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South Carolina Medicaid (Healthy Connections)

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