South Carolina Obamacare 2027: Deadlines, Medicaid and Help

In South Carolina, you sign up for 2027 coverage at HealthCare.gov from November 1, 2026 to January 15, 2027. Pick a plan by December 15 for coverage that starts January 1. South Carolina didn't expand Medicaid, so adults without children can't get South Carolina Medicaid at any income.

When is open enrollment in South Carolina for 2027?

In South Carolina, you sign up for 2027 coverage at HealthCare.gov, the federal Marketplace.

Date What happens
Nov. 1, 2026 2027 open enrollment starts
Dec. 15, 2026 Last day to pick a plan that starts Jan. 1, 2027
Jan. 15, 2027 Open enrollment ends

Plans picked from Dec. 16 to Jan. 15 start Feb. 1, 2027. Coverage Decider checked these dates against HealthCare.gov and CMS on Oct. 15, 2026. 2027 open enrollment dates lists every state’s deadlines.

Who qualifies for Medicaid in South Carolina?

South Carolina didn’t expand Medicaid. Adults without children can’t get South Carolina Medicaid at any income unless they qualify another way, such as pregnancy or a disability. Parents and caretakers qualify only up to 67% of the poverty line, $18,304 a year for a family of three in 2026.

Group Income limit, share of the poverty line (KFF, January 2026)
Adults without children Not covered
Parents and caretakers 67%
Children, through Medicaid or CHIP 213%
Pregnancy 199%

Does South Carolina have Medicaid work requirements in 2027?

No. The 2027 federal work requirement applies to adults covered through Medicaid expansion, and South Carolina didn’t expand Medicaid, according to CMS’s December 2025 guidance.

Is there a Medicaid coverage gap in South Carolina?

Yes. In South Carolina, adults with income under 100% of the poverty line ($15,960 a year for one person in 2026) who can’t get South Carolina Medicaid get no Marketplace tax credit either, because the credit starts at 100% of the poverty line.

The Medicaid coverage gap explains the options, from full-price plans to community health centers that charge by income.

What will 2027 plans cost in South Carolina?

Coverage Decider’s calculator estimates your 2027 tax credit and ranks South Carolina’s HealthCare.gov plans by your likely yearly cost. Until CMS posts 2027 prices, it shows what you qualify for and the most you’d pay for a benchmark plan.

Where can you get free help enrolling in South Carolina?

Trained assisters and Navigators help South Carolina residents apply for free. Find one near you on HealthCare.gov’s local help page.

Frequently asked questions

When is the deadline to sign up for Obamacare in South Carolina for 2027?

Open enrollment in South Carolina runs from November 1, 2026 to January 15, 2027 at HealthCare.gov. Pick a plan by December 15, 2026 for coverage that starts January 1, 2027.

Can a single adult get Medicaid in South Carolina in 2027?

Not based on income alone. South Carolina didn't expand Medicaid, so adults without children can't get South Carolina Medicaid at any income unless they qualify another way, such as pregnancy or a disability.

Is there a penalty for not having health insurance in South Carolina?

No. There's no federal penalty for going without coverage, and South Carolina doesn't charge one either.

References

ACA glossary · All resources