Health insurance plans in Greenville County, South Carolina (2027)

• 3carriers selling 2027 marketplace plans in Greenville County
• 48plans on the Greenville shelf, from 18 bronze to 15 gold
• $741benchmark silver for a 40 year old in Greenville, full price per month

Who sells marketplace plans in Greenville County

Greenville County has fewer carriers than Charleston County, the other South Carolina county I track, three against four. Across all 79 counties and parishes I track, 58 have more carriers than Greenville. BlueCross BlueShield of South Carolina alone accounts for 23 of the 48 plans in Greenville, 48 percent of the shelf, so a lot of what you see when you shop is one company's lineup in different metal levels.

Greenville plan counts from the CMS 2027 landscape file (county FIPS 45045, Rating Area 23). Bronze includes expanded bronze, and companies CMS lists under more than one legal issuer are grouped with the legal names underneath.

What it costs in Greenville County before any subsidy

These are the full monthly prices, before any premium tax credit, for the cheapest Greenville plan at each metal level. I show the sticker price because it is what your subsidy is subtracted from, and most people who enroll in Greenville pay less, often a lot less.

Benchmark silver is the second lowest of the 14 silver premiums listed for Greenville. The last column is two adults aged 40 plus two children.

What these numbers mean if you live in Greenville County

Gold and silver are almost the same price in Greenville County. The cheapest gold at 40 is $718, between the cheapest silver ($710) and the benchmark ($741). So for anyone in Greenville who does not qualify for extra silver discounts, gold costs $7 more than the cheapest silver and gold deductibles here top out at $3,900.

In Greenville County the benchmark is $218 above the cheapest bronze at age 40, and 29 of the other 78 counties and parishes I track have a wider one. That gap decides whether bronze can be free, because your subsidy is the $741 benchmark minus what the government expects you to pay from your income. A 40 year old in Greenville whose expected share is $218 a month or less would pay nothing for the cheapest bronze. At 60 the Greenville gap grows to $464 and at 21 it shrinks to $171, which is why older enrollees are the ones most likely to find a $0 plan.

Charleston County, around Charleston, is the other South Carolina county I track. Compared with Charleston County, the Greenville benchmark is $36 higher at 40 and the cheapest bronze is $16 higher. Oscar sells in Charleston County and not in Greenville.

Greenville plans by metal level, network and deductible

There is not a single PPO on the 2027 marketplace in Greenville County. The 48 plans split into 34 HMO and 14 EPO. Outside emergencies, the 14 EPO and 34 HMO plans in Greenville generally pay nothing out of network, so the network list matters more than the premium. 6 plans in Greenville have a $0 medical deductible (3 expanded bronze and 3 gold). The 3 bronze ones among them still have out of pocket maximums of $11,800 to $12,000, so a $0 deductible does not mean a small bill.

2027 plans for Greenville County

These are the 2027 plans and prices for Greenville County, from the CMS plan file released at the end of October 2026. Open enrollment for 2027 coverage in South Carolina runs from November 1, 2026 to January 15, 2027, and December 15 is the last day to pick a plan that starts January 1. If you already have a Greenville plan, compare before you let it renew, because your carrier and your benchmark may both have changed.

Questions about Greenville County coverage

More for Greenville County residents

• Health insurance brokers in South Carolina, how to choose one and what it costs
• Every 2027 carrier change in South Carolina
• How Greenville compares with the other 78 counties and parishes I track
• Estimate a Greenville subsidy