South Carolina Medicaid: Healthy Connections

As of January 1, 2026, “Healthy Connections Prime,” a previous plan for those with both Medicare and Medicaid, has ended, and members are being transitioned to a new Dual Special Needs Plan (D-SNP).

South Carolina Healthy Connections is the name for the state’s Medicaid program that helps pay for some or all medical bills for eligible low-income individuals and families.

It provides comprehensive health coverage to eligible low-income residents in South Carolina, including children, pregnant women, seniors, and people with disabilities.

South Carolina is a non-expansion state, meaning eligibility for non-disabled, adults without dependent children remains very restricted.

FAQ

What is the income limit for Medicaid in South Carolina?

As South Carolina is not expanding Medicaid coverage, eligibility is limited to parents with income below 67% of poverty. Non-disabled adults without dependent children are not eligible for coverage in South Carolina, regardless of how low their income is.

Healthy Connections income limits by household size
Healthy ConnectionsHousehold Size	213% Child 0—18	199% Pregnant Women	67% Parents/Relatives
1	$2,833	$2,647	$891
2	$3,841	$3,589	$1,208
3	$4,849	$4,531	$1,525
4	$5,858	$5,473	$1,843
5	$6,866	$6,414	$2,160
6	$7,874	$7,356	$2,477
7	$8,882	$8,298	$2,794
8	$9,890	$9,240	$3,111

A 5% disregard based on the federal poverty level (FPL) for the household size may be applied and is reflected in the amounts shown above. Source: Kaiser Family Foundation (KFF).

Pregnant women are covered up to 199% of poverty and may be able to receive medical care while waiting for their application to be processed.

How do I apply for Medicaid in South Carolina?

You can apply for Medicaid online through SCDHHS Online Application Portal or complete an application over the phone by calling (888) 549-0820.

South Carolina Department of Health and Human Services
Medicaid Member Services
(888) 549-0820

If you need help navigating the process, SC Thrive is a non-profit partner that offers free assistance with online applications.