Self-employed in South Carolina? The 2027 median Silver premium is $767 a month at 40 (+20.6% from 2026), 6 insurers sell, no plan is a PPO. The credit line, th
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The short answer: in South Carolina the median 2027 marketplace Silver premium for a 40-year-old is $767 a month before any credit (+20.6% from 2026), the cheapest Silver filed anywhere in the state is $587 (Ambetter from Absolute Total Care, Abbeville County), 6 insurers sell plans for 2027 (6 in 2026), and no marketplace plan in the state is a PPO (every plan is EPO or HMO). A 1099 worker pays that full price above $63,840 of net income for one person, and a capped share of income below it.
Premiums are set county by county and the credit is set by income, so no table can give a 1099 worker a final number. Enter your ZIP and a licensed agent prices every plan filed where you live against what you actually expect to earn.
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| Median Silver, age 40 (full price) | $767 a month ($636 in 2026) |
|---|---|
| Cheapest Silver filed, age 40 | $587, Streamlined Silver SC, Abbeville County (deductible $4,700) |
| Range of Silver medians across counties | $587 to $1,223 |
| Cheapest Silver at 27 / 50 / 60 | $481 / $820 / $1,246 |
| Insurers selling for 2027 | 6 (6 in 2026) |
| Counties with a single insurer | 0 of 46 (0 in 2026) |
| Plan types filed | EPO, HMO |
| 2027 credit line, 1 / 2 / 4 people | $63,840 / $86,560 / $132,000 |
Source: CMS Plan Year 2027 and 2026 Qualified Health Plan Landscape files, every plan filed in South Carolina; medians are of all Silver plans filed, not enrollment-weighted. Full price before the premium tax credit.
BLS state medians for the trades on this site (May 2024, employees), against the 2027 line for one person. Over the line means full price; under it means the benchmark plan is capped at 2.15% to 10.22% of income.
A married 1099 worker is measured on household income against $86,560 (couple) or $132,000 (family of four); a spouse’s W-2 counts. The trade pages run the numbers for each household size.
The federal self-employed health insurance deduction (Form 7206) works the same in every state: premiums for the household come off above the line, up to net profit, for months with no employer plan available. State income tax treatment follows the federal adjusted gross income in most states; a tax professional confirms the state return.
County prices for South Carolina: Coverage by County. South Carolina against the other states: Plans By State.