Does South Carolina offer Medicaid to adults?

Asked by: Ms. Annalise Padberg  |  Last update: May 31, 2025
Score: 4.5/5 (40 votes)

Medicaid will pay doctors' bills and other health costs for those who qualify. In South Carolina, the adult Medicaid program is known as Partners for Health.

Can adults get Medicaid in South Carolina?

Medicaid coverage in South Carolina is not available for non-disabled childless adults, regardless of how low their income is.

Are adults covered by Medicaid?

In all states, Medicaid gives health coverage to some individuals and families, including children, parents, people who are pregnant, elderly people with certain incomes, and people with disabilities. Some states have expanded their Medicaid programs to cover other adults below a certain income level.

What are the different types of Medicaid in SC?

Managed Care
  • Absolute Total Care.
  • BlueChoice (Healthy Blue)
  • Humana Healthy Horizons.
  • Molina.
  • Select Health (First Choice)

How long does Medicaid last in South Carolina?

South Carolina Healthy Connections Medicaid must be renewed every year. Here are the steps you'll need to take to complete the process when you receive your review form.

How Can South Carolina Medicaid Benefit You and Your Family?

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What are the four types of Medicaid?

There are four types of Medicaid delivery systems:
  • State-operated fee-for-service (FFS)
  • Primary care case management (PCCM)
  • Comprehensive risk-based managed care (MCO model)
  • Limited-benefit plans.

Can Medicaid take my home in South Carolina?

In the event other assets are insufficient to repay the Medicaid claim and/or other expenses of the estate, the Personal Representative (Administrator, Executor and Executrix) may choose other options to repay the Medicaid debt. The state is not interested in taking title to anyone's home.

Which is the best Medicaid plan in South Carolina?

NORTH CHARLESTON, S.C.--(BUSINESS WIRE)--First Choice by Select Health of South Carolina, a member of the AmeriHealth Caritas Family of Companies, is the top-rated Medicaid health plan in the state for the second consecutive year, according to the National Committee for Quality Assurance's (NCQA's) Medicaid Health ...

How much does Medicaid cost per month?

Amounts. Most states adjust premium amounts by beneficiary income, with approved possible charges ranging from approximately $5 to $74 per month. Four states (AR, AZ, MI, and MT) have approved waivers to require monthly premium payments as a percentage of income.

What are some alternatives to Medicaid?

If you or your loved ones don't qualify for Medicaid, you have other options, including CHIP for people under 18 years, Tricare for military personnel and their families, and Medicare for people ages 65 years and older. You can also consider state-based programs that may offer healthcare plans at a lower cost.

Who is not eligible for Medicaid?

Medicaid beneficiaries generally must be residents of the state in which they are receiving Medicaid. They must be either citizens of the United States or certain qualified non-citizens, such as lawful permanent residents. In addition, some eligibility groups are limited by age, or by pregnancy or parenting status.

What are the downsides of Medicaid?

Disadvantages of Medicaid

One of the primary reasons for this is that Medicaid reimbursements are lower than those of commercial insurers for most procedures and treatments.

How does Medicaid benefit older adults?

Medicaid and Medicare: The Basics

If a loved one qualifies financially for Medicaid and meets the functional eligibility requirements, then Medicaid will help pay for long-term care services like nursing home care, and home and community-based services like home health care.

What does Medicaid cover for adults?

Mandatory benefits include services including inpatient and outpatient hospital services, physician services, laboratory and x-ray services, and home health services, among others. Optional benefits include services including prescription drugs, case management, physical therapy, and occupational therapy.

Does South Carolina have expanded Medicaid?

South Carolina is among 10 states that have not expanded Medicaid eligibility to cover all adults with incomes up to 138% of the federal poverty level, as the 2010 federal health care law known as Obamacare intended before a U.S. Supreme Court ruling made it optional.

How often does Medicaid check your bank account?

Medicaid agencies can check your account balances for bank accounts at any financial institution you've used in the past five years. They will check when you submit an application and on an annual basis, but checks can occur at any time.

What happens if you make too much money while on Medicaid?

If you're over the Medicaid income limit, some states let you spend down extra income or place it in a trust to help you qualify for Medicaid. If you receive long-term care but your spouse doesn't, Medicaid will allow your spouse to keep enough income to avoid living in poverty.

Do you have to pay taxes on Medicaid?

Recipients of Medicaid may be subject to federal taxes on their income if they are over certain thresholds set by the Internal Revenue Service (IRS). Additionally, some states impose a tax on the value of Medicaid benefits received in that state.

What is South Carolina's Medicaid called?

Healthy Connections is SC's Medicaid Program.

Healthy Connections Medicaid provides health coverage for eligible residents of South Carolina.

Is it better to be on Medicare or Medicaid?

While Medicare is the primary payer for medical needs, Medicaid can cover costs that Medicare coverage does not. When you visit a provider that takes both Medicare and Medicaid, Medicare pays first for the cost of your care. Medicaid pays second, covering copays and other costs not covered.

What assets are exempt from Medicaid in SC?

Exempt Assets in 2025 for an applicant in South Carolina include: $2,000 or less in cash/non-exempt assets if single. One home is exempt (equity limit $730,000) if the applicant plans to return, or a spouse, a child under 21, or a disabled person resides in it. One automobile, no equity amount specified.

Can I keep my house if I go on Medicaid?

Note: California stands apart from the other states. CA eliminated their Medicaid (Medi-Cal) asset limit effective 1/1/24. Medi-Cal applicants and beneficiaries can have unlimited assets and still be eligible for Medi-Cal. They could sell their home and it have no impact on their eligibility.

What happens to assets if you go into a nursing home?

No one “takes” assets from the patient; the nursing home simply requires payment for its services if the patient intends to reside in the nursing home. The notion of assets being seized by the government or a nursing home is only one of several misconceptions about paying for long term care.