO network.

The plan your tax credit is based on changed. In 2026 it was BCBS Blue Direction Silver 1 + Adult Vision. In 2027 it is BCBS BlueEssentials Silver 14. The company is the same, but the plan and its price are different, and your tax credit moves with it. 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.

  • Prisma Health Tuomey (Sumter)Sumter CountyIn network: BCBS EPO, Ambetter.
  • Prisma Health RichlandRichland CountyIn network: BCBS EPO, Ambetter.
  • MUSC Health Kershaw Medical CenterKershaw CountyIn network: Ambetter. With restrictions: BCBS EPO.
  • McLeod Health Clarendon (Manning)Clarendon CountyIn network: BCBS EPO, Ambetter.

Networks and 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, with restrictions at MUSC Health Kershaw Medical Center.
  • Ambetter includes all four hospitals on this list.
  • Where a hospital is in-network with restrictions, confirm your specific doctor or service with the insurance company before you enroll.

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.

You rarely see a doctor and want the lowest premium. BCBS BlueConnect Bronze 1 is the cheapest plan at $479 for a 40-year-old, with a $7,500 deductible, a $12,000 yearly limit on what you pay, $50 primary care visits and $25 generics.

You want the lowest silver price. BCBS BlueConnect Silver 1 is $692 at age 40, with a $6,400 deductible, a $10,300 yearly limit on what you pay, $40 primary care visits and $20 generics.

You expect regular care and want a low deductible. BCBS BlueEssentials Gold 5 is $731 at age 40, $22 more than the plan your tax credit is based on, with a $250 deductible, a $12,000 yearly limit on what you pay, $20 primary care visits and $10 generics.

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. Every BCBS plan in Sumter County uses it.

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 both companies against your doctors and prescriptions.

Common questions

The silver plan your tax credit is based on is $709 a month for a 40-year-old at full price, before any tax credit. It is $581 for a 27-year-old and $1,505 for a 60-year-old. The cheapest bronze is $479 at age 40. In 2026 the average enrollee here paid $115 a month after tax credits.

In our 2027 network data, the BCBS EPO and Ambetter include it.

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 two remaining 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 Sumter County comparison

With Molina leaving 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 Richland County, Kershaw County and Clarendon County.

Sources

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.

More for Sumter County

Nearby county guides: Richland, Kershaw, Clarendon. All county guides.