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Marketplace health plans in Sumter County, SC — 2026
What agents look up before working a county's individual market: plans by metal level, insurers, the benchmark silver premium, the lowest bronze premium, deductible and out-of-pocket floors, the population under 65, and what changed since last year.
In 2026, Sumter County, South Carolina has 50 Marketplace health plans from 3 insurers: 14 bronze, 20 silver, 16 gold. The benchmark silver plan (second-lowest-cost silver, age 40, before subsidies) is $538.46 per month; the lowest bronze premium is $377.22.
What changed vs 2025
- Benchmark silver premium up $90.77 a month (+20.3%) from 2025
- 2 fewer plans than 2025
- Lowest bronze premium up $36.76 a month
Market snapshot
- Residents under 65
- 86,119
- Insurers
- 3
- Plans by metal level
- 14 bronze, 20 silver, 16 gold
- Benchmark silver premium, age 40, before subsidies
- $538.46/mo
- Lowest bronze premium, age 40, before subsidies
- $377.22/mo
- Lowest gold premium, age 40, before subsidies
- $576.28/mo
- Lowest silver deductible
- $5,300
- Lowest out-of-pocket maximum
- $3,400
Insurers in the county
- BlueCross BlueShield of South Carolina — 29 plans (Bronze, Silver, Gold)
- Molina Healthcare — 12 plans (Silver, Gold)
- Ambetter from Absolute Total Care — 9 plans (Bronze, Silver, Gold)
Lowest age-40 premium per metal level, before subsidies
| Metal level | Plan | Insurer | Plan type | Monthly premium, age 40 | Deductible | Out-of-pocket maximum | Plans at this level |
|---|
| Bronze | Blue Direction Bronze 1 (26065SC0760006) | BlueCross BlueShield of South Carolina | POS | $377.22 | $7,300 | $10,600 | 14 |
|---|
| Silver | Blue Direction Silver 1 (26065SC0760001) | BlueCross BlueShield of South Carolina | POS | $536.94 | $6,500 | $10,600 | 20 |
|---|
| Gold | Molina Gold Core 1640 (42326SC0010001) | Molina Healthcare | HMO | $576.28 | $1,640 | $8,100 | 16 |
|---|
One plan per metal level shown, of 50 plans in the county.
Benchmark silver premium by age
The benchmark plan (BlueCross BlueShield of South Carolina) at each age, individual, non-tobacco, before any premium tax credit.
| Age 21 | Age 27 | Age 30 | Age 40 | Age 50 | Age 60 |
|---|
| $421.33 | $441.55 | $478.21 | $538.46 | $752.50 | $1,143.49 |
Nearby counties
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About this data
Premiums are individual, non-tobacco, age 40, before any premium tax credit, from the CMS QHP Landscape Individual Market Medical file for plan year 2026; population: U.S. Census Bureau ACS 5-year 2024.
This page summarizes publicly available CMS data. It does not recommend plans and is not an application. To check subsidy eligibility and enroll, use HealthCare.gov or talk to a licensed agent. HealthCare.gov plan preview.