Compare Health Plans

This chart shows the services that each plan offers. You can compare each plan and choose the one that meets your needs.

  • The top row shows the name of the Health Plan
  • The left-hand column shows a list of the types of benefits and services
    • A green checkmark shows that the plan offers that service
    • A red X in the column means the plan does not offer that service
  • To see details about each plan, click on the “Details” link under the health plan name
  • To compare each plan’s services, click on the “Details” link next to each category name


Available Programs:
 Schedule of Benefits for all Medicaid Members
Doctor Visits (per year) - Children* Unlimited visits in health plan (same as regular Medicaid) *$3.30 co-pay per visit for ages 19-20
Doctor Visits (per year) - Adults* Unlimited visits in health plan (Regular Medicaid limits visits to 12 per year) * $3.30 co-pay per visit
Pharmacy/Medications - Children* Unlimited prescriptions * $3.40 co-pay per medication for ages 19-20
Pharmacy/Medications - Adults* Pharmacy coverage is specific to the health plan * Check with the health plan to see if your medications are covered *$3.40 co-pay per medication, limit of 4 covered medications per month
Hospital Stay - Children* Check with the health plan for covered hospitals (same as regular Medicaid) *$3.40 non-emergency outpatient co-pay and $25 inpatient co-pay for ages 19 and above
Hospital Stay - Adults* Same benefit as for children
Home Health Care - Children* Unlimited visits (same as regular Medicaid) $3.30 co-pay per visit for ages 19-20
Home Health Care - Adults* Limit of 50 visits per year (same as regular Medicaid) $3.30 co-pay per visit
Durable Medical Equipment - Children* $3.40 co-pay per item for ages 19-20 (same as regular Medicaid)
Durable Medical Equipment - Adults* $3.40 co-pay per item (same as regular Medicaid)
Dental - Children* $3.40 co-pay per visit for ages 19-20 (same as regular Medicaid)
Dental - Adults* $3.40 co-pay per service (same as regular Medicaid); $750 max worth of preventive care services each year to include annual cleaning, oral exams, x-rays, pulling of teeth and fillings; limited coverage for services delivered in preparation for or during the course of treatment for organ transplants, radiation of the head or neck for cancer treatment, chemotherapy for cancer treatment, total joint replacement or heart valve replacement; or treatment of trauma related injuries administered in a hospital or outpatient facility
Oral Surgery - Children* Same as regular Medicaid
Oral Surgery - Adults* Emergency services only (same as regular Medicaid) $3.40 co-pay per visit
Vision - Children* Same as regular Medicaid - $3.30 co-pay for ophthalmologist or optometrist services for ages 19-20
Vision - Adults* No benefit available
 Additional Services Available for Medicaid
24-Hour Nurse Advice Line (not available in regular Medicaid)* Health plan offers unlimited access to a nurse for medical advice *Contact Health Plan Member Number on the back of this page
Disease Management (not available in regular Medicaid)* Programs are available for asthma, diabetes and pregnancy *Contact Health Plan Member Number on the back of this page
Care Coordination (managing care from different doctors or clinics)* Health plan will coordinate care; prior authorization may be required * Contact Health Plan Member Number on the back of this page
Absolute Total CareBlueChoice HealthPlan MedicaidFirst Choice by Select Health of South CarolinaMolina Healthcare of SCWellCare
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Plan Type DetailsMCOMCOMCOMCOMCO
Phone Number Details
Website Details
Additional Services Details
How is your Health Plan Rated Details
Counties Served Details
For Health Plan contact information Click Here Cancel, Go Back

If you have questions about the health plans, call the  member services office   of that health plan.


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A health plan is a group of doctors (or clinics) that may also include hospitals and other medical staff. Health plans offer the same benefits as regular Medicaid, but also offer extra services that may help you and your family get better care. Some plans offer vision and dental care, and all plans help with managing diseases, like diabetes and high blood pressure. They also have a nurse help line you can call any time with health care questions.

Look at the Health Plan Comparison Chart. This chart shows you which plans you can choose from and what benefits and services they provide.

You can also view the chart that came in your Welcome Packet.

If you have questions or need help, call our Customer Service Center at 1-877-552-4642.

Choosing a health plan and a doctor for each member of your family in the program is as easy as 1-2-3. Here’s how:

Step 1: Think about your family’s health needs.
To start, think about and write down:

  • The doctors you want to see.
    • Do you have a doctor you and your family already like? Or is having a doctor close to where you live or work more important?
    • You can search for a doctor by name, distance, or specialty (such as pediatrics) by clicking here.
  • Which hospitals, clinics, and pharmacies you want to use.
    • Do you want them to be close to your home, your job, or your kids’ school?
  • Other services or benefits that you need.
    • Do you or your family members have special health conditions? If so, choose a health plan that lets you keep getting treatment. Special health conditions include asthma, diabetes, pregnancy care, mental health services, and physical therapy.
Step 2: Find out what each health plan offers.
  • Click here to compare the services each health plan offers and to find out which plans work with the doctors, hospitals, clinics, and pharmacies you want to use.
  • Choose a plan that lets you go to the doctors and clinics you want, and gives you the services you need.
  • Each person in your family can have a different health plan, but it’s easier to have the same plan for everyone.
Step 3: Tell us your choices.
Choosing is easy!
  • The fastest and easiest way to choose the health plan and doctor you want is online.
    • At the top of the page, click “Enroll Now.”
    • Enter your Member ID and PIN (you can find both numbers on the first page of the letter that came in your Welcome Packet).
    • Click on “Continue.” Follow the easy instructions to choose your health plan and doctor.
  • You can also call our Customer Service Center at 1-877-552-4642. We can help you in the language you speak.
  • Or fill out the Health Plan and Doctor Selection form. Mail it back in the envelope provided or fax it to 1-877-552-4672.

The Health Plan Comparison Chart shows the services that each plan offers. Use it to compare the plans in your area. Then choose the one that best meets you and your family’s needs.

  • The top row shows the name of each health plan.
  • The left-hand column shows a list of the types of benefits and services.
  • A shows that the plan offers that service.
  • A means the plan does not offer that service.
  • To see details about each plan, click on the “See Details” link under the health plan name.
  • To compare each plan's services, click on the “See Details” link next to the name of each service. Since each plan may offer slightly different options for the same service, it’s a good idea to compare the details of the services that are important to you.
  • To see details for all of the plans and all of the services, click on the “See All” button.

Yes. You must select a health plan and primary care physician (PCP) for each member of your family who is in the program. Use the “How to Choose a Health Plan and Doctor” guide to help you find the health plans and PCPs that meet you and your family’s needs. Click here to see the guide.

No. You can choose a plan first or a doctor first. It’s up to you. If you pick a doctor first, we’ll tell you which health plans work with that doctor. Then you can choose one of those plans. If you pick a plan first, you can then select a doctor who works with that plan.

Yes. You can change your health plan once within the first 90 days of when you enrolled. To change health plans, click here. To log in, use your Member ID and PIN. Click “Continue,” and follow the easy instructions to change your health plan and doctor. Or call our Customer Service Center at 1-877-552-4642.

If you don’t change plans in 90 days, then you must stay in the health plan for at least 1 year, unless you can show a good reason to change.

You may have health care coverage from another insurance company and still be eligible for South Carolina Healthy Connections. It is important to tell your local Medicaid eligibility worker if your other insurance coverage changes.