Medicaid health plans in South Carolina

Member services: 1-866-433-6041

No rating available. See NCQA ratings ↗

• Rides to medical appointments

  Absolute Total Care arranges nonemergency transportation through ModivCare for medical appointments, dialysis, and counseling visits.

• Dental coverage through DentaQuest

  Members under 21 get full dental coverage and members 21 and older get up to $750 a year in dental services through DentaQuest.

• Eye exams and glasses

  Members under 21 get one complete pair of glasses a year; members 21 and older get coverage for medically necessary vision exams.

• Over-the-counter product allowance

  Members can get up to sixty dollars a year, fifteen dollars a quarter, in over-the-counter health products mailed to their home.

• Absolute Total Care Retrieved 2026-07-17
• Absolute Total Care Retrieved 2026-07-17

geography, enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against captured snapshots of two South Carolina Department of Health and Human Services (SCDHHS) pages: the department's own Healthy Connections Medicaid Managed Care plan-list page (scdhhs.gov/members/healthy-connections-medicaid-managed-care), which states SCDHHS currently partners with five MCOs and names them, and its Managed Care Organizations (MCO) Members contact page (scdhhs.gov/members/managed-care-plan-information/managed-care-organizations-mco/mco-members), which names the South Carolina Healthy Connections Choices enrollment center and its phone number. The single areas.statewide.plans roster fact is quote-gate verified against the same plan-list page; South Carolina's own source models one uniform statewide MCO roster with no county or region split, so geography is authored as statewide with one service area. enrollment.choice_window_days is honestly not_found: the enrollment portal's own FAQ page (scchoices.com/Member/FAQ.aspx) states members can change their health plan once within the first 90 days of enrollment, but pnpm plans:fetch-snapshots could not capture a snapshot of that page because scchoices.com is not on src/lib/source-monitor/allowlist.ts's SSRF-guard host allowlist (a different, separate allowlist from scripts/check-plans.ts's KNOWN_BROKER_HOSTS, and out of this authoring pass's ownership to edit); rather than assert an unquoted 90-day figure, choice_window_days stays null with an honest not_found fact until that page can be captured or a scdhhs.gov source states the same figure. The enrollment portal host scchoices.com is not a .gov domain and is not yet in scripts/check-plans.ts's KNOWN_BROKER_HOSTS allowlist; the host plus SCDHHS's own evidence that it is South Carolina's official Healthy Connections Choices channel has been appended to scratchpad/broker-hosts-pending.md for review. South Carolina carved its Medicaid pharmacy benefit out of managed care statewide effective July 1, 2024 (a single state-directed Preferred Drug List administered through southcarolina.fhsc.com, confirmed on SCDHHS's own single-PDL announcement page, cited here as an uncited corroborating source since no fact quotes it), so every plan's formulary_url points to that statewide PDL portal rather than a plan-run formulary, and each plan's quality.note says so. Per-plan member_phone numbers, provider_directory_url values, and extra_benefits were independently verified live on each plan's own official South Carolina Medicaid page but are not yet cited by a quote-gated fact (informal citation, the same convention TX.json/CA.json/NY.json already use for plan-level fields), so the state as a whole stays unverified, the same standing as TX.json, CA.json, and NY.json today.

Member services: 1-888-276-2020

No rating available. See NCQA ratings ↗

• Dental coverage through DentaQuest

  Covered dental services for Medicaid members are provided through DentaQuest.

• Eye exams and glasses

  Members under 21 get one comprehensive eye exam and a pair of glasses every year. Members 21 and older get one comprehensive eye exam and glasses every two years.

• Over-the-counter drug coverage

  First Choice covers some over-the-counter drugs for all members, using generic brands when available.

• Help getting to appointments

  First Choice can help arrange transportation to and from covered medical appointments.

• Select Health of South Carolina Retrieved 2026-07-17
• Select Health of South Carolina Retrieved 2026-07-17

geography, enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against captured snapshots of two South Carolina Department of Health and Human Services (SCDHHS) pages: the department's own Healthy Connections Medicaid Managed Care plan-list page (scdhhs.gov/members/healthy-connections-medicaid-managed-care), which states SCDHHS currently partners with five MCOs and names them, and its Managed Care Organizations (MCO) Members contact page (scdhhs.gov/members/managed-care-plan-information/managed-care-organizations-mco/mco-members), which names the South Carolina Healthy Connections Choices enrollment center and its phone number. The single areas.statewide.plans roster fact is quote-gate verified against the same plan-list page; South Carolina's own source models one uniform statewide MCO roster with no county or region split, so geography is authored as statewide with one service area. enrollment.choice_window_days is honestly not_found: the enrollment portal's own FAQ page (scchoices.com/Member/FAQ.aspx) states members can change their health plan once within the first 90 days of enrollment, but pnpm plans:fetch-snapshots could not capture a snapshot of that page because scchoices.com is not on src/lib/source-monitor/allowlist.ts's SSRF-guard host allowlist (a different, separate allowlist from scripts/check-plans.ts's KNOWN_BROKER_HOSTS, and out of this authoring pass's ownership to edit); rather than assert an unquoted 90-day figure, choice_window_days stays null with an honest not_found fact until that page can be captured or a scdhhs.gov source states the same figure. The enrollment portal host scchoices.com is not a .gov domain and is not yet in scripts/check-plans.ts's KNOWN_BROKER_HOSTS allowlist; the host plus SCDHHS's own evidence that it is South Carolina's official Healthy Connections Choices channel has been appended to scratchpad/broker-hosts-pending.md for review. South Carolina carved its Medicaid pharmacy benefit out of managed care statewide effective July 1, 2024 (a single state-directed Preferred Drug List administered through southcarolina.fhsc.com, confirmed on SCDHHS's own single-PDL announcement page, cited here as an uncited corroborating source since no fact quotes it), so every plan's formulary_url points to that statewide PDL portal rather than a plan-run formulary, and each plan's quality.note says so. Per-plan member_phone numbers, provider_directory_url values, and extra_benefits were independently verified live on each plan's own official South Carolina Medicaid page but are not yet cited by a quote-gated fact (informal citation, the same convention TX.json/CA.json/NY.json already use for plan-level fields), so the state as a whole stays unverified, the same standing as TX.json, CA.json, and NY.json today.

Member services: 1-866-781-5094

No rating available. See NCQA ratings ↗

• Dental coverage through DentaQuest

  Dental benefits for Healthy Blue members are provided through DentaQuest.

• Eye exams and glasses through VSP

  Healthy Blue works with Vision Service Plan to cover one eye exam every 12 months and one pair of glasses every 24 months.

• Free rides to medical appointments

  Healthy Blue members can get free transportation through South Carolina Healthy Connections and Modivcare to doctor, dental, vision, and pharmacy visits.

• Free blood pressure monitor

  Members age 19 and older can get a free digital blood pressure monitor to help track and manage blood pressure.

• Healthy Blue of South Carolina Retrieved 2026-07-17
• Healthy Blue of South Carolina Retrieved 2026-07-17

geography, enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against captured snapshots of two South Carolina Department of Health and Human Services (SCDHHS) pages: the department's own Healthy Connections Medicaid Managed Care plan-list page (scdhhs.gov/members/healthy-connections-medicaid-managed-care), which states SCDHHS currently partners with five MCOs and names them, and its Managed Care Organizations (MCO) Members contact page (scdhhs.gov/members/managed-care-plan-information/managed-care-organizations-mco/mco-members), which names the South Carolina Healthy Connections Choices enrollment center and its phone number. The single areas.statewide.plans roster fact is quote-gate verified against the same plan-list page; South Carolina's own source models one uniform statewide MCO roster with no county or region split, so geography is authored as statewide with one service area. enrollment.choice_window_days is honestly not_found: the enrollment portal's own FAQ page (scchoices.com/Member/FAQ.aspx) states members can change their health plan once within the first 90 days of enrollment, but pnpm plans:fetch-snapshots could not capture a snapshot of that page because scchoices.com is not on src/lib/source-monitor/allowlist.ts's SSRF-guard host allowlist (a different, separate allowlist from scripts/check-plans.ts's KNOWN_BROKER_HOSTS, and out of this authoring pass's ownership to edit); rather than assert an unquoted 90-day figure, choice_window_days stays null with an honest not_found fact until that page can be captured or a scdhhs.gov source states the same figure. The enrollment portal host scchoices.com is not a .gov domain and is not yet in scripts/check-plans.ts's KNOWN_BROKER_HOSTS allowlist; the host plus SCDHHS's own evidence that it is South Carolina's official Healthy Connections Choices channel has been appended to scratchpad/broker-hosts-pending.md for review. South Carolina carved its Medicaid pharmacy benefit out of managed care statewide effective July 1, 2024 (a single state-directed Preferred Drug List administered through southcarolina.fhsc.com, confirmed on SCDHHS's own single-PDL announcement page, cited here as an uncited corroborating source since no fact quotes it), so every plan's formulary_url points to that statewide PDL portal rather than a plan-run formulary, and each plan's quality.note says so. Per-plan member_phone numbers, provider_directory_url values, and extra_benefits were independently verified live on each plan's own official South Carolina Medicaid page but are not yet cited by a quote-gated fact (informal citation, the same convention TX.json/CA.json/NY.json already use for plan-level fields), so the state as a whole stays unverified, the same standing as TX.json, CA.json, and NY.json today.

Member services: 1-866-432-0001

No rating available. See NCQA ratings ↗

• Dental coverage

  Members under 21 get routine and emergency dental services. Members 21 and older get limited dental services.

• Vision coverage

  Humana Healthy Horizons members have vision coverage as part of their Medicaid benefits.

• Transportation to covered visits

  Transportation is covered when it is connected to a covered medical appointment or value added service.

• Free cell phone program

  Eligible members can get a free cell phone with talk, text, and data to help them stay in touch with their care team.

• Humana Healthy Horizons in South Carolina Retrieved 2026-07-17
• Humana Healthy Horizons in South Carolina Retrieved 2026-07-17

geography, enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against captured snapshots of two South Carolina Department of Health and Human Services (SCDHHS) pages: the department's own Healthy Connections Medicaid Managed Care plan-list page (scdhhs.gov/members/healthy-connections-medicaid-managed-care), which states SCDHHS currently partners with five MCOs and names them, and its Managed Care Organizations (MCO) Members contact page (scdhhs.gov/members/managed-care-plan-information/managed-care-organizations-mco/mco-members), which names the South Carolina Healthy Connections Choices enrollment center and its phone number. The single areas.statewide.plans roster fact is quote-gate verified against the same plan-list page; South Carolina's own source models one uniform statewide MCO roster with no county or region split, so geography is authored as statewide with one service area. enrollment.choice_window_days is honestly not_found: the enrollment portal's own FAQ page (scchoices.com/Member/FAQ.aspx) states members can change their health plan once within the first 90 days of enrollment, but pnpm plans:fetch-snapshots could not capture a snapshot of that page because scchoices.com is not on src/lib/source-monitor/allowlist.ts's SSRF-guard host allowlist (a different, separate allowlist from scripts/check-plans.ts's KNOWN_BROKER_HOSTS, and out of this authoring pass's ownership to edit); rather than assert an unquoted 90-day figure, choice_window_days stays null with an honest not_found fact until that page can be captured or a scdhhs.gov source states the same figure. The enrollment portal host scchoices.com is not a .gov domain and is not yet in scripts/check-plans.ts's KNOWN_BROKER_HOSTS allowlist; the host plus SCDHHS's own evidence that it is South Carolina's official Healthy Connections Choices channel has been appended to scratchpad/broker-hosts-pending.md for review. South Carolina carved its Medicaid pharmacy benefit out of managed care statewide effective July 1, 2024 (a single state-directed Preferred Drug List administered through southcarolina.fhsc.com, confirmed on SCDHHS's own single-PDL announcement page, cited here as an uncited corroborating source since no fact quotes it), so every plan's formulary_url points to that statewide PDL portal rather than a plan-run formulary, and each plan's quality.note says so. Per-plan member_phone numbers, provider_directory_url values, and extra_benefits were independently verified live on each plan's own official South Carolina Medicaid page but are not yet cited by a quote-gated fact (informal citation, the same convention TX.json/CA.json/NY.json already use for plan-level fields), so the state as a whole stays unverified, the same standing as TX.json, CA.json, and NY.json today.

Member services: 1-855-882-3901

No rating available. See NCQA ratings ↗

• Dental allowance on the MyChoice card

  Members get a yearly allowance on their MyChoice card for supplemental preventive and comprehensive dental services, usable at a dental provider of their choosing.

• Vision allowance on the MyChoice card

  Members get a yearly allowance on their MyChoice card for supplemental eye exams and eyewear.

• Quarterly over-the-counter allowance

  Members get a quarterly allowance on their MyChoice card for nonprescription health and wellness items like vitamins and pain relievers.

• Mom's Meals for new mothers

  Members who recently delivered can get home-delivered meals through the Mom's Meals program.

• Molina Healthcare of South Carolina Retrieved 2026-07-17
• Molina Healthcare of South Carolina Retrieved 2026-07-17

geography, enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against captured snapshots of two South Carolina Department of Health and Human Services (SCDHHS) pages: the department's own Healthy Connections Medicaid Managed Care plan-list page (scdhhs.gov/members/healthy-connections-medicaid-managed-care), which states SCDHHS currently partners with five MCOs and names them, and its Managed Care Organizations (MCO) Members contact page (scdhhs.gov/members/managed-care-plan-information/managed-care-organizations-mco/mco-members), which names the South Carolina Healthy Connections Choices enrollment center and its phone number. The single areas.statewide.plans roster fact is quote-gate verified against the same plan-list page; South Carolina's own source models one uniform statewide MCO roster with no county or region split, so geography is authored as statewide with one service area. enrollment.choice_window_days is honestly not_found: the enrollment portal's own FAQ page (scchoices.com/Member/FAQ.aspx) states members can change their health plan once within the first 90 days of enrollment, but pnpm plans:fetch-snapshots could not capture a snapshot of that page because scchoices.com is not on src/lib/source-monitor/allowlist.ts's SSRF-guard host allowlist (a different, separate allowlist from scripts/check-plans.ts's KNOWN_BROKER_HOSTS, and out of this authoring pass's ownership to edit); rather than assert an unquoted 90-day figure, choice_window_days stays null with an honest not_found fact until that page can be captured or a scdhhs.gov source states the same figure. The enrollment portal host scchoices.com is not a .gov domain and is not yet in scripts/check-plans.ts's KNOWN_BROKER_HOSTS allowlist; the host plus SCDHHS's own evidence that it is South Carolina's official Healthy Connections Choices channel has been appended to scratchpad/broker-hosts-pending.md for review. South Carolina carved its Medicaid pharmacy benefit out of managed care statewide effective July 1, 2024 (a single state-directed Preferred Drug List administered through southcarolina.fhsc.com, confirmed on SCDHHS's own single-PDL announcement page, cited here as an uncited corroborating source since no fact quotes it), so every plan's formulary_url points to that statewide PDL portal rather than a plan-run formulary, and each plan's quality.note says so. Per-plan member_phone numbers, provider_directory_url values, and extra_benefits were independently verified live on each plan's own official South Carolina Medicaid page but are not yet cited by a quote-gated fact (informal citation, the same convention TX.json/CA.json/NY.json already use for plan-level fields), so the state as a whole stays unverified, the same standing as TX.json, CA.json, and NY.json today.