Healthy Connections is South Carolina's Medicaid program. It is a medical assistance program that helps pay for some or all medical bills for many people who cannot afford medical care. The program also assists adults over 65 and individuals with a disability.
Program Name | Healthy Connections |
Expanded Medicaid | No |
Website | https://www.scdhhs.gov |
Phone | 888-549-0820 |
Apply Online | https://www.scdhhs.gov |
Appeal a Denial | Appeals and Hearings |
Find a Local Office | https://www.scdhhs.gov/site-page/where-go-help |
Eligibility Requirements
To be eligible for South Carolina Medicaid, you must be a resident of the state of South Carolina, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
You must also be one of the following:
- Pregnant
- Be responsible for a child 18 years of age or younger
- Blind
- Have a disability or a family member in your household with a disability
- Be 65 years of age or older
Annual Household Income Limits (before taxes)
Household Size* | Maximum Income Level (Per Year) |
1 | $12,880 |
2 | $17,420 |
3 | $21,960 |
4 | $26,500 |
5 | $31,040 |
6 | $35,580 |
7 | $40,120 |
8 | $44,660 |
*For households with more than eight people, add $4,540 per additional person.
Available Services Include:
Alcohol and drug abuse services | Inpatient psychiatric care |
Ambulance | Lab and X-ray |
Audiology | Medical equipment |
Behavioral services for children | Mental health services |
Dental | Nursing facility |
Doctor office visits | Occupational and physical therapy |
Emergency services | Prescription medications |
Family planning | Speech-language therapy |
Home health | Medical transportation |
Hospital inpatient and outpatient services | Vision care |
Copayments
Ambulatory Surgical Center | $3.30 |
Chiropractor services | $1.15 |
Clinic visits | $3.30 |
Dental services | $3.40 |
Doctor's office visits | $3.30 |
Durable medical equipment and supplies | $3.40 |
Home health visits | $3.30 |
Inpatient hospital | $25 |
Optometrist services | $3.30 |
Outpatient hospital services (non-emergency) | $3.40 |
Podiatrist services | $1.15 |
Prescriptions (per prescription/per refill) | $3.40 |
Rural health clinic | $3.30 |
The following beneficiaries do not have copayment requirements:
- Children under 19 years of age
- Pregnant women
- Institutionalized individuals
- Members of a Federally Recognized Indian Tribe
- Members of the Health Opportunity Account (HOA) program
The following services are not subject to a copayment:
- Medical equipment and supplies provided by DHEC
- Orthodontic services provided by DHEC
- Family planning services
- End-Stage Renal Disease (ESRD) services
- Infusion Center services
- Emergency services in the hospital emergency room
- Hospice benefits
- Waiver services
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