South Carolina Application for Presumptive Eligibility for Medicaid
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FAQ
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.
Parents of Dependent Children: Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2023 FPL for an individual, which is $14,580.
Income Limits Family SizeMonthly Income (Effective 3/1/2023)12,527.2023,418.1334,309.0645,200.005 more rows
Eligible individuals living anywhere in the state can choose to receive both Medicare and Medicaid benefits from a single participating Medicare-Medicaid health plan (MMP).
Income Limits Family SizeMonthly Income (Effective 3/1/2023)12,527.2023,418.1334,309.0645,200.005 more rows
You should receive your Medicaid card within one week of being determined eligible. What if I am turned down for Medicaid? If you do not qualify for Healthy Connections Medicaid, you may find an affordable option through the federal Marketplace. Visit healthcare.gov or call 1-800-318-2596 for more information.
SCDHHS will use the info you enter to check your eligibility with your Medicaid case, if you have one. If we can't provide your eligibility info, you can contact the Healthy Connections Member Contact Center at (888) 549-0820. It is open from 8 a.m. to 6 p.m. Monday through Friday.
