Medicare Special Needs Plans in South Carolina
Every Special Needs Plan in South Carolina for 2027, from the CMS plan landscape file. You can join one only if you fit its group: Medicare and Medicaid (D-SNP), a qualifying chronic condition (C-SNP) or nursing-home-level care (I-SNP). Pick your county to see the plans sold there.
Showing all 29 plans.
D-SNPs: Medicare and Medicaid
Sorted by CMS star rating, then by how closely the plan is integrated with South Carolina Medicaid, then by worst-case year. If Medicaid or the QMB program pays your Medicare cost sharing, the out-of-pocket maximum matters less than the network and how well the plan works with Medicaid.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | UHC Dual Advantage SC-V1 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-onlyAll 46 counties | $7.30 | $6,400 | $6,488 | 4.5★ |
| 2 | UHC Dual Complete SC-S001 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only · $0 Medicare cost sharingAll 46 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 3 | UHC Dual Complete SC-S2 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only · $0 Medicare cost sharingAll 46 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 4 | HumanaChoice SNP-DE H5216-277 (PPO D-SNP)Humana · PPO D-SNPCoordination-only · $0 Medicare cost sharing44 of 46 counties | $0 | $9,850 | $9,850 | 4★ |
| 5 | Aetna Medicare Full Dual (HMO D-SNP)Aetna Medicare · HMO D-SNPCoordination-only · $0 Medicare cost sharing45 of 46 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 6 | Aetna Medicare Full Dual Care (HMO D-SNP)Aetna Medicare · HMO D-SNPCoordination-only · $0 Medicare cost sharing24 of 46 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 7 | Molina Medicare Complete Care Plus (HMO D-SNP)Molina Healthcare of South Carolina · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing37 of 46 counties | $7.30 | $9,850 | $9,938 | 2.5★ |
| 8 | Molina Medicare Complete Care Plus (HMO D-SNP)Molina Healthcare of South Carolina · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing9 of 46 counties | $7.30 | $9,850 | $9,938 | 2.5★ |
| 9 | Humana Dual Integrated (HMO D-SNP)Humana · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharingAll 46 counties | $0 | $9,850 | $9,850 | Too new to rate |
| 10 | Wellcare Absolute Total Care Dual Align (HMO D-SNP)Wellcare · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharingAll 46 counties | $0 | $9,850 | $9,850 | Too new to rate |
| 11 | First Choice VIP Care (HMO D-SNP)First Choice VIP Care (HMO D-SNP) · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharingAll 46 counties | $7.30 | $9,850 | $9,938 | Not rated |
C-SNPs: chronic conditions
Sorted by worst-case year: 12 months of premiums plus the in-network out-of-pocket maximum. Each plan lists the conditions it serves; you need one of them, confirmed by your doctor or another clinician, to join.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | HealthSpring Achieve (HMO C-SNP)HealthSpring · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes6 of 46 counties | $0 | $4,450 | $4,450 | 3★ |
| 2 | DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 045 SC (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes29 of 46 counties | $0 | $7,150 | $7,150 | 4.5★ |
| 3 | UHC Complete Care SC-1 (PPO C-SNP)UnitedHealthcare · PPO C-SNPCardiovascular disorders, Chronic heart failure, DiabetesAll 46 counties | $0 | $7,150 | $7,150 | 4.5★ |
| 4 | DEVOTED C-SNP CHOICE ENHANCED 005 SC (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes29 of 46 counties | $0 | $7,200 | $7,200 | 4.5★ |
| 5 | UHC Complete Care Support SC-7 (PPO C-SNP)UnitedHealthcare · PPO C-SNPCardiovascular disorders, Chronic heart failure, DiabetesAll 46 counties | $7.30 | $7,150 | $7,238 | 4.5★ |
| 6 | DEVOTED C-SNP CHOICE 004 SC (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes29 of 46 counties | $0 | $7,350 | $7,350 | 4.5★ |
| 7 | Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes7 of 46 counties | $0 | $9,250 | $9,250 | 3.5★ |
| 8 | Aetna Medicare Chronic Care Total (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes7 of 46 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 9 | DEVOTED C-SNP CHOICE PLUS 006 SC (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes29 of 46 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 10 | Humana Gold Plus - Diabetes and Heart (HMO C-SNP)Humana · HMO C-SNPCardiovascular disorders, DiabetesAll 46 counties | $0 | $9,850 | $9,850 | 4★ |
| 11 | HumanaChoice - Diabetes and Heart (PPO C-SNP)Humana · PPO C-SNPCardiovascular disorders, Diabetes45 of 46 counties | $0 | $9,850 | $9,850 | 4★ |
| 12 | UHC Complete Care Support GS-1A (Regional PPO C-SNP)UnitedHealthcare · Regional PPO C-SNPCardiovascular disorders, Chronic heart failure, DiabetesAll 46 counties | $2.10 | $9,850 | $9,875 | 3.5★ |
I-SNPs: institutional care
For people who live, or are expected to live, at least 90 days in a nursing home or similar facility, or who need that level of care at home. Sorted by worst-case year.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | Senior Care (HMO I-SNP)NHC Advantage · HMO I-SNPHybrid (at home or in a facility)22 of 46 counties | $0 | $5,000 | $5,000 | 4.5★ |
| 2 | Humana Together in Health (PPO I-SNP)Humana · PPO I-SNPHybrid (at home or in a facility)All 46 counties | $0 | $9,850 | $9,850 | 4★ |
| 3 | Humana Together in Health (PPO I-SNP)Humana · PPO I-SNPHybrid (at home or in a facility)All 46 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 4 | UHC Nursing Home Plan SC-F001 (PPO I-SNP)UnitedHealthcare · PPO I-SNPFacility-based13 of 46 counties | $0 | $9,850 | $9,850 | 5★ |
| 5 | PruittHealth Premier (HMO I-SNP)PruittHealth Premier · HMO I-SNPHybrid (at home or in a facility)19 of 46 counties | $7.30 | $9,850 | $9,938 | Not rated |
| 6 | NHC Advantage (HMO I-SNP)NHC Advantage · HMO I-SNPHybrid (at home or in a facility)22 of 46 counties | $12.20 | $9,850 | $9,996 | 4.5★ |
Worst-case year = 12 × monthly plan premium + in-network maximum out-of-pocket, for covered Part A and B services. Many D-SNP members pay $0 in premiums with Extra Help. Star ratings are CMS’s 2027 overall ratings for the contract behind each plan. Plans under CMS sanction aren’t listed. How we sort
Before you enroll: check the plan’s network and drug list in the official Medicare Plan Finder, and ask the plan whether you qualify. Free one-on-one help: your State Health Insurance Assistance Program.
Questions
How many Special Needs Plans are in South Carolina for 2027?
CMS lists 29: 11 D-SNPs (Medicare and Medicaid), 12 C-SNPs (chronic conditions) and 6 I-SNPs (institutional), from 10 parent companies. Not every plan is sold in every county; use the county filter.
Which D-SNPs in South Carolina are integrated with Medicaid?
5 of the 11 D-SNPs are fully integrated, highly integrated or applicable integrated plans, which cover or coordinate Medicaid benefits more closely. The rest are coordination-only plans. Integrated plans are listed first among plans with the same star rating.
Do Special Needs Plans include drug coverage?
Yes. Every Special Needs Plan must include Part D drug coverage.
Can I stay in a Special Needs Plan if I no longer qualify?
Only while you still meet the plan's rules. If you lose eligibility, you may get a Special Enrollment Period to join another plan.
Sources
- CMS, CY 2027 Medicare Advantage and Prescription Drug Plan Landscape (CY2027_Landscape_202609.csv), Special Needs Plan rows — cms.gov; star ratings from the CMS 2027 Star Ratings Data Tables — cms.gov.
- Medicare.gov, “Special Needs Plans” — medicare.gov.
Educational information, not a recommendation to join any plan. We are not an insurance agent or broker, and we are not connected with or endorsed by the U.S. government or the federal Medicare program. Plan details can change; confirm with the plan or Medicare.gov. · Advertiser disclosure
Keep going
- How Special Needs Plans work →
- General Medicare Advantage plans in South Carolina →
- Medicare Savings Programs →
- Extra Help with drug costs →
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