2027 Medicare Special Needs Plans in South Carolina by County
Explore 2027 Medicare Special Needs Plans in South Carolina, including statewide plan availability, monthly premiums, maximum out-of-pocket limits, and CMS star ratings. Compare the most-enrolled D-SNP, C-SNP, and I-SNP options where available, or select a County to research plans and eligibility requirements in your local area.
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South Carolina Medicare Special Needs Plan Research and Facts
In 2027, Medicare beneficiaries in South Carolina can explore 29 distinct Special Needs Plans, although availability and eligibility vary by county and SNP type. Of these plans, 21 have a $0 monthly plan premium, while the statewide average premium is $2.00. The average maximum out-of-pocket (MOOP) limit is $8,900.00, and rated plans have an average CMS star rating of 4.02 out of 5. The sections below organize these plans by D-SNP, C-SNP, and I-SNP eligibility category, with comparisons based on costs, ratings, and reported enrollment.
Enrollment figures reflect reported beneficiary participation and should not be interpreted as a measure of plan quality or suitability. Enrollment is influenced by factors such as local plan availability, market competition, and historical participation. Higher enrollment does not necessarily indicate a better plan.
Most-Enrolled D-SNP Plans in South Carolina
For 2027, South Carolina has 11 Dual Eligible Special Needs Plans (D-SNPs) for individuals who qualify for both Medicare and Medicaid. Of these, 7 have a $0 monthly plan premium. The average monthly plan premium is $2.65, and the average maximum out-of-pocket (MOOP) limit is $9,536.36. Among rated D-SNPs, the average CMS star rating is 3.69 out of 5. The following table identifies up to 10 D-SNP plans with the highest reported statewide enrollment.
| Provider | Plan ID | Plan Name | Premium | MOOP | Stars | Enrollment |
|---|---|---|---|---|---|---|
| UnitedHealthcare | H2001-032-0 | UHC Dual Complete SC-S001 | $0.00 | $9,850 | 4.5 / 5 | 33,706 |
| Humana | H1396-001-0 | Humana Dual Integrated | $0.00 | $9,850 | Not Rated | 25,479 |
| UnitedHealthcare | H2001-075-0 | UHC Dual Complete SC-S2 | $0.00 | $9,850 | 4.5 / 5 | 17,896 |
| Humana | H5216-277-0 | HumanaChoice SNP-DE H5216-277 | $0.00 | $9,850 | 4.0 / 5 | 11,273 |
| Wellcare By Absolute Total Care | H5272-001-0 | Wellcare Absolute Total Care Dual Align | $0.00 | $9,850 | Not Rated | 5,129 |
| Aetna Medicare | H3146-023-0 | Aetna Medicare Full Dual Care | $0.00 | $9,850 | 3.5 / 5 | 2,790 |
| First Choice VIP Care (HMO D-SNP) | H4739-001-0 | First Choice VIP Care | $7.30 | $9,850 | Not Rated | 2,533 |
| Molina Healthcare of South Carolina | H8176-004-1 | Molina Medicare Complete Care Plus | $7.30 | $9,850 | 2.5 / 5 | 2,220 |
| Aetna Medicare | H3146-016-0 | Aetna Medicare Full Dual | $0.00 | $9,850 | 3.5 / 5 | 1,700 |
| UnitedHealthcare | H2001-059-0 | UHC Dual Advantage SC-V1 | $7.30 | $6,400 | 4.5 / 5 | 938 |
Most-Enrolled C-SNP Plans in South Carolina
Chronic Condition Special Needs Plans (C-SNPs) serve individuals with qualifying chronic or disabling conditions. In 2027, South Carolina has 12 C-SNP plans, including 10 with a $0 monthly plan premium. The average monthly plan premium is $0.78, and the average maximum out-of-pocket (MOOP) limit is $8,245.83. Among rated C-SNPs, the average CMS star rating is 4.04 out of 5. Below are the 10 most-enrolled C-SNP plans, or all available plans if fewer than 10 qualify.
| Provider | Plan ID | Plan Name | Premium | MOOP | Stars | Enrollment |
|---|---|---|---|---|---|---|
| UnitedHealthcare | H2001-060-0 | UHC Complete Care SC-1 | $0.00 | $7,150 | 4.5 / 5 | 33,752 |
| Humana | H5619-161-0 | Humana Gold Plus - Diabetes and Heart | $0.00 | $9,850 | 4.0 / 5 | 21,482 |
| UnitedHealthcare | H2001-076-0 | UHC Complete Care Support SC-7 | $7.30 | $7,150 | 4.5 / 5 | 18,365 |
| Humana | H5216-244-0 | HumanaChoice - Diabetes and Heart | $0.00 | $9,850 | 4.0 / 5 | 3,157 |
| Devoted Health | H7028-005-0 | DEVOTED C-SNP CHOICE ENHANCED 005 SC | $0.00 | $7,200 | 4.5 / 5 | 2,138 |
| Devoted Health | H7028-006-0 | DEVOTED C-SNP CHOICE PLUS 006 SC | $0.00 | $9,850 | 4.5 / 5 | 1,495 |
| Aetna Medicare | H3146-038-0 | Aetna Medicare Chronic Care | $0.00 | $9,250 | 3.5 / 5 | 841 |
| Aetna Medicare | H3146-036-0 | Aetna Medicare Chronic Care Total | $0.00 | $9,850 | 3.5 / 5 | 807 |
| Devoted Health | H7028-004-0 | DEVOTED C-SNP CHOICE 004 SC | $0.00 | $7,350 | 4.5 / 5 | 696 |
| UnitedHealthcare | R2604-002-0 | UHC Complete Care Support GS-1A | $2.10 | $9,850 | 3.5 / 5 | 611 |
Most-Enrolled I-SNP Plans in South Carolina
Institutional Special Needs Plans (I-SNPs) serve eligible individuals who live in qualifying institutions or meet applicable institutional-level care requirements. For 2027, South Carolina has 6 I-SNP plans, including 4 with a $0 monthly plan premium. The average monthly plan premium is $3.25, and the average maximum out-of-pocket (MOOP) limit is $9,041.67. Among rated I-SNPs, the average CMS star rating is 4.5 out of 5. The following table ranks up to 10 I-SNP plans by reported statewide enrollment.
| Provider | Plan ID | Plan Name | Premium | MOOP | Stars | Enrollment |
|---|---|---|---|---|---|---|
| Humana | H5216-243-0 | Humana Together in Health | $0.00 | $9,850 | 4.0 / 5 | 780 |
| PruittHealth Premier | H6345-002-0 | PruittHealth Premier | $7.30 | $9,850 | Not Rated | 555 |
| NHC Advantage | H4172-001-0 | NHC Advantage | $12.20 | $9,850 | 4.5 / 5 | 393 |
| UnitedHealthcare | H0710-053-0 | UHC Nursing Home Plan SC-F001 | $0.00 | $9,850 | 5.0 / 5 | 51 |
| NHC Advantage | H4172-003-0 | Senior Care | $0.00 | $5,000 | 4.5 / 5 | 0 |
| Humana | H7617-128-0 | Humana Together in Health | $0.00 | $9,850 | 4.5 / 5 | 0 |
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
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Data sources and methodology documentation.
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