South Carolina Medicaid (Healthy Connections)
Updated April 8, 2021 Medicaid
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
