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 NameHealthy Connections
Expanded MedicaidNo
Websitehttps://www.scdhhs.gov
Phone888-549-0820
Apply Onlinehttps://apply.scdhhs.gov/CitizenPortal/application.do
Appeal a DenialAppeals and Hearings
Find a Local Officehttps://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 servicesInpatient psychiatric care
AmbulanceLab and X-ray
AudiologyMedical equipment
Behavioral services for childrenMental health services
DentalNursing facility
Doctor office visitsOccupational and physical therapy
Emergency servicesPrescription medications
Family planningSpeech-language therapy
Home healthMedical transportation
Hospital inpatient and outpatient servicesVision 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