Elite Gold SC
Starting at
$704
/month before subsidy
Elite Gold SC is a 2027 Gold HMO health insurance plan from Ambetter from Absolute Total Care, sold on the ACA Marketplace in South Carolina under plan ID 79222SC0010039. The monthly premium starts at $704 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $0, and the individual out-of-pocket maximum is $8,150 ($16,300 for a family). After the deductible, coinsurance is 30% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 79222SC0010039
- Plan year
- 2027
- State
- South Carolina
- Metal level
- Gold
- Plan type
- HMO
- HSA-eligible
- No
Individual Deductible
$0
Family: $0
Out-of-Pocket Max
$8,150
Family: $16,300
Coinsurance
30%
You pay after deductible
Network Type
HMO
SCN001
Medical Services
Prescription Drugs
- Medical care
- Member experience
- Plan administration
How well doctors manage and coordinate care
Member-survey satisfaction with the plan
Customer service, billing, and access to information
Having a baby
Normal delivery
$3,260
your estimated cost
- Deductible
- $0
- Copays
- $700
- Coinsurance
- $2,500
Managing type 2 diabetes
A year of routine care
$1,520
your estimated cost
- Deductible
- $0
- Copays
- $1,300
- Coinsurance
- $200
A simple fracture
ER visit + follow-up
$1,100
your estimated cost
- Deductible
- $0
- Copays
- $500
- Coinsurance
- $600
Enter your ZIP code first to search nearby doctors.
This Gold HMO plan is designed for people who use healthcare frequently and want predictable costs when they visit the doctor.
Consider this plan if you:
- Have ongoing health conditions requiring regular care
- Take multiple prescription medications
- Prefer lower costs at the time of service
- Want peace of mind with comprehensive coverage
This summary is generated based on plan attributes for educational purposes only.
If you max out this year
$1,383/month
Annual Premium
$8,448
OOP Maximum
$8,150
💡 What this means:
With a $0 deductible, you pay 100% of costs until you've spent that much. After that, you pay 30% (coinsurance) until you hit $8,150 total. Then insurance covers everything else for the year.
More plans from Ambetter from Absolute Total Care in South Carolina
- Elite Bronzefrom $557/mo
- Elite Bronze + Vision + Adult Dentalfrom $572/mo
- Elite Bronze SCfrom $554/mo
- Elite Bronze SC + Vision + Adult Dentalfrom $569/mo
- Everyday Bronzefrom $498/mo
- Everyday Bronze + Vision + Adult Dentalfrom $512/mo
- Everyday Bronze SCfrom $495/mo
- Everyday Bronze SC + Vision + Adult Dentalfrom $509/mo
Frequently asked questions about Elite Gold SC
How much does Elite Gold SC cost per month?
Elite Gold SC from Ambetter from Absolute Total Care starts at $704 per month before any subsidy in South Carolina. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.
What is the deductible for Elite Gold SC?
The individual medical deductible is $0. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.
What is the out-of-pocket maximum for Elite Gold SC?
The most you would pay in a year for covered in-network care is $8,150 for an individual and $16,300 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Elite Gold SC HSA-eligible?
No. Elite Gold SC is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.
What type of network does Elite Gold SC use?
Elite Gold SC is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.
Understand what you'd actually pay
- 2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
- How ACA subsidies work
Premium tax credits and who qualifies
- The 2026 subsidy cliff
Why income near 400% FPL matters again this year
- The SLCSP benchmark
The Silver plan that sets your subsidy and Form 1095-A
Important Notice
Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.