Health Insurance in Columbia, South Carolina

South Carolina's capital city. Compare 2026 ACA marketplace plans and find out how much you can save with subsidies.

Get Free Columbia Quotes →

2026 Health Insurance Rates in Columbia

The table below shows estimated monthly premiums for a 40-year-old non-smoker in Columbia before ACA subsidies. Your actual cost depends on age, household size, and income.

$303
Bronze Plan/mo
$421
Silver Plan/mo
$505
Gold Plan/mo
$589
Platinum Plan/mo
Metal TierEst. Premium (age 40)After Avg. SubsidyDeductibleBest For
Bronze$303/mo~$156/mo$7,000–$9,000Healthy, low-use individuals
Silver$421/mo~$274/mo$5,200–$6,200Most families (best subsidy value)
Gold$505/mo~$358/mo$1,500–$3,000Frequent medical users
Platinum$589/mo~$442/mo$0–$500High medical needs

*Rates are estimates for a 40-year-old non-smoker. Actual premiums vary by zip code, age, and tobacco status. Use our subsidy calculator for a personalized estimate.

Medicaid Note: South Carolina has not expanded Medicaid, so eligibility is more limited. If you earn less than 100% FPL, you may fall into the coverage gap — ACA subsidies start at 100% FPL.

Top Health Insurance Companies in Columbia

These carriers offer ACA marketplace plans in the Columbia area for 2026. Network size and plan availability vary by zip code.

CarrierBest ForNetwork TypeRating
BlueCross BlueShield of SCBroad network accessPPO / HMO options⭐ 4.5/5
Ambetter from Absolute Total CareLow premiumsHMO⭐ 4.2/5
Oscar HealthDigital-first experienceEPO / HMO⭐ 4.0/5

Not sure which carrier to choose? See our full South Carolina carrier comparison →

ACA Subsidies for Columbia Residents

If your household income is between 100% and 400% of the Federal Poverty Level (FPL), you qualify for an Advanced Premium Tax Credit (APTC) that reduces your monthly premium. Here's what that looks like for a single adult in Columbia:

Annual Income% FPLMax Premium (% of income)Est. SubsidyYour Silver Cost
$20,000133%0%$421/mo$0/mo
$25,000166%~1.1%$398/mo~$23/mo
$35,000232%~5.5%$261/mo~$160/mo
$50,000332%~7.8%$96/mo~$325/mo
$60,000398%~8.5%$0/mo~$425/mo

Use our ACA Subsidy Calculator to get a personalized estimate based on your exact income and household size.

How to Get Health Insurance in Columbia

  1. Check your subsidy eligibility — Use our calculator to estimate your savings
  2. Get a free quote — Compare all available Columbia plans side by side
  3. Review your options — A licensed broker reviews your quote and answers questions
  4. Enroll — Apply online in minutes during Open Enrollment (Nov 1–Jan 15) or if you have a Special Enrollment Period

Questions about SEPs or missing open enrollment? Learn about enrolling outside open enrollment →

Frequently Asked Questions

What is the cheapest health insurance in Columbia?

Bronze plans start around $303/month for a 40-year-old before subsidies. With an ACA subsidy, many Columbia residents pay $0–$121/month for a Bronze plan depending on income.

Do I need a South Carolina health insurance broker?

You can enroll directly on HealthCare.gov, but a licensed broker is free to use and can help you compare all available plans, verify your subsidy, and ensure you pick the right network for your doctors.

When can I sign up for health insurance in Columbia?

Open Enrollment runs November 1 – January 15 each year. Outside that window, you need a qualifying life event (job loss, marriage, baby, moving) to trigger a Special Enrollment Period. See 2026 Open Enrollment dates →

What if I miss Open Enrollment in Columbia?

If you miss Open Enrollment without a qualifying event, you may be able to get short-term health insurance as a temporary bridge. Contact us to explore your options.

Explore More South Carolina Resources

Ready to Find Coverage in Columbia?

Get a free, no-obligation quote. A licensed South Carolina broker will compare all available plans for you.

Get Free Quote → Calculate My Subsidy