Under the Affordable Care Act (ACA), individuals can get insurance coverage through the health insurance marketplace.
There are a variety of coverage options based upon your age, income and family size.
Marketplace open enrollment starts Thursday, Nov. 1, 2018, and ends Saturday, Dec. 15, 2018. Below are options for enrolling and receiving assistance for open enrollment:
Self enrollment: HealthCare.gov or 1-800-318-2596 (TTY users should call 1-855-889-4325)
Palmetto Project – Insure SC: Insure-SC.org or 1-888-998-4646
Lourie Life and Health: LourieLifeandHealth.com or 803-256-2067 or 1-888-553-3323
Insurance Advantage: TheIAteam.com or 803-744-9665 or 1-866-744-4014
Coverage could be more affordable than you think, and a certified enrollment assistant can help you evaluate your options. Generally, you want to get coverage through your employer, Medicaid or Medicare if you are eligible for coverage. If you are ineligible for those programs, Health Insurance Marketplace coverage is available, and financial help is available for many to offset the premiums and out-of-pocket costs of these plans.
Without insurance, you will be required to pay for all medical services out of pocket. Care delivered in an emergency department is more expensive than in a primary care setting, such as a family doctor. A short hospital stay can cost thousands of dollars. Once you have insurance coverage, you can reduce your financial obligations for any unexpected health care needs, and you generally will be covered for preventive services as well.
Patients without coverage who do not meet the criteria for financial assistance are considered self-pay. Generally, we expect you to make financial arrangements for your care before services are provided. As a courtesy for self-pay patients, we can provide a 20 percent discount off our total charges.
Prisma Health–Midlands offers financial assistance to residents of Richland, Lexington, Fairfield and Sumter counties who:
To determine if you are eligible for financial assistance, you must meet with a Prisma Health financial counselor and complete an application. You can make an appointment with a Prisma Health financial counselor by calling 803-296-CARE(2273). Information also is available at our Financial Assistance web page.
Having a baby? Take a free tour of the Birthplace.
March 25, 2020