South Carolina Health Plan Choices (2017)

Special Enrollment Period

Aetna is withdrawing from the Individual health insurance market in South Carolina at the end of 2017. We will not offer Individual plans in 2018. New and existing Aetna members will need to shop for a new 2018 plan with a different carrier during the upcoming 2018 open enrollment period beginning on November 1, 2017.

Thank you for your interest in Aetna individual health benefits products. The 2017 Annual Open Enrollment Period in the individual market ended on January 31, 2017.

If you have a Qualifying Life Event (e.g. marriage, birth, adoption), you may be eligible to enroll through a Special Enrollment Period. For information about Qualifying Life Events you may go to HealthCare.gov. You may also call the Health Insurance Marketplace at 1-800-318-2596 for more information and help applying for coverage through the federal exchange. Note that income-based premium and cost-sharing subsidies are only available with coverage purchased through the Marketplace.

If you are looking for a subsidized plan through the Marketplace, please note that Aetna will not be participating in the Marketplace in 2017. Click here to be connected with an online collaborator who can assist you with Marketplace plans or visit HealthCare.gov. Savings on monthly premiums (through a tax credit or subsidy) is available only with Marketplace plans.

If you have had a Qualifying Life Event and want to apply for Aetna coverage, please follow the instructions below.

Overview of Aetna health plans available in South Carolina

Explore our plans

We want to help you understand your Aetna plan choices. Our plan brochure is a good place to start. It shows details and features of each plan.

2017 Plan Brochure

NOTE: We may not offer products in all counties in South Carolina. Please see our 2017 Plan Rates for a full list of counties in our service area.

Summary of Benefits and Coverage (SBC) 

You can also compare plans using a document called the Summary of Benefits and Coverage (SBC). It provides an overview of each medical plan in a standard format, in easy-to-understand language. The SBC document for the plan available in South Carolina is listed below.

Metallic Level Click or tap a plan name to view its SBC
Silver Level Aetna Leap Everyday
Silver Level Aetna Leap Everyday Carolinas HealthCare System

 


Outline of Coverage (OOC)

You can also compare plans using a document called the Outline of Coverage (OOC). It provides a very brief description of the important features of your policy. The OOC document for the plan available in South Carolina is listed below.

Metallic Level Click or tap a plan name to view its OOC
Silver Level Aetna Leap Everyday
Silver Level Aetna Leap Everyday Carolinas HealthCare System

About the metallic levels

Health benefits plans under the Affordable Care Act are assigned a metallic level (Bronze, Silver, Gold). The metallic level is based on how much of the total health care cost the plan pays versus what a member will pay out of pocket.

Metallic Level Metallic Level Description
Bronze Level For Bronze level plans, the plan will pay about 60 percent of covered health care costs. Bronze plans tend to have lower monthly premiums, but have higher out-of-pocket costs for deductibles, copayments and coinsurance for covered health care services.
Silver Level For Silver level plans, the plan will pay about 70 percent of covered health care costs. Silver level plans tend to have higher monthly premiums compared to Bronze plans, but out-of-pocket costs for health care services are lower compared to Bronze plans.
Gold Level For Gold level plans, the plan will pay about 80 percent of covered health care costs. Gold level plans tend to have lower out-of-pocket costs for deductibles, copayments and coinsurance for health care services, but have higher monthly premiums. 

Picking the plan that’s right for you

It's important to choose a plan that will meet your needs. The information below can help you narrow your choices:

  1. Check our online directory to find out if your doctor and pharmacy are in our network.

    Provider search tool

  2. Search for drug information and learn about covered drugs.

    Drug search tool

  3. Review rates for South Carolina health plans.

    2017 Plan Rates

Ready to enroll?

To purchase an Aetna Individual Insurance plan, call 1-800-217-2386.

Aetna individual health benefits plans are underwritten by Aetna Health Inc. (Aetna).

This material is for information only and is not an offer or invitation to contract. An application must be completed to obtain coverage. Rates and benefits vary by location. Health benefits plans contain exclusions and limitations Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to health services. Information is believed to be accurate as of the production date; however, it is subject to change.

JavaScript is required

In order to have the best experience on Aetna.com, Javascript needs to be enabled.
Learn how to change your browser settings to enable Javascript.

You are now leaving the Aetna website

Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.

Continue >