You Need Health Insurance MyChoice Advantage SM Plans
You Need Health Insurance
MyChoice AdvantageSM Plans
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MyChoice Advantage Individual PlansThere are many factors to consider when choosing a health plan. What works for one person or family
may not be right for another. Rest assured that BlueChoice HealthPlan is here to help you sort out your
options and make the best choice.
MyChoice Advantage plans provide individual coverage. Whether you need a policy for yourself or for
each member of your family, we have a plan that fits.
Why Choose MyChoice Advantage?BlueChoice HealthPlan has more than 25 years of experience providing South Carolinians like you with
health care coverage. Our service, value and quality are evident in our MyChoice Advantage plans. We
offer a range of plans that meet the requirements of the Affordable Care Act (ACA) and keep you covered.
• Ten plan designs – one Gold, five Silver, three Bronze plans and one “Under 30” Catastrophic plan.
• Deductible and copayment amounts that help you manage your health care costs
• Statewide doctor and hospital network
• No referrals for specialists needed
• Plans with low drug deductibles
• Preventive services with $0 copayment
• Nationally recognized health plan for service and member satisfaction
MyChoice Advantage
Plans
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MyChoice Advantage Plans
MyChoice Advantage NetworkOur philosophy ... keeping you healthy.
BlueChoice HealthPlan emphasizes preventive medicine, early disease detection and prompt treatment.
This approach is based on the personal relationship between the patient and the doctor. This special
relationship helps keep you healthy.
Though it is not required, we encourage you to choose a primary care physician (PCP). Having one doctor
who can help you manage your health care is important to your overall health. Referrals to specialists are not
needed. Your PCP can however, help coordinate care when you need to visit one of our network specialists.
We work hard to ensure that your providers give you and your family the best care possible. And we
make it simple — no paperwork, no referrals and no surprises. The MyChoice Advantage network is an
exclusive provider organization and includes:
• Affordable copayments or coinsurance per visit after meeting your deductible
• No claim forms or referrals needed for specialists
• No charge for certain preventive care, including routine annual exams and screenings
• Freedom to select your own providers of care within our statewide network
• Worldwide coverage for emergency care
Special ‘Under 30’ PlanWe offer a “catastrophic plan” option for adults under 30. It is also available to those experiencing
financial hardship. This plan may appeal to healthy people who don’t qualify for Medicaid or get health
benefits at work.
Superior Service and QualityIn today’s world, feeling secure is important. With MyChoice Advantage health coverage from BlueChoice®,
you are covered by a company that’s been doing business with South Carolinians since 1984.
Our commitment to our members has earned us accreditation from the National Committee for Quality
Assurance, a national group that reviews health plans. This means we passed the test in critical areas of
health plan operations. We value this award and consistently work to improve our service and maintain
this status. We’re even more pleased that thousands of South Carolinians select us as their health plan.
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Making the Right ChoiceThe ACA requires most Americans to purchase health insurance as of 2014. You may wonder why —
especially if you are young or very healthy. BlueChoice wants to help you understand the changes of
health care reform and the importance of quality health care coverage.
Why You Need Health InsuranceHealth insurance is a service you pay for, but hope you never need. Our members value health care coverage.
They value the peace of mind they have knowing it’s there. It is a safety net for the unpredictable and
uncontrollable problems that come up in life. BlueChoice encourages you to consider these factors
when deciding whether to buy health insurance.
Financial Impact You may be healthy now, but a sudden or serious illness can leave you with staggering medical bills.
The inability to pay high medical bills is one of the most common reasons people file for personal
bankruptcy. This can ruin your credit history and set you back for years.
Choosing to forgo health insurance means you must pay all of your health care costs. From doctors’
visits, health screenings and checkups to ambulance rides and trips to the emergency room, you are
responsible. You also won’t have any protection against astronomical medical bills – such as a $30,000
bill for a three-day hospital stay.
MyChoice Advantage
Plans
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Preventive or Primary CareThe ACA requires coverage for annual checkups and preventive care – mammograms, vaccinations,
colonoscopies and prostate cancer screenings – without a copayment. Preventive care helps you stay
healthy and catch health problems early. That’s when they’re easier and less expensive to treat.
Policies also must provide a minimum standard of care known as essential health benefits in 10 categories:
• Preventive and wellness services
• Ambulatory (outpatient) care services
• Emergency care
• Hospitalization
• Maternity and newborn care
• Pediatric care
• Mental health and substance use disorder services
• Prescription drugs
• Rehabilitative and habilitative services (specialized therapies and medical equipment to
help people facing long-term disabilities)
• Laboratory services
Follow-up CareHospital emergency rooms traditionally care for patients with urgent needs regardless of their ability to
pay. But necessary follow-up care, rehab care or other services can be very expensive without coverage.
Delay in Getting CoverageIf you wait too long to decide, you may face a delay before getting the coverage you and your family
need. Typically, you can only purchase health insurance during certain open enrollment periods. You may
also be able to enroll within 30 days of life-altering events, such as marriage, divorce, birth of a child or
change in job status. Policies in the new health insurance marketplaces will be sold from Oct. 1, 2013,
to March 31, 2014.
Non-Enrollment Tax ImplicationsIf you are required to purchase health insurance and have not done so by March 31, 2014, you will receive
a penalty on your 2014 tax return (filed in 2015). The penalty in 2014 is $95.00 per adult and $47.50 per
child. The fee is capped at $285 per family, or 1 percent of household income. Each year the penalty
increases. In 2016, the fine rises to $695 per adult and will be capped at $2,085 per family, or 2.5 percent
of income. There is no penalty for a gap in coverage for less than three months.
MyChoice Advantage Plans
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Can I Afford Health Insurance?The real question is: Can you afford not to have health care coverage? We realize that cost is very
important, but there is good news. For the first time in history, people with moderate and low incomes
will be eligible for financial assistance. Tax credits and subsidies will help offset the cost of premiums and
out-of-pocket expenses. This assistance applies to plans sold in the private BlueChoice HealthPlan private
exchange or federal health insurance marketplace. Both websites will begin selling health insurance
policies in October 2013, with coverage beginning Jan. 1, 2014.
Who Is Eligible?Premium tax credits are income-based. Individuals and families whose income falls between 100 and
400 percent of the federal poverty line are eligible. Here are some examples:
• Individual $11,490 to $45,960 annual income
• Family of four $23,550 to $94,200 total household income
You cannot get premium credits if you are eligible for Medicare or Medicaid. If you are offered coverage
through your employer, you are not eligible for premium credits unless that coverage is inadequate or if it
costs more than 9.5 percent of your annual income.
Premium credits are also available to legal immigrants who have incomes below 100 percent of the
poverty line, but who are not eligible for Medicaid because they have lived in the United States for
less than five years.
How Much Is the Premium Credit?The premium credit is figured on a sliding scale. Those with lower incomes receive a bigger credit and
those who make more get a smaller one. The credits ensure that you do not have to pay more than a
certain percentage of your income to purchase health insurance. For example, someone with an income
of two times the poverty line (about $23,000) would pay no more than 6.3 percent of that income. That
would be about $121 a month for an individual policy.
What Kind of Health Plan Can Someone Buy With the Credit?BlueChoice HealthPlan will offer three types of plans in the exchange — bronze, silver and gold. These
plans vary in the level of benefits covered. Bronze plans are the least comprehensive and gold plans are
the most comprehensive.
MyChoice Advantage
Plans
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The amount of the premium credit is based on the cost of
the second-lowest cost silver plan available in the area in
which the person receiving the subsidy lives. You can
purchase a more comprehensive plan, such as a gold
plan, but will have to pay the difference between the
credit amount and the cost of the more expensive plan.
You also could purchase a less expensive plan, but you
would not receive a credit.
How Do the Premium Credits Work?The premium credits will be delivered as tax credits and
will be available to everyone who is eligible, whether they
file taxes or not. The credits will be paid directly to the
insurer, with individuals responsible for the remaining premiums. The credits will be delivered in advance,
so that people do not have to pay all of their premiums up front and wait for reimbursement.
Who Is Eligible for Cost-Sharing Assistance?People who earn less than 250 percent of the poverty line ($28,725 for an individual; $58,875 for a family
of four) will also receive additional assistance. These cost-sharing subsidies help ensure that everyone can
afford the health care they need.
How Does the Cost-Sharing Assistance Work?The premium credits allow people to buy a silver plan, which has a 70 percent actuarial value. That means
that the plan will cover 70 percent of the costs for covered medical services with the beneficiary, on aver-
age, paying the other 30 percent. People who receive cost-sharing assistance, however — those with
incomes below 250 percent of the poverty line — will not have to pay the full remaining 30 percent of the
cost of covered services. As a result, people with incomes below 250 percent of poverty will effectively be
enrolled in a plan that has a higher actuarial value than 70 percent.
For example, people with incomes below 150 percent of the poverty line will have plans that have an
actuarial value of 94 percent. Plans for people with incomes between 150 percent and 200 percent of the
poverty line will have an actuarial value of 87 percent. These higher actuarial values mean that as a result
of cost-sharing assistance, low-income individuals and families will be able to enroll in health plans with
lower deductibles, copayments and/or total out-of-pocket costs.
MyChoice Advantage Plans
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GlossaryCoinsurance — The dollar amount or percentage you pay for your covered health care services. For
example, if you have an “80/20” plan, your health plan would pay 80 percent of the bill and you would
pay 20 percent. The 20 percent you pay is your coinsurance.
Coinsurance Maximum — The total amount you pay out-of-pocket per benefit period including
copayments and deductibles.
Copayment — A set dollar amount you pay each time you receive a health care service. For example:
your health plan may have a $20 copayment for a doctor’s office visit. You will pay this amount each time
you go to the doctor.
Deductible — The amount you must pay for covered services before your health plan starts to pay.
Example: Your plan has a $500 deductible. You must pay the first $500 of allowable charges for covered
services before your plan starts to pay benefits. Your health plan may pay some benefits before you meet
your deductible. For example, your plan may pay some preventive services at 100 percent even if you
have not met your deductible.
Out-of-Pocket Costs — Your costs for health care that your health plan doesn’t pay for. Depending on
your plan, this may include your deductible, coinsurance and copayments for covered services.
Referral — When your doctor sends you to a specialist or health care facility to get certain health care
services. Some health plans require you to get this from your primary care physician.
MyChoice Advantage
Plans
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Plans
Benefit Gold 1000 (In Network Only)
Deductible $1,000
Coinsurance Maximum $6,350
Primary Care Physician Services $30 copayment per visit
Mandated Preventive Services $0 copayment per visit
Specialist Visit $60 copayment per visit
Inpatient Hospital Services Deductible, then 10%
Outpatient Hospital Services Deductible, then 10%
Urgent Care $50 copayment per visit
Emergency Room Deductible, then 10%
Ambulance Deductible, then 10%
Mental Health and Substance Abuse (office services only)
Deductible, then 10%
Gynecologist Exam (One per benefit year)
$0
Routine Screening Mammogram $0
Routine Screening Colonoscopy $0
Prescription Drugs$20 Tier 1/$40 Tier 2/Deductible, then 10% for Non-Generic/$0 copayment
for mandated preventive care medication/Mail-order drugs covered at 2 times retail
Specialty Pharmaceuticals Deductible, then 10% for Preferred and Non-Preferred
Pediatric Vision Care
$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.
In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)
Pediatric Dental Services (BlueCross® BlueShield® of South Carolina Network)
$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)
$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,
anesthesia, restorations, periodontics and endodontics)
$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]
Durable Medical Equipment Deductible, then 10%
Physical Therapy, Speech Therapy, Occupational Therapy
and Habilitation
Deductible, then 10%
30 Combined visits per benefit year
Home Health 60 visits per benefit year
Skilled Nursing Facility 60 days per benefit year
Hospice 6 months per episode
TransplantsServices must be provided at a BlueChoice HealthPlan participating
facility and covered transplants will be treated the same as any other medical condition.
Annual Benefit Maximum Unlimited
Lifetime Benefit Maximum Unlimited
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Plans
Benefit Silver 400 (In Network Only)
Deductible $400
Coinsurance Maximum $6,350
Primary Care Physician Services Deductible, then 50%
Mandated Preventive Services $0 copayment per visit
Specialist Visit Deductible, then 50%
Inpatient Hospital Services Deductible, then 50%
Outpatient Hospital Services Deductible, then 50%
Urgent Care Deductible, then 50%
Emergency Room Deductible, then 50%
Ambulance Deductible, then 50%
Mental Health and Substance Abuse (office services only)
Deductible, then 50%
Gynecologist Exam (One per benefit year)
$0
Routine Screening Mammogram $0
Routine Screening Colonoscopy $0
Prescription DrugsDeductible, then 50%/$0 copayment for mandated preventive care
medication/Mail-order drugs covered at 2 times retail
Specialty Pharmaceuticals Deductible, then 50% for Preferred and Non-Preferred
Pediatric Vision Care
$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.
In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)
Pediatric Dental Services (BlueCross Network)
$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)
$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,
anesthesia, restorations, periodontics and endodontics)
$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]
Durable Medical Equipment Deductible, then 50%
Physical Therapy, Speech Therapy, Occupational Therapy
and Habilitation
Deductible, then 50%
30 Combined visits per benefit year
Home Health 60 visits per benefit year
Skilled Nursing Facility 60 days per benefit year
Hospice 6 months per episode
TransplantsServices must be provided at a BlueChoice HealthPlan participating
facility and covered transplants will be treated the same as any other medical condition.
Annual Benefit Maximum Unlimited
Lifetime Benefit Maximum Unlimited
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Plans
Benefit Silver 2501 (In Network Only)
Deductible $2,500
Coinsurance Maximum $5,650
Primary Care Physician Services Deductible, then 15%
Mandated Preventive Services $0 copayment per visit
Specialist Visit Deductible, then 15%
Inpatient Hospital Services Deductible, then 15%
Outpatient Hospital Services Deductible, then 15%
Urgent Care Deductible, then 15%
Emergency Room Deductible, then 15%
Ambulance Deductible, then 15%
Mental Health and Substance Abuse (office services only)
Deductible, then 15%
Gynecologist Exam (One per benefit year)
$0
Routine Screening Mammogram $0
Routine Screening Colonoscopy $0
Prescription DrugsDeductible, then 15%/$0 copayment for mandated preventive care
medication/Mail-order drugs covered at 2 times retail
Specialty Pharmaceuticals Deductible, then 15% for Preferred and Non-Preferred
Pediatric Vision Care
$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.
In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)
Pediatric Dental Services (BlueCross Network)
$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)
$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,
anesthesia, restorations, periodontics and endodontics)
$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]
Durable Medical Equipment Deductible, then 15%
Physical Therapy, Speech Therapy, Occupational Therapy
and Habilitation
Deductible, then 15%
30 Combined visits per benefit year
Home Health 60 visits per benefit year
Skilled Nursing Facility 60 days per benefit year
Hospice 6 months per episode
TransplantsServices must be provided at a BlueChoice HealthPlan participating
facility and covered transplants will be treated the same as any other medical condition.
Annual Benefit Maximum Unlimited
Lifetime Benefit Maximum Unlimited
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Plans
Benefit Silver 2502 (In Network Only)
Deductible $2,500
Coinsurance Maximum $6,350
Primary Care Physician Services $25 copayment per visit
Mandated Preventive Services $0 copayment per visit
Specialist Visit $50 copayment per visit
Inpatient Hospital Services $250 copayment per admission then deductible, then 30%
Outpatient Hospital Services Deductible, then 30%
Urgent Care $50 copayment per visit
Emergency Room $250 copayment per admission then deductible, then 30%
Ambulance $250 copayment per admission then deductible, then 30%
Mental Health and Substance Abuse (office services only)
$25 copayment per visit
Gynecologist Exam (One per benefit year)
$0
Routine Screening Mammogram $0
Routine Screening Colonoscopy $0
Prescription Drugs$10 Generic/Deductible, then 30% for non-generic/$0 copayment
for mandated preventive care medication/Mail-order drugs covered at 2 times retail
Specialty Pharmaceuticals Deductible, then 30% for Preferred and Non-Preferred
Pediatric Vision Care
$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.
In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)
Pediatric Dental Services (BlueCross BlueShield Network)
$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)
$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,
anesthesia, restorations, periodontics and endodontics)
$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]
Durable Medical Equipment $250 copayment then deductible, then 30%
Physical Therapy, Speech Therapy, Occupational Therapy
and Habilitation
$250 copayment then deductible, then 30%
30 Combined visits per benefit year
Home Health 60 visits per benefit year
Skilled Nursing Facility 60 days per benefit year
Hospice 6 months per episode
TransplantsServices must be provided at a BlueChoice HealthPlan participating
facility and covered transplants will be treated the same as any other medical condition.
Annual Benefit Maximum Unlimited
Lifetime Benefit Maximum Unlimited
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Plans
Benefit Silver 1750 (In Network Only)
Deductible $1,750
Coinsurance Maximum $6,350
Primary Care Physician Services $50 copayment per visit
Mandated Preventive Services $0 copayment per visit
Specialist Visit $100 copayment per visit
Inpatient Hospital Services $250 copayment per admission then deductible, then 30%
Outpatient Hospital Services Deductible, then 30%
Urgent Care $50 copayment per visit
Emergency Room $250 copayment per admission then deductible, then 30%
Ambulance $250 copayment per admission then deductible, then 30%
Mental Health and Substance Abuse (office services only)
$50 copayment per visit
Gynecologist Exam (One per benefit year)
$0
Routine Screening Mammogram $0
Routine Screening Colonoscopy $0
Prescription Drugs$10 Generic/Deductible, then 30% for non-generic/$0 copayment
for mandated preventive care medication/Mail-order drugs covered at 2 times retail
Specialty Pharmaceuticals Deductible, then 30% for Preferred and Non-Preferred
Pediatric Vision Care
$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.
In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)
Pediatric Dental Services (BlueCross Network)
$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)
$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,
anesthesia, restorations, periodontics and endodontics)
$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]
Durable Medical Equipment $250 copayment then deductible, then 30%
Physical Therapy, Speech Therapy, Occupational Therapy
and Habilitation
$250 copayment then deductible, then 30%
30 Combined visits per benefit year
Home Health 60 visits per benefit year
Skilled Nursing Facility 60 days per benefit year
Hospice 6 months per episode
TransplantsServices must be provided at a BlueChoice HealthPlan participating
facility and covered transplants will be treated the same as any other medical condition.
Annual Benefit Maximum Unlimited
Lifetime Benefit Maximum Unlimited
14
Plans
Benefit Silver 1500 (In Network Only)
Deductible $1,500
Coinsurance Maximum $6,350
Primary Care Physician Services $15 copayment per visit
Mandated Preventive Services $0 copayment per visit
Specialist Visit Deductible, then 50%
Inpatient Hospital Services $250 copayment per admission then deductible, then 50%
Outpatient Hospital Services $250 copayment then deductible, then 50%
Urgent Care $50 copayment per visit
Emergency Room $250 copayment per admission then deductible, then 50%
Ambulance Deductible, then 50%
Mental Health and Substance Abuse (office services only)
$15 copayment per visit
Gynecologist Exam (One per benefit year)
$0
Routine Screening Mammogram $0
Routine Screening Colonoscopy $0
Prescription Drugs$15 Generic/Deductible, then 50% for non-generic/$0 copayment
for mandated preventive care medication/Mail-order drugs covered at 2 times retail
Specialty Pharmaceuticals Deductible, then 50% for Preferred and Non-Preferred
Pediatric Vision Care
$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.
In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)
Pediatric Dental Services (BlueCross Network)
$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)
$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,
anesthesia, restorations, periodontics and endodontics)
$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]
Durable Medical Equipment Deductible, then 50%
Physical Therapy, Speech Therapy, Occupational Therapy
and Habilitation
Deductible, then 50%
30 Combined visits per benefit year
Home Health 60 visits per benefit year
Skilled Nursing Facility 60 days per benefit year
Hospice 6 months per episode
TransplantsServices must be provided at a BlueChoice HealthPlan participating
facility and covered transplants will be treated the same as any other medical condition.
Annual Benefit Maximum Unlimited
Lifetime Benefit Maximum Unlimited
15
Plans
Benefit Bronze 5001 (In Network Only)
Deductible $5,000
Coinsurance Maximum $6,350
Primary Care Physician Services Deductible, then 50%
Mandated Preventive Services $0 copayment per visit
Specialist Visit Deductible, then 50%
Inpatient Hospital Services Deductible, then 50%
Outpatient Hospital Services Deductible, then 50%
Urgent Care Deductible, then 50%
Emergency Room Deductible, then 50%
Ambulance Deductible, then 50%
Mental Health and Substance Abuse (office services only)
Deductible, then 50%
Gynecologist Exam (One per benefit year)
$0
Routine Screening Mammogram $0
Routine Screening Colonoscopy $0
Prescription DrugsDeductible, then 50%/$0 copayment for mandated preventive
care medication/Mail-order drugs covered at 2 times retail
Specialty Pharmaceuticals Deductible, then 50% for Preferred and Non-Preferred
Pediatric Vision Care
$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.
In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)
Pediatric Dental Services (BlueCross Network)
$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)
$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,
anesthesia, restorations, periodontics and endodontics)
$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]
Durable Medical Equipment Deductible, then 50%
Physical Therapy, Speech Therapy, Occupational Therapy
and Habilitation
Deductible, then 50%
30 Combined visits per benefit year
Home Health 60 visits per benefit year
Skilled Nursing Facility 60 days per benefit year
Hospice 6 months per episode
TransplantsServices must be provided at a BlueChoice HealthPlan participating
facility and covered transplants will be treated the same as any other medical condition.
Annual Benefit Maximum Unlimited
Lifetime Benefit Maximum Unlimited
16
Plans
Benefit Bronze 5002 (In Network Only)
Deductible $5,000
Coinsurance Maximum $6,250
Primary Care Physician Services $50 copayment per visit
Mandated Preventive Services $0 copayment per visit
Specialist Visit $100 copayment per visit
Inpatient Hospital Services $1,000 copayment per admission then deductible, then 20%
Outpatient Hospital Services Deductible, then 20%
Urgent Care $50 copayment per visit
Emergency Room $1,000 copayment per admission then deductible, then 20%
Ambulance $1,000 copayment per admission then deductible, then 20%
Mental Health and Substance Abuse (office services only)
$50 copayment per visit
Gynecologist Exam (One per benefit year)
$0
Routine Screening Mammogram $0
Routine Screening Colonoscopy $0
Prescription Drugs$15 Generic/Deductible, then 20% for non-generic/$0 copayment
for mandated preventive care medication/Mail-order drugs covered at 2 times retail
Specialty Pharmaceuticals Deductible, then 20% for Preferred and Non-Preferred
Pediatric Vision Care
$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.
In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)
Pediatric Dental Services (BlueCross Network)
$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)
$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,
anesthesia, restorations, periodontics and endodontics)
$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]
Durable Medical Equipment $1,000 copayment then deductible, then 20%
Physical Therapy, Speech Therapy, Occupational Therapy
and Habilitation
$1,000 copayment then deductible, then 20%
30 Combined visits per benefit year
Home Health 60 visits per benefit year
Skilled Nursing Facility 60 days per benefit year
Hospice 6 months per episode
TransplantsServices must be provided at a BlueChoice HealthPlan participating
facility and covered transplants will be treated the same as any other medical condition.
Annual Benefit Maximum Unlimited
Lifetime Benefit Maximum Unlimited
17
Plans
Benefit Bronze 6350 (In Network Only)
Deductible $6,350
Coinsurance Maximum $6,350
Primary Care Physician Services $50 copayment per visit
Mandated Preventive Services $0 copayment per visit
Specialist Visit $100 copayment per visit
Inpatient Hospital Services Deductible
Outpatient Hospital Services Deductible
Urgent Care $50 copayment per visit
Emergency Room Deductible
Ambulance Deductible
Mental Health and Substance Abuse (office services only)
Deductible
Gynecologist Exam (One per benefit year)
$0
Routine Screening Mammogram $0
Routine Screening Colonoscopy $0
Prescription DrugsDeductible/$0 copayment for mandated preventive
care medication/Mail-order drugs covered at 2 times retail
Specialty Pharmaceuticals Deductible for Preferred and Non-Preferred
Pediatric Vision Care
$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.
In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)
Pediatric Dental Services (BlueCross Network)
$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)
$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,
anesthesia, restorations, periodontics and endodontics)
$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]
Durable Medical Equipment Deductible
Physical Therapy, Speech Therapy, Occupational Therapy
and Habilitation
Deductible
30 Combined visits per benefit year
Home Health 60 visits per benefit year
Skilled Nursing Facility 60 days per benefit year
Hospice 6 months per episode
TransplantsServices must be provided at a BlueChoice HealthPlan participating
facility and covered transplants will be treated the same as any other medical condition.
Annual Benefit Maximum Unlimited
Lifetime Benefit Maximum Unlimited
18
Plans
Benefit Catastrophic 6351 (In Network Only)
Deductible $6,350
Coinsurance Maximum $6,350
Primary Care Physician Services$25 copayment per visit for first 3 visits;
visits 4 and up; deductible
Mandated Preventive Services $0 copayment per visit
Specialist Visit Deductible
Inpatient Hospital Services Deductible
Outpatient Hospital Services Deductible
Urgent Care Deductible
Emergency Room Deductible
Ambulance Deductible
Mental Health and Substance Abuse (office services only)
Deductible
Gynecologist Exam (One per benefit year)
$0
Routine Screening Mammogram $0
Routine Screening Colonoscopy $0
Prescription DrugsDeductible/$0 copayment for mandated preventive care
medication/Mail-order drugs covered at 2 times retail
Specialty Pharmaceuticals Deductible for Preferred and Non-Preferred
Pediatric Vision Care
$25 copayment for one comprehensive vision exam every benefit year. $50 copayment for one pair of glasses (lenses and frames) up to a $300 value per benefit year.
In lieu of eyeglasses, elective contact lens services and materials are covered monthly (six-month supply) 6 lenses per eye (total 12 lenses)
Pediatric Dental Services (BlueCross Network)
$0 copayment for Class I (oral exams, prophylaxis, fluoride, X-rays, lab and other tests, and sealants for children)
$25 copayment then 30% per service for Class II (emergency palliative, space maintainers, simple extractions, surgical extractions, oral surgery,
anesthesia, restorations, periodontics and endodontics)
$50 copayment then 50% per service for Class III [inlays and crowns, dentures, bridges, repair (simple) and other prosthetics]
Durable Medical Equipment Deductible
Physical Therapy, Speech Therapy, Occupational Therapy
and Habilitation
Deductible
30 Combined visits per benefit year
Home Health 60 visits per benefit year
Skilled Nursing Facility 60 days per benefit year
Hospice 6 months per episode
TransplantsServices must be provided at a BlueChoice HealthPlan participating
facility and covered transplants will be treated the same as any other medical condition.
Annual Benefit Maximum Unlimited
Lifetime Benefit Maximum Unlimited
RatesCounty . . . . . . . . . . . . . . . . . . . . . . . . . . . . PageAbbeville . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Aiken . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21Allendale . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32Anderson . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38Bamberg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21Barnwell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29Beaufort . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25Berkeley . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21Calhoun . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28Charleston . . . . . . . . . . . . . . . . . . . . . . . . . . . 26Cherokee . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Chester . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Chesterfield . . . . . . . . . . . . . . . . . . . . . . . . . . 22Clarendon . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Colleton . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29Darlington . . . . . . . . . . . . . . . . . . . . . . . . . . . 23Dillon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24Dorchester . . . . . . . . . . . . . . . . . . . . . . . . . . . 21Edgefield . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26Fairfield . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Florence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23Georgetown . . . . . . . . . . . . . . . . . . . . . . . . . . 24Greenville . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Greenwood . . . . . . . . . . . . . . . . . . . . . . . . . . 33Hampton . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25Horry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31Jasper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30Kershaw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34Lancaster . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Laurens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Lee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23Lexington . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28McCormick . . . . . . . . . . . . . . . . . . . . . . . . . . . 26Marion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24Marlboro . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23Newberry . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Oconee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37Orangeburg . . . . . . . . . . . . . . . . . . . . . . . . . . 22Pickens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21Richland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36Saluda . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Spartanburg . . . . . . . . . . . . . . . . . . . . . . . . . . 20Sumter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39Union . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27Williamsburg . . . . . . . . . . . . . . . . . . . . . . . . . 35York . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Rates
20
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Abbeville, Greenville, Laurens, Saluda & Spartanburg CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $174.40 $151.12 $145.56 $145.96 $149.35 $145.40 $128.75 $136.64 $125.14 $114.47
21 $274.65 $237.98 $229.24 $229.85 $235.19 $228.97 $202.75 $215.18 $197.08 $180.27
22 $274.65 $237.98 $229.24 $229.85 $235.19 $228.97 $202.75 $215.18 $197.08 $180.27
23 $274.65 $237.98 $229.24 $229.85 $235.19 $228.97 $202.75 $215.18 $197.08 $180.27
24 $274.65 $237.98 $229.24 $229.85 $235.19 $228.97 $202.75 $215.18 $197.08 $180.27
25 $275.74 $238.94 $230.15 $230.77 $236.13 $229.88 $203.56 $216.05 $197.87 $180.99
26 $281.24 $243.70 $234.74 $235.37 $240.84 $234.46 $207.61 $220.35 $201.81 $184.60
27 $287.83 $249.41 $240.24 $240.89 $246.48 $239.96 $212.48 $225.51 $206.54 $188.93
28 $298.54 $258.69 $249.18 $249.85 $255.65 $248.89 $220.39 $233.91 $214.22 $195.96
29 $307.33 $266.30 $256.51 $257.20 $263.18 $256.22 $226.88 $240.79 $220.53 $201.72
30 $311.72 $270.11 $260.18 $260.88 $266.94 $259.88 $230.12 $244.23 $223.68 $204.61
31 $318.31 $275.82 $265.68 $266.40 $272.59 $265.38 $234.99 $249.40 $228.41 $208.94
32 $324.91 $281.54 $271.19 $271.92 $278.23 $270.87 $239.85 $254.56 $233.14 $213.26
33 $329.02 $285.11 $274.62 $275.36 $281.76 $274.30 $242.89 $257.79 $236.10 $215.97
34 $333.42 $288.91 $278.29 $279.04 $285.52 $277.97 $246.14 $261.23 $239.25 $218.85
35 $335.62 $290.82 $280.13 $280.88 $287.40 $279.80 $247.76 $262.96 $240.83 $220.29
36 $337.81 $292.72 $281.96 $282.72 $289.29 $281.63 $249.38 $264.68 $242.41 $221.73
37 $340.01 $294.62 $283.79 $284.56 $291.17 $283.46 $251.00 $266.40 $243.98 $223.18
38 $342.21 $296.53 $285.63 $286.40 $293.05 $285.30 $252.63 $268.12 $245.56 $224.62
39 $346.60 $300.34 $289.29 $290.07 $296.81 $288.96 $255.87 $271.56 $248.71 $227.50
40 $351.00 $304.14 $292.96 $293.75 $300.57 $292.62 $259.11 $275.01 $251.87 $230.39
41 $357.59 $309.86 $298.46 $299.27 $306.22 $298.12 $263.98 $280.17 $256.59 $234.71
42 $363.90 $315.33 $303.74 $304.55 $311.63 $303.38 $268.64 $285.12 $261.13 $238.86
43 $372.69 $322.94 $311.07 $311.91 $319.15 $310.71 $275.13 $292.01 $267.43 $244.63
44 $383.68 $332.46 $320.24 $321.10 $328.56 $319.87 $283.24 $300.61 $275.32 $251.84
45 $396.59 $343.65 $331.02 $331.91 $339.62 $330.63 $292.77 $310.73 $284.58 $260.31
46 $411.97 $356.98 $343.85 $344.78 $352.79 $343.45 $304.12 $322.78 $295.62 $270.41
47 $429.27 $371.97 $358.29 $359.26 $367.60 $357.88 $316.90 $336.33 $308.03 $281.77
48 $449.04 $389.10 $374.80 $375.81 $384.54 $374.36 $331.49 $351.83 $322.22 $294.74
49 $468.54 $406.00 $391.07 $392.13 $401.24 $390.62 $345.89 $367.10 $336.21 $307.54
50 $490.52 $425.04 $409.41 $410.52 $420.05 $408.94 $362.11 $384.32 $351.98 $321.97
51 $512.21 $443.84 $427.52 $428.67 $438.63 $427.03 $378.13 $401.32 $367.55 $336.21
52 $536.11 $464.55 $447.47 $448.67 $459.09 $446.95 $395.77 $420.04 $384.70 $351.89
53 $560.28 $485.49 $467.64 $468.90 $479.79 $467.10 $413.61 $438.98 $402.04 $367.75
54 $586.37 $508.10 $489.42 $490.74 $502.13 $488.85 $432.87 $459.42 $420.76 $384.88
55 $612.46 $530.71 $511.19 $512.57 $524.48 $510.60 $452.13 $479.86 $439.48 $402.01
56 $640.75 $555.22 $534.81 $536.25 $548.70 $534.18 $473.01 $502.03 $459.78 $420.57
57 $669.31 $579.97 $558.65 $560.15 $573.16 $558.00 $494.10 $524.40 $480.28 $439.32
58 $699.80 $606.38 $584.09 $585.66 $599.27 $583.41 $516.60 $548.29 $502.15 $459.33
59 $714.90 $619.47 $596.70 $598.31 $612.20 $596.01 $527.76 $560.13 $512.99 $469.25
60 $745.39 $645.89 $622.14 $623.82 $638.31 $621.42 $550.26 $584.01 $534.87 $489.26
61 $771.75 $668.74 $644.15 $645.89 $660.89 $643.40 $569.72 $604.67 $553.79 $506.56
62 $789.06 $683.73 $658.59 $660.37 $675.71 $657.83 $582.50 $618.23 $566.20 $517.92
63 $810.75 $702.53 $676.70 $678.52 $694.29 $675.92 $598.52 $635.22 $581.77 $532.16
64 $823.93 $713.94 $687.70 $689.55 $705.56 $686.90 $608.24 $645.54 $591.22 $540.81
65+ $823.93 $713.94 $687.70 $689.55 $705.56 $686.90 $608.24 $645.54 $591.22 $540.81
Rates
21
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Aiken, Bamberg, Berkeley, Dorchester and Pickens CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $193.68 $167.82 $161.65 $162.09 $165.85 $161.47 $142.98 $151.74 $138.98 $127.12
21 $305.00 $264.29 $254.57 $255.26 $261.19 $254.28 $225.16 $238.97 $218.86 $200.20
22 $305.00 $264.29 $254.57 $255.26 $261.19 $254.28 $225.16 $238.97 $218.86 $200.20
23 $305.00 $264.29 $254.57 $255.26 $261.19 $254.28 $225.16 $238.97 $218.86 $200.20
24 $305.00 $264.29 $254.57 $255.26 $261.19 $254.28 $225.16 $238.97 $218.86 $200.20
25 $306.22 $265.35 $255.59 $256.28 $262.23 $255.29 $226.06 $239.92 $219.74 $201.00
26 $312.32 $270.63 $260.68 $261.38 $267.45 $260.38 $230.56 $244.70 $224.11 $205.00
27 $319.64 $276.97 $266.79 $267.51 $273.72 $266.48 $235.97 $250.44 $229.37 $209.81
28 $331.54 $287.28 $276.72 $277.46 $283.91 $276.40 $244.75 $259.76 $237.90 $217.61
29 $341.30 $295.74 $284.87 $285.63 $292.27 $284.53 $251.95 $267.41 $244.90 $224.02
30 $346.18 $299.97 $288.94 $289.72 $296.45 $288.60 $255.55 $271.23 $248.41 $227.22
31 $353.50 $306.31 $295.05 $295.84 $302.71 $294.71 $260.96 $276.96 $253.66 $232.03
32 $360.82 $312.65 $301.16 $301.97 $308.98 $300.81 $266.36 $282.70 $258.91 $236.83
33 $365.39 $316.62 $304.98 $305.80 $312.90 $304.62 $269.74 $286.28 $262.19 $239.84
34 $370.27 $320.85 $309.05 $309.88 $317.08 $308.69 $273.34 $290.11 $265.70 $243.04
35 $372.71 $322.96 $311.09 $311.92 $319.17 $310.73 $275.14 $292.02 $267.45 $244.64
36 $375.15 $325.07 $313.12 $313.97 $321.26 $312.76 $276.94 $293.93 $269.20 $246.24
37 $377.59 $327.19 $315.16 $316.01 $323.35 $314.79 $278.75 $295.84 $270.95 $247.84
38 $380.03 $329.30 $317.20 $318.05 $325.44 $316.83 $280.55 $297.75 $272.70 $249.45
39 $384.91 $333.53 $321.27 $322.13 $329.62 $320.90 $284.15 $301.58 $276.20 $252.65
40 $389.79 $337.76 $325.34 $326.22 $333.80 $324.96 $287.75 $305.40 $279.70 $255.85
41 $397.11 $344.10 $331.45 $332.34 $340.06 $331.07 $293.16 $311.14 $284.96 $260.66
42 $404.13 $350.18 $337.31 $338.22 $346.07 $336.92 $298.33 $316.63 $289.99 $265.26
43 $413.89 $358.64 $345.45 $346.38 $354.43 $345.05 $305.54 $324.28 $296.99 $271.67
44 $426.09 $369.21 $355.64 $356.59 $364.88 $355.22 $314.55 $333.84 $305.75 $279.67
45 $440.42 $381.63 $367.60 $368.59 $377.15 $367.17 $325.13 $345.07 $316.03 $289.08
46 $457.50 $396.43 $381.86 $382.89 $391.78 $381.41 $337.74 $358.45 $328.29 $300.30
47 $476.72 $413.08 $397.90 $398.97 $408.23 $397.43 $351.92 $373.51 $342.08 $312.91
48 $498.68 $432.11 $416.22 $417.35 $427.04 $415.74 $368.13 $390.71 $357.84 $327.32
49 $520.33 $450.88 $434.30 $435.47 $445.58 $433.80 $384.12 $407.68 $373.37 $341.54
50 $544.73 $472.02 $454.66 $455.89 $466.48 $454.14 $402.13 $426.80 $390.88 $357.55
51 $568.83 $492.90 $474.78 $476.05 $487.11 $474.22 $419.92 $445.68 $408.17 $373.37
52 $595.36 $515.89 $496.92 $498.26 $509.84 $496.35 $439.51 $466.47 $427.21 $390.78
53 $622.20 $539.15 $519.33 $520.72 $532.82 $518.72 $459.32 $487.49 $446.47 $408.40
54 $651.18 $564.25 $543.51 $544.97 $557.63 $542.88 $480.71 $510.20 $467.27 $427.42
55 $680.15 $589.36 $567.69 $569.22 $582.45 $567.04 $502.10 $532.90 $488.06 $446.44
56 $711.57 $616.58 $593.92 $595.52 $609.35 $593.23 $525.29 $557.51 $510.60 $467.06
57 $743.29 $644.07 $620.39 $622.06 $636.51 $619.67 $548.71 $582.37 $533.36 $487.88
58 $777.14 $673.41 $648.65 $650.40 $665.50 $647.90 $573.70 $608.89 $557.65 $510.10
59 $793.92 $687.94 $662.65 $664.43 $679.87 $661.88 $586.09 $622.03 $569.69 $521.11
60 $827.77 $717.28 $690.91 $692.77 $708.86 $690.11 $611.08 $648.56 $593.99 $543.33
61 $857.05 $742.65 $715.35 $717.27 $733.93 $714.52 $632.69 $671.50 $615.00 $562.55
62 $876.27 $759.30 $731.38 $733.35 $750.39 $730.54 $646.88 $686.56 $628.78 $575.17
63 $900.36 $780.18 $751.50 $753.52 $771.02 $750.62 $664.67 $705.43 $646.07 $590.98
64 $914.99 $792.85 $763.70 $765.76 $783.55 $762.82 $675.46 $716.89 $656.57 $600.58
65+ $914.99 $792.85 $763.70 $765.76 $783.55 $762.82 $675.46 $716.89 $656.57 $600.58
Rates
22
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Cherokee, Chester, Chesterfield, Clarendon, Fairfield, Lancaster, Newberry & Orangeburg CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $182.66 $158.28 $152.46 $152.87 $156.42 $152.28 $134.84 $143.11 $131.07 $119.90
21 $287.65 $249.26 $240.09 $240.74 $246.33 $239.81 $212.35 $225.38 $206.41 $188.81
22 $287.65 $249.26 $240.09 $240.74 $246.33 $239.81 $212.35 $225.38 $206.41 $188.81
23 $287.65 $249.26 $240.09 $240.74 $246.33 $239.81 $212.35 $225.38 $206.41 $188.81
24 $287.65 $249.26 $240.09 $240.74 $246.33 $239.81 $212.35 $225.38 $206.41 $188.81
25 $288.81 $250.25 $241.05 $241.70 $247.32 $240.77 $213.20 $226.28 $207.24 $189.57
26 $294.56 $255.24 $245.86 $246.52 $252.24 $245.57 $217.45 $230.79 $211.37 $193.34
27 $301.46 $261.22 $251.62 $252.30 $258.16 $251.33 $222.55 $236.20 $216.32 $197.87
28 $312.68 $270.94 $260.98 $261.68 $267.76 $260.68 $230.83 $244.99 $224.37 $205.24
29 $321.89 $278.92 $268.66 $269.39 $275.65 $268.35 $237.62 $252.20 $230.98 $211.28
30 $326.49 $282.91 $272.51 $273.24 $279.59 $272.19 $241.02 $255.80 $234.28 $214.30
31 $333.39 $288.89 $278.27 $279.02 $285.50 $277.95 $246.12 $261.21 $239.23 $218.83
32 $340.30 $294.87 $284.03 $284.80 $291.41 $283.70 $251.21 $266.62 $244.19 $223.36
33 $344.61 $298.61 $287.63 $288.41 $295.11 $287.30 $254.40 $270.00 $247.28 $226.20
34 $349.21 $302.60 $291.47 $292.26 $299.05 $291.14 $257.80 $273.61 $250.59 $229.22
35 $351.51 $304.59 $293.39 $294.18 $301.02 $293.05 $259.50 $275.41 $252.24 $230.73
36 $353.82 $306.59 $295.32 $296.11 $302.99 $294.97 $261.19 $277.21 $253.89 $232.24
37 $356.12 $308.58 $297.24 $298.04 $304.96 $296.89 $262.89 $279.02 $255.54 $233.75
38 $358.42 $310.57 $299.16 $299.96 $306.93 $298.81 $264.59 $280.82 $257.19 $235.26
39 $363.02 $314.56 $303.00 $303.81 $310.87 $302.65 $267.99 $284.43 $260.49 $238.28
40 $367.62 $318.55 $306.84 $307.67 $314.81 $306.48 $271.39 $288.03 $263.80 $241.30
41 $374.53 $324.53 $312.60 $313.44 $320.72 $312.24 $276.48 $293.44 $268.75 $245.83
42 $381.14 $330.27 $318.12 $318.98 $326.39 $317.75 $281.37 $298.63 $273.50 $250.17
43 $390.35 $338.24 $325.81 $326.68 $334.27 $325.43 $288.16 $305.84 $280.10 $256.22
44 $401.85 $348.21 $335.41 $336.31 $344.13 $335.02 $296.66 $314.85 $288.36 $263.77
45 $415.37 $359.93 $346.70 $347.63 $355.70 $346.29 $306.64 $325.45 $298.06 $272.64
46 $431.48 $373.89 $360.14 $361.11 $369.50 $359.72 $318.53 $338.07 $309.62 $283.22
47 $449.60 $389.59 $375.27 $376.28 $385.02 $374.83 $331.91 $352.26 $322.62 $295.11
48 $470.32 $407.54 $392.55 $393.61 $402.75 $392.10 $347.20 $368.49 $337.48 $308.71
49 $490.74 $425.23 $409.60 $410.70 $420.24 $409.12 $362.27 $384.49 $352.14 $322.11
50 $513.75 $445.17 $428.81 $429.96 $439.95 $428.31 $379.26 $402.52 $368.65 $337.22
51 $536.48 $464.87 $447.77 $448.98 $459.41 $447.25 $396.04 $420.33 $384.96 $352.13
52 $561.50 $486.55 $468.66 $469.92 $480.84 $468.12 $414.51 $439.94 $402.92 $368.56
53 $586.82 $508.49 $489.79 $491.11 $502.52 $489.22 $433.20 $459.77 $421.08 $385.17
54 $614.14 $532.16 $512.60 $513.98 $525.92 $512.00 $453.37 $481.18 $440.69 $403.11
55 $641.47 $555.84 $535.41 $536.85 $549.32 $534.79 $473.55 $502.59 $460.30 $421.05
56 $671.10 $581.52 $560.14 $561.65 $574.69 $559.49 $495.42 $525.81 $481.56 $440.50
57 $701.01 $607.44 $585.11 $586.68 $600.31 $584.43 $517.50 $549.24 $503.03 $460.13
58 $732.94 $635.11 $611.76 $613.41 $627.65 $611.05 $541.08 $574.26 $525.94 $481.09
59 $748.76 $648.82 $624.96 $626.65 $641.20 $624.24 $552.75 $586.66 $537.29 $491.48
60 $780.69 $676.48 $651.61 $653.37 $668.55 $650.86 $576.33 $611.67 $560.20 $512.43
61 $808.31 $700.41 $674.66 $676.48 $692.19 $673.88 $596.71 $633.31 $580.02 $530.56
62 $826.43 $716.12 $689.79 $691.65 $707.71 $688.99 $610.09 $647.51 $593.02 $542.45
63 $849.16 $735.81 $708.76 $710.67 $727.17 $707.93 $626.87 $665.31 $609.33 $557.37
64 $862.95 $747.76 $720.27 $722.21 $738.99 $719.43 $637.05 $676.12 $619.23 $566.42
65+ $862.95 $747.76 $720.27 $722.21 $738.99 $719.43 $637.05 $676.12 $619.23 $566.42
Rates
23
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Darlington, Florence, Lee, & Marlboro CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $183.12 $158.68 $152.84 $153.25 $156.81 $152.67 $135.18 $143.47 $131.40 $120.20
21 $288.38 $249.88 $240.70 $241.35 $246.95 $240.42 $212.89 $225.94 $206.93 $189.29
22 $288.38 $249.88 $240.70 $241.35 $246.95 $240.42 $212.89 $225.94 $206.93 $189.29
23 $288.38 $249.88 $240.70 $241.35 $246.95 $240.42 $212.89 $225.94 $206.93 $189.29
24 $288.38 $249.88 $240.70 $241.35 $246.95 $240.42 $212.89 $225.94 $206.93 $189.29
25 $289.53 $250.88 $241.66 $242.31 $247.94 $241.38 $213.74 $226.85 $207.76 $190.04
26 $295.30 $255.88 $246.47 $247.14 $252.88 $246.19 $218.00 $231.37 $211.90 $193.83
27 $302.22 $261.88 $252.25 $252.93 $258.80 $251.96 $223.10 $236.79 $216.86 $198.37
28 $313.47 $271.62 $261.64 $262.34 $268.44 $261.33 $231.41 $245.60 $224.93 $205.75
29 $322.69 $279.62 $269.34 $270.07 $276.34 $269.03 $238.22 $252.83 $231.56 $211.81
30 $327.31 $283.62 $273.19 $273.93 $280.29 $272.87 $241.63 $256.45 $234.87 $214.84
31 $334.23 $289.62 $278.97 $279.72 $286.22 $278.64 $246.74 $261.87 $239.83 $219.38
32 $341.15 $295.61 $284.74 $285.51 $292.14 $284.41 $251.84 $267.29 $244.80 $223.92
33 $345.48 $299.36 $288.35 $289.13 $295.85 $288.02 $255.04 $270.68 $247.90 $226.76
34 $350.09 $303.36 $292.21 $292.99 $299.80 $291.87 $258.44 $274.30 $251.21 $229.79
35 $352.40 $305.36 $294.13 $294.92 $301.77 $293.79 $260.15 $276.10 $252.87 $231.31
36 $354.70 $307.36 $296.06 $296.85 $303.75 $295.71 $261.85 $277.91 $254.53 $232.82
37 $357.01 $309.36 $297.98 $298.79 $305.73 $297.64 $263.55 $279.72 $256.18 $234.34
38 $359.32 $311.36 $299.91 $300.72 $307.70 $299.56 $265.26 $281.53 $257.84 $235.85
39 $363.93 $315.35 $303.76 $304.58 $311.65 $303.41 $268.66 $285.14 $261.15 $238.88
40 $368.55 $319.35 $307.61 $308.44 $315.60 $307.25 $272.07 $288.76 $264.46 $241.91
41 $375.47 $325.35 $313.39 $314.23 $321.53 $313.02 $277.18 $294.18 $269.42 $246.45
42 $382.10 $331.10 $318.92 $319.78 $327.21 $318.55 $282.07 $299.38 $274.18 $250.80
43 $391.33 $339.09 $326.63 $327.51 $335.11 $326.25 $288.89 $306.61 $280.81 $256.86
44 $402.86 $349.09 $336.25 $337.16 $344.99 $335.86 $297.40 $315.64 $289.08 $264.43
45 $416.42 $360.83 $347.57 $348.50 $356.60 $347.16 $307.41 $326.26 $298.81 $273.33
46 $432.57 $374.83 $361.05 $362.02 $370.43 $360.63 $319.33 $338.92 $310.40 $283.93
47 $450.73 $390.57 $376.21 $377.22 $385.98 $375.77 $332.74 $353.15 $323.43 $295.85
48 $471.50 $408.56 $393.54 $394.60 $403.77 $393.08 $348.07 $369.42 $338.33 $309.48
49 $491.97 $426.30 $410.63 $411.73 $421.30 $410.15 $363.18 $385.46 $353.02 $322.92
50 $515.04 $446.29 $429.88 $431.04 $441.05 $429.39 $380.22 $403.54 $369.58 $338.06
51 $537.82 $466.03 $448.90 $450.11 $460.56 $448.38 $397.03 $421.39 $385.93 $353.02
52 $562.91 $487.77 $469.84 $471.11 $482.05 $469.29 $415.55 $441.04 $403.93 $369.49
53 $588.29 $509.76 $491.02 $492.34 $503.78 $490.45 $434.29 $460.93 $422.14 $386.14
54 $615.69 $533.50 $513.89 $515.27 $527.24 $513.29 $454.51 $482.39 $441.80 $404.12
55 $643.08 $557.24 $536.75 $538.20 $550.70 $536.13 $474.74 $503.85 $461.46 $422.11
56 $672.78 $582.98 $561.55 $563.06 $576.14 $560.89 $496.66 $527.13 $482.77 $441.60
57 $702.78 $608.97 $586.58 $588.16 $601.82 $585.90 $518.80 $550.62 $504.29 $461.29
58 $734.79 $636.70 $613.30 $614.95 $629.23 $612.58 $542.43 $575.70 $527.26 $482.30
59 $750.65 $650.45 $626.53 $628.22 $642.81 $625.81 $554.14 $588.13 $538.64 $492.71
60 $782.66 $678.18 $653.25 $655.01 $670.23 $652.49 $577.77 $613.21 $561.61 $513.72
61 $810.34 $702.17 $676.36 $678.18 $693.93 $675.57 $598.21 $634.90 $581.48 $531.89
62 $828.51 $717.92 $691.52 $693.38 $709.49 $690.72 $611.62 $649.14 $594.51 $543.82
63 $851.29 $737.66 $710.54 $712.45 $729.00 $709.71 $628.44 $666.99 $610.86 $558.77
64 $865.12 $749.64 $722.08 $724.03 $740.84 $721.24 $638.65 $677.82 $620.78 $567.85
65+ $865.12 $749.64 $722.08 $724.03 $740.84 $721.24 $638.65 $677.82 $620.78 $567.85
Rates
24
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Dillon, Georgetown & Marion CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $192.30 $166.63 $160.50 $160.94 $164.67 $160.32 $141.96 $150.67 $137.99 $126.22
21 $302.83 $262.41 $252.76 $253.44 $259.33 $252.47 $223.56 $237.27 $217.30 $198.77
22 $302.83 $262.41 $252.76 $253.44 $259.33 $252.47 $223.56 $237.27 $217.30 $198.77
23 $302.83 $262.41 $252.76 $253.44 $259.33 $252.47 $223.56 $237.27 $217.30 $198.77
24 $302.83 $262.41 $252.76 $253.44 $259.33 $252.47 $223.56 $237.27 $217.30 $198.77
25 $304.04 $263.46 $253.77 $254.46 $260.37 $253.48 $224.45 $238.22 $218.17 $199.57
26 $310.10 $268.71 $258.83 $259.53 $265.55 $258.53 $228.92 $242.96 $222.52 $203.54
27 $317.37 $275.00 $264.89 $265.61 $271.78 $264.59 $234.29 $248.66 $227.73 $208.31
28 $329.18 $285.24 $274.75 $275.49 $281.89 $274.43 $243.01 $257.91 $236.21 $216.07
29 $338.87 $293.64 $282.84 $283.60 $290.19 $282.51 $250.16 $265.50 $243.16 $222.43
30 $343.71 $297.83 $286.88 $287.66 $294.34 $286.55 $253.74 $269.30 $246.64 $225.61
31 $350.98 $304.13 $292.95 $293.74 $300.56 $292.61 $259.10 $275.00 $251.86 $230.38
32 $358.25 $310.43 $299.02 $299.82 $306.79 $298.67 $264.47 $280.69 $257.07 $235.15
33 $362.79 $314.37 $302.81 $303.62 $310.68 $302.46 $267.82 $284.25 $260.33 $238.13
34 $367.64 $318.56 $306.85 $307.68 $314.83 $306.50 $271.40 $288.04 $263.81 $241.31
35 $370.06 $320.66 $308.87 $309.71 $316.90 $308.52 $273.19 $289.94 $265.55 $242.90
36 $372.48 $322.76 $310.90 $311.73 $318.98 $310.54 $274.98 $291.84 $267.28 $244.49
37 $374.91 $324.86 $312.92 $313.76 $321.05 $312.56 $276.76 $293.74 $269.02 $246.08
38 $377.33 $326.96 $314.94 $315.79 $323.12 $314.58 $278.55 $295.64 $270.76 $247.67
39 $382.17 $331.16 $318.99 $319.84 $327.27 $318.62 $282.13 $299.43 $274.24 $250.85
40 $387.02 $335.36 $323.03 $323.90 $331.42 $322.65 $285.71 $303.23 $277.71 $254.03
41 $394.29 $341.66 $329.10 $329.98 $337.65 $328.71 $291.07 $308.92 $282.93 $258.80
42 $401.25 $347.69 $334.91 $335.81 $343.61 $334.52 $296.21 $314.38 $287.93 $263.38
43 $410.94 $356.09 $343.00 $343.92 $351.91 $342.60 $303.37 $321.97 $294.88 $269.74
44 $423.06 $366.59 $353.11 $354.06 $362.28 $352.70 $312.31 $331.47 $303.57 $277.69
45 $437.29 $378.92 $364.99 $365.97 $374.47 $364.56 $322.82 $342.62 $313.79 $287.03
46 $454.25 $393.61 $379.14 $380.16 $388.99 $378.70 $335.34 $355.90 $325.96 $298.16
47 $473.33 $410.15 $395.07 $396.13 $405.33 $394.61 $349.42 $370.85 $339.65 $310.68
48 $495.13 $429.04 $413.27 $414.38 $424.00 $412.79 $365.52 $387.94 $355.29 $324.99
49 $516.63 $447.67 $431.21 $432.37 $442.42 $430.71 $381.39 $404.78 $370.72 $339.11
50 $540.86 $468.66 $451.43 $452.65 $463.16 $450.91 $399.27 $423.76 $388.10 $355.01
51 $564.78 $489.39 $471.40 $472.67 $483.65 $470.85 $416.93 $442.51 $405.27 $370.71
52 $591.13 $512.22 $493.39 $494.72 $506.21 $492.82 $436.38 $463.15 $424.18 $388.01
53 $617.78 $535.31 $515.63 $517.02 $529.03 $515.04 $456.06 $484.03 $443.30 $405.50
54 $646.55 $560.24 $539.65 $541.10 $553.67 $539.02 $477.30 $506.57 $463.94 $424.38
55 $675.32 $585.17 $563.66 $565.18 $578.30 $563.00 $498.53 $529.11 $484.59 $443.27
56 $706.51 $612.20 $589.69 $591.28 $605.02 $589.01 $521.56 $553.55 $506.97 $463.74
57 $738.00 $639.49 $615.98 $617.64 $631.99 $615.27 $544.81 $578.23 $529.57 $484.41
58 $771.62 $668.62 $644.04 $645.77 $660.77 $643.29 $569.62 $604.56 $553.69 $506.48
59 $788.27 $683.05 $657.94 $659.71 $675.03 $657.18 $581.92 $617.61 $565.64 $517.41
60 $821.89 $712.18 $686.00 $687.84 $703.82 $685.20 $606.73 $643.95 $589.76 $539.47
61 $850.96 $737.37 $710.26 $712.17 $728.72 $709.44 $628.20 $666.73 $610.62 $558.55
62 $870.04 $753.90 $726.18 $728.14 $745.05 $725.34 $642.28 $681.67 $624.31 $571.08
63 $893.96 $774.63 $746.15 $748.16 $765.54 $745.29 $659.94 $700.42 $641.48 $586.78
64 $908.49 $787.22 $758.28 $760.32 $777.98 $757.40 $670.66 $711.80 $651.90 $596.31
65+ $908.49 $787.22 $758.28 $760.32 $777.98 $757.40 $670.66 $711.80 $651.90 $596.31
Rates
25
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Beaufort & Hampton CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $173.94 $150.72 $145.18 $145.57 $148.95 $145.01 $128.41 $136.28 $124.81 $114.17
21 $273.92 $237.36 $228.63 $229.25 $234.57 $228.37 $202.22 $214.62 $196.56 $179.80
22 $273.92 $237.36 $228.63 $229.25 $234.57 $228.37 $202.22 $214.62 $196.56 $179.80
23 $273.92 $237.36 $228.63 $229.25 $234.57 $228.37 $202.22 $214.62 $196.56 $179.80
24 $273.92 $237.36 $228.63 $229.25 $234.57 $228.37 $202.22 $214.62 $196.56 $179.80
25 $275.02 $238.31 $229.55 $230.16 $235.51 $229.28 $203.02 $215.48 $197.35 $180.52
26 $280.50 $243.05 $234.12 $234.75 $240.20 $233.85 $207.07 $219.77 $201.28 $184.11
27 $287.07 $248.75 $239.61 $240.25 $245.83 $239.33 $211.92 $224.92 $205.99 $188.43
28 $297.75 $258.01 $248.52 $249.19 $254.98 $248.23 $219.81 $233.29 $213.66 $195.44
29 $306.52 $265.60 $255.84 $256.53 $262.49 $255.54 $226.28 $240.16 $219.95 $201.19
30 $310.90 $269.40 $259.50 $260.20 $266.24 $259.20 $229.51 $243.59 $223.09 $204.07
31 $317.48 $275.10 $264.98 $265.70 $271.87 $264.68 $234.37 $248.74 $227.81 $208.39
32 $324.05 $280.79 $270.47 $271.20 $277.50 $270.16 $239.22 $253.89 $232.53 $212.70
33 $328.16 $284.36 $273.90 $274.64 $281.02 $273.58 $242.25 $257.11 $235.48 $215.40
34 $332.54 $288.15 $277.56 $278.31 $284.77 $277.24 $245.49 $260.55 $238.62 $218.27
35 $334.73 $290.05 $279.39 $280.14 $286.65 $279.06 $247.11 $262.26 $240.19 $219.71
36 $336.92 $291.95 $281.22 $281.97 $288.52 $280.89 $248.73 $263.98 $241.77 $221.15
37 $339.12 $293.85 $283.05 $283.81 $290.40 $282.72 $250.34 $265.70 $243.34 $222.59
38 $341.31 $295.75 $284.88 $285.64 $292.28 $284.54 $251.96 $267.41 $244.91 $224.03
39 $345.69 $299.55 $288.53 $289.31 $296.03 $288.20 $255.20 $270.85 $248.06 $226.90
40 $350.07 $303.34 $292.19 $292.98 $299.78 $291.85 $258.43 $274.28 $251.20 $229.78
41 $356.65 $309.04 $297.68 $298.48 $305.41 $297.33 $263.28 $279.43 $255.92 $234.10
42 $362.95 $314.50 $302.94 $303.75 $310.81 $302.59 $267.94 $284.37 $260.44 $238.23
43 $371.71 $322.10 $310.25 $311.09 $318.31 $309.89 $274.41 $291.24 $266.73 $243.99
44 $382.67 $331.59 $319.40 $320.26 $327.70 $319.03 $282.49 $299.82 $274.59 $251.18
45 $395.54 $342.75 $330.14 $331.03 $338.72 $329.76 $292.00 $309.91 $283.83 $259.63
46 $410.88 $356.04 $342.95 $343.87 $351.86 $342.55 $303.32 $321.93 $294.84 $269.70
47 $428.14 $370.99 $357.35 $358.31 $366.64 $356.94 $316.06 $335.45 $307.22 $281.02
48 $447.86 $388.08 $373.81 $374.82 $383.53 $373.38 $330.62 $350.90 $321.37 $293.97
49 $467.31 $404.93 $390.05 $391.10 $400.18 $389.59 $344.98 $366.14 $335.33 $306.73
50 $489.23 $423.92 $408.34 $409.44 $418.95 $407.86 $361.16 $383.31 $351.05 $321.12
51 $510.86 $442.67 $426.40 $427.55 $437.48 $425.90 $377.13 $400.26 $366.58 $335.32
52 $534.70 $463.32 $446.29 $447.49 $457.89 $445.77 $394.72 $418.93 $383.68 $350.96
53 $558.80 $484.21 $466.41 $467.67 $478.53 $465.87 $412.52 $437.82 $400.98 $366.79
54 $584.82 $506.76 $488.13 $489.44 $500.81 $487.56 $431.73 $458.21 $419.65 $383.87
55 $610.85 $529.31 $509.85 $511.22 $523.10 $509.26 $450.94 $478.60 $438.33 $400.95
56 $639.06 $553.76 $533.40 $534.83 $547.26 $532.78 $471.77 $500.70 $458.57 $419.47
57 $667.55 $578.44 $557.18 $558.68 $571.65 $556.53 $492.80 $523.02 $479.01 $438.17
58 $697.95 $604.79 $582.55 $584.12 $597.69 $581.88 $515.24 $546.85 $500.83 $458.12
59 $713.02 $617.84 $595.13 $596.73 $610.59 $594.44 $526.37 $558.65 $511.64 $468.01
60 $743.42 $644.19 $620.51 $622.18 $636.63 $619.79 $548.81 $582.47 $533.46 $487.97
61 $769.72 $666.98 $642.46 $644.19 $659.15 $641.71 $568.23 $603.08 $552.33 $505.23
62 $786.98 $681.93 $656.86 $658.63 $673.93 $656.10 $580.96 $616.60 $564.71 $516.56
63 $808.62 $700.68 $674.92 $676.74 $692.46 $674.14 $596.94 $633.55 $580.24 $530.76
64 $821.76 $712.06 $685.89 $687.73 $703.71 $685.09 $606.64 $643.84 $589.67 $539.38
65+ $821.76 $712.06 $685.89 $687.73 $703.71 $685.09 $606.64 $643.84 $589.67 $539.38
Rates
26
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Charleston, Edgefield & McCormick CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $184.04 $159.47 $153.61 $154.02 $157.60 $153.43 $135.86 $144.19 $132.06 $120.80
21 $289.82 $251.14 $241.90 $242.55 $248.19 $241.62 $213.95 $227.08 $207.97 $190.23
22 $289.82 $251.14 $241.90 $242.55 $248.19 $241.62 $213.95 $227.08 $207.97 $190.23
23 $289.82 $251.14 $241.90 $242.55 $248.19 $241.62 $213.95 $227.08 $207.97 $190.23
24 $289.82 $251.14 $241.90 $242.55 $248.19 $241.62 $213.95 $227.08 $207.97 $190.23
25 $290.98 $252.14 $242.87 $243.53 $249.18 $242.59 $214.81 $227.98 $208.80 $191.00
26 $296.78 $257.16 $247.71 $248.38 $254.15 $247.42 $219.09 $232.53 $212.96 $194.80
27 $303.73 $263.19 $253.51 $254.20 $260.10 $253.22 $224.22 $237.98 $217.95 $199.37
28 $315.04 $272.99 $262.95 $263.66 $269.78 $262.64 $232.57 $246.83 $226.06 $206.78
29 $324.31 $281.02 $270.69 $271.42 $277.72 $270.38 $239.41 $254.10 $232.72 $212.87
30 $328.95 $285.04 $274.56 $275.30 $281.69 $274.24 $242.84 $257.73 $236.04 $215.92
31 $335.90 $291.07 $280.37 $281.12 $287.65 $280.04 $247.97 $263.18 $241.04 $220.48
32 $342.86 $297.09 $286.17 $286.94 $293.61 $285.84 $253.11 $268.63 $246.03 $225.05
33 $347.21 $300.86 $289.80 $290.58 $297.33 $289.46 $256.32 $272.04 $249.15 $227.90
34 $351.84 $304.88 $293.67 $294.46 $301.30 $293.33 $259.74 $275.67 $252.47 $230.94
35 $354.16 $306.89 $295.61 $296.40 $303.29 $295.26 $261.45 $277.49 $254.14 $232.47
36 $356.48 $308.90 $297.54 $298.34 $305.27 $297.20 $263.16 $279.30 $255.80 $233.99
37 $358.80 $310.91 $299.48 $300.28 $307.26 $299.13 $264.87 $281.12 $257.47 $235.51
38 $361.12 $312.92 $301.41 $302.22 $309.24 $301.06 $266.59 $282.94 $259.13 $237.03
39 $365.76 $316.93 $305.28 $306.10 $313.21 $304.93 $270.01 $286.57 $262.46 $240.08
40 $370.39 $320.95 $309.15 $309.99 $317.19 $308.79 $273.43 $290.20 $265.78 $243.12
41 $377.35 $326.98 $314.96 $315.81 $323.14 $314.59 $278.57 $295.65 $270.78 $247.69
42 $384.02 $332.76 $320.52 $321.39 $328.85 $320.15 $283.49 $300.88 $275.56 $252.06
43 $393.29 $340.79 $328.26 $329.15 $336.79 $327.88 $290.33 $308.14 $282.21 $258.15
44 $404.88 $350.84 $337.94 $338.85 $346.72 $337.55 $298.89 $317.23 $290.53 $265.76
45 $418.50 $362.64 $349.31 $350.25 $358.38 $348.90 $308.95 $327.90 $300.31 $274.70
46 $434.73 $376.70 $362.85 $363.83 $372.28 $362.43 $320.93 $340.61 $311.95 $285.35
47 $452.99 $392.53 $378.09 $379.11 $387.92 $377.66 $334.41 $354.92 $325.05 $297.34
48 $473.86 $410.61 $395.51 $396.58 $405.79 $395.05 $349.81 $371.27 $340.03 $311.03
49 $494.44 $428.44 $412.69 $413.80 $423.41 $412.21 $365.00 $387.39 $354.79 $324.54
50 $517.62 $448.53 $432.04 $433.20 $443.27 $431.54 $382.12 $405.56 $371.43 $339.76
51 $540.52 $468.37 $451.15 $452.36 $462.87 $450.63 $399.02 $423.50 $387.86 $354.79
52 $565.73 $490.22 $472.20 $473.47 $484.46 $471.65 $417.64 $443.25 $405.95 $371.34
53 $591.24 $512.32 $493.48 $494.81 $506.31 $492.91 $436.47 $463.24 $424.26 $388.08
54 $618.77 $536.18 $516.46 $517.85 $529.88 $515.86 $456.79 $484.81 $444.01 $406.15
55 $646.30 $560.03 $539.44 $540.90 $553.46 $538.82 $477.12 $506.38 $463.77 $424.22
56 $676.16 $585.90 $564.36 $565.88 $579.02 $563.71 $499.15 $529.77 $485.19 $443.82
57 $706.30 $612.02 $589.52 $591.11 $604.84 $588.83 $521.40 $553.38 $506.82 $463.60
58 $738.47 $639.90 $616.37 $618.03 $632.39 $615.65 $545.15 $578.59 $529.90 $484.72
59 $754.41 $653.71 $629.67 $631.37 $646.04 $628.94 $556.92 $591.08 $541.34 $495.18
60 $786.58 $681.58 $656.53 $658.29 $673.58 $655.76 $580.67 $616.29 $564.43 $516.30
61 $814.40 $705.69 $679.75 $681.58 $697.41 $678.96 $601.21 $638.08 $584.39 $534.56
62 $832.66 $721.51 $694.99 $696.86 $713.05 $694.18 $614.69 $652.39 $597.49 $546.54
63 $855.56 $741.35 $714.10 $716.02 $732.65 $713.27 $631.59 $670.33 $613.92 $561.57
64 $869.46 $753.40 $725.70 $727.65 $744.56 $724.86 $641.85 $681.22 $623.90 $570.69
65+ $869.46 $753.40 $725.70 $727.65 $744.56 $724.86 $641.85 $681.22 $623.90 $570.69
Rates
27
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Union & York CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $177.61 $153.90 $148.25 $148.65 $152.10 $148.07 $131.12 $139.16 $127.45 $116.58
21 $279.70 $242.37 $233.46 $234.09 $239.52 $233.19 $206.48 $219.15 $200.71 $183.59
22 $279.70 $242.37 $233.46 $234.09 $239.52 $233.19 $206.48 $219.15 $200.71 $183.59
23 $279.70 $242.37 $233.46 $234.09 $239.52 $233.19 $206.48 $219.15 $200.71 $183.59
24 $279.70 $242.37 $233.46 $234.09 $239.52 $233.19 $206.48 $219.15 $200.71 $183.59
25 $280.82 $243.34 $234.39 $235.02 $240.48 $234.12 $207.31 $220.03 $201.51 $184.33
26 $286.42 $248.19 $239.06 $239.70 $245.27 $238.78 $211.44 $224.41 $205.52 $188.00
27 $293.13 $254.00 $244.66 $245.32 $251.02 $244.38 $216.40 $229.67 $210.34 $192.41
28 $304.04 $263.45 $253.77 $254.45 $260.36 $253.47 $224.45 $238.21 $218.17 $199.57
29 $312.99 $271.21 $261.24 $261.94 $268.03 $260.94 $231.06 $245.23 $224.59 $205.44
30 $317.46 $275.09 $264.97 $265.69 $271.86 $264.67 $234.36 $248.73 $227.80 $208.38
31 $324.18 $280.91 $270.58 $271.31 $277.61 $270.26 $239.31 $253.99 $232.62 $212.78
32 $330.89 $286.72 $276.18 $276.92 $283.36 $275.86 $244.27 $259.25 $237.44 $217.19
33 $335.09 $290.36 $279.68 $280.44 $286.95 $279.36 $247.37 $262.54 $240.45 $219.94
34 $339.56 $294.24 $283.42 $284.18 $290.78 $283.09 $250.67 $266.05 $243.66 $222.88
35 $341.80 $296.17 $285.29 $286.05 $292.70 $284.95 $252.32 $267.80 $245.27 $224.35
36 $344.04 $298.11 $287.15 $287.93 $294.61 $286.82 $253.98 $269.55 $246.87 $225.82
37 $346.27 $300.05 $289.02 $289.80 $296.53 $288.69 $255.63 $271.31 $248.48 $227.29
38 $348.51 $301.99 $290.89 $291.67 $298.45 $290.55 $257.28 $273.06 $250.08 $228.76
39 $352.99 $305.87 $294.62 $295.42 $302.28 $294.28 $260.58 $276.57 $253.29 $231.69
40 $357.46 $309.75 $298.36 $299.16 $306.11 $298.01 $263.89 $280.07 $256.50 $234.63
41 $364.17 $315.56 $303.96 $304.78 $311.86 $303.61 $268.84 $285.33 $261.32 $239.04
42 $370.61 $321.14 $309.33 $310.16 $317.37 $308.97 $273.59 $290.37 $265.94 $243.26
43 $379.56 $328.89 $316.80 $317.66 $325.03 $316.43 $280.20 $297.38 $272.36 $249.14
44 $390.75 $338.59 $326.14 $327.02 $334.61 $325.76 $288.46 $306.15 $280.39 $256.48
45 $403.89 $349.98 $337.11 $338.02 $345.87 $336.72 $298.16 $316.45 $289.82 $265.11
46 $419.56 $363.55 $350.19 $351.13 $359.29 $349.78 $309.73 $328.72 $301.06 $275.39
47 $437.18 $378.82 $364.89 $365.88 $374.38 $364.47 $322.73 $342.53 $313.71 $286.96
48 $457.32 $396.27 $381.70 $382.73 $391.62 $381.26 $337.60 $358.31 $328.16 $300.17
49 $477.18 $413.48 $398.28 $399.35 $408.63 $397.82 $352.26 $373.87 $342.41 $313.21
50 $499.55 $432.87 $416.96 $418.08 $427.79 $416.47 $368.78 $391.40 $358.46 $327.90
51 $521.65 $452.02 $435.40 $436.57 $446.71 $434.89 $385.09 $408.71 $374.32 $342.40
52 $545.98 $473.10 $455.71 $456.94 $467.55 $455.18 $403.06 $427.78 $391.78 $358.37
53 $570.60 $494.43 $476.25 $477.54 $488.63 $475.70 $421.23 $447.06 $409.44 $374.53
54 $597.17 $517.46 $498.43 $499.77 $511.38 $497.85 $440.84 $467.88 $428.51 $391.97
55 $623.74 $540.48 $520.61 $522.01 $534.14 $520.01 $460.46 $488.70 $447.58 $409.41
56 $652.55 $565.45 $544.66 $546.12 $558.81 $544.02 $481.73 $511.27 $468.25 $428.32
57 $681.64 $590.65 $568.94 $570.47 $583.72 $568.28 $503.20 $534.06 $489.13 $447.42
58 $712.69 $617.55 $594.85 $596.45 $610.31 $594.16 $526.12 $558.39 $511.40 $467.79
59 $728.07 $630.89 $607.69 $609.33 $623.48 $606.99 $537.48 $570.44 $522.44 $477.89
60 $759.12 $657.79 $633.60 $635.31 $650.07 $632.87 $560.40 $594.77 $544.72 $498.27
61 $785.97 $681.06 $656.02 $657.78 $673.06 $655.26 $580.22 $615.81 $563.99 $515.90
62 $803.59 $696.32 $670.72 $672.53 $688.15 $669.95 $593.23 $629.61 $576.63 $527.46
63 $825.69 $715.47 $689.17 $691.02 $707.07 $688.37 $609.54 $646.93 $592.49 $541.97
64 $839.10 $727.10 $700.36 $702.25 $718.56 $699.55 $619.44 $657.44 $602.11 $550.77
65+ $839.10 $727.10 $700.36 $702.25 $718.56 $699.55 $619.44 $657.44 $602.11 $550.77
Rates
28
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Calhoun & Lexington CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $187.71 $162.65 $156.67 $157.10 $160.74 $156.49 $138.57 $147.07 $134.69 $123.21
21 $295.60 $256.15 $246.73 $247.39 $253.14 $246.44 $218.22 $231.61 $212.12 $194.03
22 $295.60 $256.15 $246.73 $247.39 $253.14 $246.44 $218.22 $231.61 $212.12 $194.03
23 $295.60 $256.15 $246.73 $247.39 $253.14 $246.44 $218.22 $231.61 $212.12 $194.03
24 $295.60 $256.15 $246.73 $247.39 $253.14 $246.44 $218.22 $231.61 $212.12 $194.03
25 $296.79 $257.17 $247.72 $248.38 $254.15 $247.43 $219.09 $232.53 $212.97 $194.81
26 $302.70 $262.29 $252.65 $253.33 $259.22 $252.36 $223.46 $237.17 $217.21 $198.69
27 $309.79 $268.44 $258.57 $259.27 $265.29 $258.27 $228.70 $242.72 $222.30 $203.34
28 $321.32 $278.43 $268.19 $268.92 $275.16 $267.88 $237.21 $251.76 $230.57 $210.91
29 $330.78 $286.63 $276.09 $276.83 $283.26 $275.77 $244.19 $259.17 $237.36 $217.12
30 $335.51 $290.73 $280.04 $280.79 $287.31 $279.71 $247.68 $262.87 $240.75 $220.22
31 $342.61 $296.87 $285.96 $286.73 $293.39 $285.63 $252.92 $268.43 $245.84 $224.88
32 $349.70 $303.02 $291.88 $292.67 $299.47 $291.54 $258.16 $273.99 $250.94 $229.54
33 $354.13 $306.86 $295.58 $296.38 $303.26 $295.24 $261.43 $277.46 $254.12 $232.45
34 $358.86 $310.96 $299.53 $300.34 $307.31 $299.18 $264.92 $281.17 $257.51 $235.55
35 $361.23 $313.01 $301.50 $302.32 $309.34 $301.15 $266.67 $283.02 $259.21 $237.10
36 $363.59 $315.06 $303.48 $304.29 $311.36 $303.12 $268.41 $284.88 $260.90 $238.66
37 $365.96 $317.11 $305.45 $306.27 $313.39 $305.10 $270.16 $286.73 $262.60 $240.21
38 $368.32 $319.16 $307.42 $308.25 $315.41 $307.07 $271.90 $288.58 $264.30 $241.76
39 $373.05 $323.26 $311.37 $312.21 $319.46 $311.01 $275.40 $292.29 $267.69 $244.87
40 $377.78 $327.36 $315.32 $316.17 $323.51 $314.95 $278.89 $295.99 $271.09 $247.97
41 $384.88 $333.50 $321.24 $322.11 $329.59 $320.87 $284.12 $301.55 $276.18 $252.63
42 $391.68 $339.39 $326.92 $327.80 $335.41 $326.54 $289.14 $306.88 $281.06 $257.09
43 $401.14 $347.59 $334.81 $335.71 $343.51 $334.42 $296.13 $314.29 $287.84 $263.30
44 $412.96 $357.84 $344.68 $345.61 $353.64 $344.28 $304.86 $323.55 $296.33 $271.06
45 $426.85 $369.88 $356.28 $357.24 $365.53 $355.86 $315.11 $334.44 $306.30 $280.18
46 $443.41 $384.22 $370.09 $371.09 $379.71 $369.66 $327.33 $347.41 $318.18 $291.04
47 $462.03 $400.36 $385.64 $386.68 $395.66 $385.19 $341.08 $362.00 $331.54 $303.27
48 $483.31 $418.80 $403.40 $404.49 $413.88 $402.93 $356.79 $378.68 $346.81 $317.24
49 $504.30 $436.99 $420.92 $422.05 $431.86 $420.43 $372.29 $395.12 $361.87 $331.01
50 $527.95 $457.48 $440.66 $441.85 $452.11 $440.15 $389.74 $413.65 $378.84 $346.54
51 $551.30 $477.71 $460.15 $461.39 $472.11 $459.62 $406.98 $431.95 $395.60 $361.87
52 $577.02 $500.00 $481.62 $482.91 $494.13 $481.06 $425.97 $452.10 $414.05 $378.75
53 $603.03 $522.54 $503.33 $504.68 $516.41 $502.74 $445.17 $472.48 $432.72 $395.82
54 $631.12 $546.87 $526.77 $528.19 $540.45 $526.16 $465.90 $494.48 $452.87 $414.25
55 $659.20 $571.21 $550.21 $551.69 $564.50 $549.57 $486.63 $516.48 $473.02 $432.69
56 $689.65 $597.59 $575.62 $577.17 $590.58 $574.95 $509.11 $540.34 $494.87 $452.67
57 $720.39 $624.23 $601.28 $602.90 $616.90 $600.58 $531.81 $564.42 $516.93 $472.85
58 $753.20 $652.66 $628.67 $630.36 $645.00 $627.94 $556.03 $590.13 $540.48 $494.39
59 $769.46 $666.75 $642.24 $643.97 $658.92 $641.49 $568.03 $602.87 $552.14 $505.06
60 $802.27 $695.18 $669.62 $671.43 $687.02 $668.85 $592.25 $628.58 $575.69 $526.60
61 $830.65 $719.77 $693.31 $695.18 $711.32 $692.50 $613.20 $650.81 $596.05 $545.22
62 $849.27 $735.91 $708.85 $710.76 $727.27 $708.03 $626.95 $665.41 $609.41 $557.45
63 $872.63 $756.14 $728.34 $730.31 $747.27 $727.50 $644.19 $683.70 $626.17 $572.78
64 $886.80 $768.43 $740.18 $742.17 $759.41 $739.32 $654.66 $694.81 $636.34 $582.08
65+ $886.80 $768.43 $740.18 $742.17 $759.41 $739.32 $654.66 $694.81 $636.34 $582.08
Rates
29
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Barnwell & Colleton CountiesAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $203.77 $176.57 $170.08 $170.54 $174.50 $169.88 $150.43 $159.66 $146.22 $133.75
21 $320.90 $278.07 $267.84 $268.56 $274.80 $267.53 $236.90 $251.43 $230.27 $210.63
22 $320.90 $278.07 $267.84 $268.56 $274.80 $267.53 $236.90 $251.43 $230.27 $210.63
23 $320.90 $278.07 $267.84 $268.56 $274.80 $267.53 $236.90 $251.43 $230.27 $210.63
24 $320.90 $278.07 $267.84 $268.56 $274.80 $267.53 $236.90 $251.43 $230.27 $210.63
25 $322.18 $279.18 $268.91 $269.64 $275.90 $268.60 $237.84 $252.43 $231.19 $211.48
26 $328.60 $284.74 $274.27 $275.01 $281.40 $273.95 $242.58 $257.46 $235.80 $215.69
27 $336.30 $291.41 $280.70 $281.46 $287.99 $280.37 $248.27 $263.49 $241.32 $220.74
28 $348.82 $302.26 $291.15 $291.93 $298.71 $290.81 $257.51 $273.30 $250.30 $228.96
29 $359.09 $311.16 $299.72 $300.52 $307.50 $299.37 $265.09 $281.35 $257.67 $235.70
30 $364.22 $315.61 $304.00 $304.82 $311.90 $303.65 $268.88 $285.37 $261.36 $239.07
31 $371.92 $322.28 $310.43 $311.27 $318.50 $310.07 $274.56 $291.40 $266.88 $244.12
32 $379.63 $328.95 $316.86 $317.71 $325.09 $316.49 $280.25 $297.44 $272.41 $249.18
33 $384.44 $333.12 $320.88 $321.74 $329.21 $320.50 $283.80 $301.21 $275.86 $252.34
34 $389.57 $337.57 $325.16 $326.04 $333.61 $324.78 $287.59 $305.23 $279.55 $255.71
35 $392.14 $339.80 $327.30 $328.19 $335.81 $326.92 $289.49 $307.24 $281.39 $257.39
36 $394.71 $342.02 $329.45 $330.33 $338.01 $329.06 $291.38 $309.25 $283.23 $259.08
37 $397.28 $344.25 $331.59 $332.48 $340.21 $331.20 $293.28 $311.27 $285.07 $260.76
38 $399.84 $346.47 $333.73 $334.63 $342.40 $333.35 $295.17 $313.28 $286.92 $262.45
39 $404.98 $350.92 $338.02 $338.93 $346.80 $337.63 $298.96 $317.30 $290.60 $265.82
40 $410.11 $355.37 $342.30 $343.23 $351.20 $341.91 $302.75 $321.32 $294.28 $269.19
41 $417.81 $362.04 $348.73 $349.67 $357.79 $348.33 $308.44 $327.36 $299.81 $274.24
42 $425.19 $368.44 $354.89 $355.85 $364.11 $354.48 $313.89 $333.14 $305.11 $279.09
43 $435.46 $377.34 $363.46 $364.44 $372.91 $363.04 $321.47 $341.19 $312.48 $285.83
44 $448.30 $388.46 $374.18 $375.18 $383.90 $373.74 $330.94 $351.24 $321.69 $294.26
45 $463.38 $401.53 $386.77 $387.81 $396.82 $386.32 $342.08 $363.06 $332.51 $304.15
46 $481.35 $417.10 $401.76 $402.85 $412.20 $401.30 $355.34 $377.14 $345.40 $315.95
47 $501.57 $434.62 $418.64 $419.77 $429.52 $418.15 $370.27 $392.98 $359.91 $329.22
48 $524.67 $454.64 $437.92 $439.10 $449.30 $437.42 $387.33 $411.08 $376.49 $344.39
49 $547.46 $474.38 $456.94 $458.17 $468.81 $456.41 $404.14 $428.93 $392.84 $359.34
50 $573.13 $496.63 $478.37 $479.66 $490.80 $477.81 $423.10 $449.05 $411.26 $376.19
51 $598.48 $518.59 $499.53 $500.87 $512.51 $498.95 $441.81 $468.91 $429.45 $392.83
52 $626.40 $542.79 $522.83 $524.24 $536.41 $522.22 $462.42 $490.78 $449.49 $411.16
53 $654.64 $567.25 $546.40 $547.87 $560.60 $545.77 $483.27 $512.91 $469.75 $429.69
54 $685.12 $593.67 $571.84 $573.39 $586.70 $571.18 $505.77 $536.79 $491.63 $449.70
55 $715.61 $620.09 $597.29 $598.90 $612.81 $596.60 $528.28 $560.68 $513.50 $469.71
56 $748.66 $648.73 $624.88 $626.56 $641.11 $624.15 $552.68 $586.58 $537.22 $491.41
57 $782.04 $677.65 $652.73 $654.49 $669.69 $651.98 $577.32 $612.73 $561.17 $513.31
58 $817.66 $708.51 $682.46 $684.30 $700.20 $681.67 $603.61 $640.63 $586.73 $536.69
59 $835.31 $723.81 $697.20 $699.07 $715.31 $696.39 $616.64 $654.46 $599.39 $548.28
60 $870.93 $754.67 $726.93 $728.88 $745.81 $726.08 $642.94 $682.37 $624.95 $571.66
61 $901.73 $781.37 $752.64 $754.67 $772.20 $751.77 $665.68 $706.51 $647.06 $591.88
62 $921.95 $798.88 $769.51 $771.59 $789.51 $768.62 $680.60 $722.35 $661.56 $605.15
63 $947.30 $820.85 $790.67 $792.80 $811.22 $789.76 $699.32 $742.21 $679.76 $621.79
64 $962.69 $834.19 $803.52 $805.68 $824.40 $802.59 $710.68 $754.27 $690.80 $631.89
65+ $962.69 $834.19 $803.52 $805.68 $824.40 $802.59 $710.68 $754.27 $690.80 $631.89
Rates
30
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Jasper CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $168.89 $146.35 $140.97 $141.35 $144.63 $140.80 $124.68 $132.33 $121.19 $110.86
21 $265.97 $230.47 $222.00 $222.59 $227.76 $221.74 $196.35 $208.39 $190.85 $174.58
22 $265.97 $230.47 $222.00 $222.59 $227.76 $221.74 $196.35 $208.39 $190.85 $174.58
23 $265.97 $230.47 $222.00 $222.59 $227.76 $221.74 $196.35 $208.39 $190.85 $174.58
24 $265.97 $230.47 $222.00 $222.59 $227.76 $221.74 $196.35 $208.39 $190.85 $174.58
25 $267.04 $231.39 $222.88 $223.48 $228.68 $222.63 $197.13 $209.22 $191.62 $175.28
26 $272.36 $236.00 $227.32 $227.94 $233.23 $227.06 $201.06 $213.39 $195.43 $178.77
27 $278.74 $241.53 $232.65 $233.28 $238.70 $232.38 $205.77 $218.39 $200.01 $182.96
28 $289.11 $250.52 $241.31 $241.96 $247.58 $241.03 $213.43 $226.52 $207.46 $189.77
29 $297.62 $257.90 $248.41 $249.08 $254.87 $248.13 $219.71 $233.19 $213.57 $195.35
30 $301.88 $261.58 $251.97 $252.64 $258.51 $251.67 $222.85 $236.52 $216.62 $198.15
31 $308.26 $267.11 $257.29 $257.99 $263.98 $256.99 $227.57 $241.52 $221.20 $202.34
32 $314.64 $272.65 $262.62 $263.33 $269.45 $262.32 $232.28 $246.52 $225.78 $206.53
33 $318.63 $276.10 $265.95 $266.67 $272.86 $265.64 $235.22 $249.65 $228.64 $209.15
34 $322.89 $279.79 $269.50 $270.23 $276.51 $269.19 $238.36 $252.98 $231.70 $211.94
35 $325.02 $281.63 $271.28 $272.01 $278.33 $270.96 $239.94 $254.65 $233.22 $213.34
36 $327.15 $283.48 $273.06 $273.79 $280.15 $272.74 $241.51 $256.32 $234.75 $214.73
37 $329.27 $285.32 $274.83 $275.57 $281.97 $274.51 $243.08 $257.99 $236.28 $216.13
38 $331.40 $287.16 $276.61 $277.35 $283.79 $276.29 $244.65 $259.65 $237.80 $217.53
39 $335.66 $290.85 $280.16 $280.91 $287.44 $279.83 $247.79 $262.99 $240.86 $220.32
40 $339.91 $294.54 $283.71 $284.48 $291.08 $283.38 $250.93 $266.32 $243.91 $223.11
41 $346.30 $300.07 $289.04 $289.82 $296.55 $288.70 $255.64 $271.32 $248.49 $227.30
42 $352.41 $305.37 $294.14 $294.94 $301.79 $293.80 $260.16 $276.12 $252.88 $231.32
43 $360.92 $312.75 $301.25 $302.06 $309.08 $300.90 $266.44 $282.78 $258.99 $236.90
44 $371.56 $321.97 $310.13 $310.96 $318.19 $309.77 $274.30 $291.12 $266.62 $243.89
45 $384.06 $332.80 $320.56 $321.43 $328.89 $320.19 $283.52 $300.91 $275.59 $252.09
46 $398.96 $345.70 $332.99 $333.89 $341.65 $332.61 $294.52 $312.58 $286.28 $261.87
47 $415.71 $360.22 $346.98 $347.91 $356.00 $346.58 $306.89 $325.71 $298.30 $272.87
48 $434.86 $376.82 $362.96 $363.94 $372.39 $362.54 $321.03 $340.72 $312.05 $285.44
49 $453.75 $393.18 $378.73 $379.75 $388.57 $378.29 $334.97 $355.51 $325.60 $297.83
50 $475.03 $411.62 $396.48 $397.55 $406.79 $396.02 $350.67 $372.18 $340.87 $311.80
51 $496.04 $429.83 $414.02 $415.14 $424.78 $413.54 $366.19 $388.65 $355.94 $325.59
52 $519.18 $449.88 $433.34 $434.50 $444.60 $432.83 $383.27 $406.78 $372.55 $340.78
53 $542.58 $470.16 $452.87 $454.09 $464.64 $452.35 $400.55 $425.11 $389.34 $356.14
54 $567.85 $492.05 $473.96 $475.24 $486.28 $473.41 $419.20 $444.91 $407.47 $372.73
55 $593.12 $513.95 $495.05 $496.38 $507.91 $494.48 $437.85 $464.71 $425.60 $389.31
56 $620.51 $537.68 $517.92 $519.31 $531.37 $517.32 $458.08 $486.17 $445.26 $407.29
57 $648.17 $561.65 $541.00 $542.46 $555.06 $540.38 $478.50 $507.84 $465.11 $425.45
58 $677.70 $587.24 $565.65 $567.17 $580.34 $564.99 $500.29 $530.98 $486.30 $444.83
59 $692.33 $599.91 $577.86 $579.41 $592.87 $577.19 $511.09 $542.44 $496.79 $454.43
60 $721.85 $625.49 $602.50 $604.12 $618.15 $601.80 $532.88 $565.57 $517.98 $473.81
61 $747.38 $647.62 $623.81 $625.49 $640.02 $623.08 $551.73 $585.57 $536.30 $490.57
62 $764.14 $662.14 $637.79 $639.51 $654.37 $637.05 $564.10 $598.70 $548.32 $501.57
63 $785.15 $680.35 $655.33 $657.10 $672.36 $654.57 $579.61 $615.16 $563.40 $515.36
64 $797.91 $691.40 $665.98 $667.77 $683.28 $665.21 $589.03 $625.16 $572.55 $523.73
65+ $797.91 $691.40 $665.98 $667.77 $683.28 $665.21 $589.03 $625.16 $572.55 $523.73
Rates
31
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Horry CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $178.53 $154.70 $149.01 $149.41 $152.88 $148.84 $131.79 $139.88 $128.11 $117.18
21 $281.15 $243.62 $234.66 $235.30 $240.76 $234.39 $207.55 $220.28 $201.75 $184.54
22 $281.15 $243.62 $234.66 $235.30 $240.76 $234.39 $207.55 $220.28 $201.75 $184.54
23 $281.15 $243.62 $234.66 $235.30 $240.76 $234.39 $207.55 $220.28 $201.75 $184.54
24 $281.15 $243.62 $234.66 $235.30 $240.76 $234.39 $207.55 $220.28 $201.75 $184.54
25 $282.27 $244.60 $235.60 $236.24 $241.72 $235.33 $208.38 $221.16 $202.55 $185.28
26 $287.90 $249.47 $240.30 $240.94 $246.54 $240.02 $212.53 $225.57 $206.59 $188.97
27 $294.64 $255.31 $245.93 $246.59 $252.32 $245.64 $217.51 $230.85 $211.43 $193.40
28 $305.61 $264.82 $255.08 $255.77 $261.71 $254.78 $225.61 $239.45 $219.30 $200.60
29 $314.61 $272.61 $262.59 $263.30 $269.41 $262.28 $232.25 $246.49 $225.75 $206.50
30 $319.10 $276.51 $266.34 $267.06 $273.26 $266.03 $235.57 $250.02 $228.98 $209.45
31 $325.85 $282.36 $271.98 $272.71 $279.04 $271.66 $240.55 $255.31 $233.82 $213.88
32 $332.60 $288.20 $277.61 $278.36 $284.82 $277.29 $245.53 $260.59 $238.66 $218.31
33 $336.82 $291.86 $281.13 $281.89 $288.43 $280.80 $248.65 $263.90 $241.69 $221.08
34 $341.32 $295.76 $284.88 $285.65 $292.28 $284.55 $251.97 $267.42 $244.92 $224.03
35 $343.56 $297.70 $286.76 $287.53 $294.21 $286.43 $253.63 $269.18 $246.53 $225.51
36 $345.81 $299.65 $288.64 $289.41 $296.14 $288.30 $255.29 $270.95 $248.15 $226.99
37 $348.06 $301.60 $290.51 $291.30 $298.06 $290.18 $256.95 $272.71 $249.76 $228.46
38 $350.31 $303.55 $292.39 $293.18 $299.99 $292.05 $258.61 $274.47 $251.37 $229.94
39 $354.81 $307.45 $296.15 $296.94 $303.84 $295.80 $261.93 $277.99 $254.60 $232.89
40 $359.31 $311.35 $299.90 $300.71 $307.69 $299.55 $265.25 $281.52 $257.83 $235.84
41 $366.06 $317.19 $305.53 $306.36 $313.47 $305.18 $270.23 $286.81 $262.67 $240.27
42 $372.52 $322.80 $310.93 $311.77 $319.01 $310.57 $275.01 $291.87 $267.31 $244.52
43 $381.52 $330.59 $318.44 $319.30 $326.71 $318.07 $281.65 $298.92 $273.77 $250.42
44 $392.77 $340.34 $327.83 $328.71 $336.34 $327.45 $289.95 $307.73 $281.84 $257.80
45 $405.98 $351.79 $338.86 $339.77 $347.66 $338.46 $299.70 $318.09 $291.32 $266.48
46 $421.72 $365.43 $352.00 $352.94 $361.14 $351.59 $311.33 $330.42 $302.62 $276.81
47 $439.44 $380.78 $366.78 $367.77 $376.31 $366.35 $324.40 $344.30 $315.33 $288.44
48 $459.68 $398.32 $383.68 $384.71 $393.65 $383.23 $339.35 $360.16 $329.85 $301.73
49 $479.64 $415.62 $400.34 $401.42 $410.74 $399.87 $354.08 $375.80 $344.18 $314.83
50 $502.13 $435.11 $419.11 $420.24 $430.00 $418.62 $370.69 $393.42 $360.32 $329.59
51 $524.34 $454.35 $437.65 $438.83 $449.02 $437.14 $387.08 $410.82 $376.25 $344.17
52 $548.80 $475.55 $458.06 $459.30 $469.97 $457.53 $405.14 $429.99 $393.81 $360.23
53 $573.55 $496.99 $478.72 $480.00 $491.15 $478.16 $423.40 $449.37 $411.56 $376.46
54 $600.25 $520.13 $501.01 $502.36 $514.03 $500.43 $443.12 $470.30 $430.73 $394.00
55 $626.96 $543.27 $523.30 $524.71 $536.90 $522.69 $462.84 $491.23 $449.89 $411.53
56 $655.92 $568.37 $547.47 $548.95 $561.70 $546.84 $484.22 $513.92 $470.67 $430.54
57 $685.16 $593.70 $571.88 $573.42 $586.74 $571.21 $505.80 $536.82 $491.65 $449.73
58 $716.37 $620.75 $597.92 $599.54 $613.46 $597.23 $528.84 $561.28 $514.05 $470.21
59 $731.83 $634.15 $610.83 $612.48 $626.70 $610.12 $540.26 $573.39 $525.14 $480.36
60 $763.04 $661.19 $636.88 $638.59 $653.43 $636.14 $563.29 $597.84 $547.54 $500.85
61 $790.03 $684.57 $659.41 $661.18 $676.54 $658.64 $583.22 $618.99 $566.90 $518.56
62 $807.74 $699.92 $674.19 $676.01 $691.71 $673.41 $596.29 $632.87 $579.61 $530.19
63 $829.95 $719.17 $692.73 $694.59 $710.73 $691.93 $612.69 $650.27 $595.55 $544.77
64 $843.44 $730.85 $703.98 $705.88 $722.28 $703.17 $622.64 $660.83 $605.23 $553.61
65+ $843.44 $730.85 $703.98 $705.88 $722.28 $703.17 $622.64 $660.83 $605.23 $553.61
Rates
32
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Allendale CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $179.45 $155.49 $149.78 $150.18 $153.67 $149.60 $132.47 $140.60 $128.77 $117.79
21 $282.60 $244.87 $235.87 $236.51 $242.00 $235.60 $208.62 $221.41 $202.78 $185.49
22 $282.60 $244.87 $235.87 $236.51 $242.00 $235.60 $208.62 $221.41 $202.78 $185.49
23 $282.60 $244.87 $235.87 $236.51 $242.00 $235.60 $208.62 $221.41 $202.78 $185.49
24 $282.60 $244.87 $235.87 $236.51 $242.00 $235.60 $208.62 $221.41 $202.78 $185.49
25 $283.73 $245.85 $236.81 $237.45 $242.97 $236.54 $209.45 $222.30 $203.59 $186.23
26 $289.38 $250.75 $241.53 $242.18 $247.81 $241.25 $213.62 $226.73 $207.65 $189.94
27 $296.16 $256.63 $247.19 $247.86 $253.62 $246.91 $218.63 $232.04 $212.52 $194.39
28 $307.18 $266.18 $256.39 $257.08 $263.05 $256.09 $226.77 $240.68 $220.42 $201.63
29 $316.22 $274.01 $263.94 $264.65 $270.80 $263.63 $233.44 $247.76 $226.91 $207.56
30 $320.75 $277.93 $267.71 $268.43 $274.67 $267.40 $236.78 $251.30 $230.16 $210.53
31 $327.53 $283.81 $273.37 $274.11 $280.48 $273.06 $241.79 $256.62 $235.02 $214.98
32 $334.31 $289.69 $279.04 $279.79 $286.29 $278.71 $246.80 $261.93 $239.89 $219.44
33 $338.55 $293.36 $282.57 $283.33 $289.92 $282.25 $249.92 $265.25 $242.93 $222.22
34 $343.07 $297.28 $286.35 $287.12 $293.79 $286.01 $253.26 $268.80 $246.18 $225.19
35 $345.33 $299.24 $288.23 $289.01 $295.72 $287.90 $254.93 $270.57 $247.80 $226.67
36 $347.59 $301.19 $290.12 $290.90 $297.66 $289.78 $256.60 $272.34 $249.42 $228.15
37 $349.85 $303.15 $292.01 $292.79 $299.60 $291.67 $258.27 $274.11 $251.04 $229.64
38 $352.11 $305.11 $293.89 $294.69 $301.53 $293.55 $259.94 $275.88 $252.67 $231.12
39 $356.64 $309.03 $297.67 $298.47 $305.40 $297.32 $263.28 $279.42 $255.91 $234.09
40 $361.16 $312.95 $301.44 $302.25 $309.28 $301.09 $266.61 $282.97 $259.16 $237.06
41 $367.94 $318.83 $307.10 $307.93 $315.08 $306.75 $271.62 $288.28 $264.02 $241.51
42 $374.44 $324.46 $312.53 $313.37 $320.65 $312.17 $276.42 $293.37 $268.69 $245.77
43 $383.48 $332.29 $320.08 $320.94 $328.39 $319.71 $283.09 $300.46 $275.18 $251.71
44 $394.79 $342.09 $329.51 $330.40 $338.07 $329.13 $291.44 $309.31 $283.29 $259.13
45 $408.07 $353.60 $340.60 $341.51 $349.45 $340.20 $301.24 $319.72 $292.82 $267.85
46 $423.89 $367.31 $353.81 $354.76 $363.00 $353.40 $312.93 $332.12 $304.17 $278.24
47 $441.70 $382.74 $368.67 $369.66 $378.25 $368.24 $326.07 $346.07 $316.95 $289.92
48 $462.04 $400.37 $385.65 $386.69 $395.67 $385.20 $341.09 $362.01 $331.55 $303.28
49 $482.11 $417.75 $402.40 $403.48 $412.85 $401.93 $355.90 $377.73 $345.95 $316.45
50 $504.72 $437.34 $421.27 $422.40 $432.21 $420.78 $372.59 $395.44 $362.17 $331.29
51 $527.04 $456.69 $439.90 $441.08 $451.33 $439.39 $389.07 $412.94 $378.19 $345.94
52 $551.63 $477.99 $460.42 $461.66 $472.38 $459.89 $407.22 $432.20 $395.83 $362.08
53 $576.49 $499.54 $481.18 $482.47 $493.68 $480.62 $425.58 $451.68 $413.68 $378.40
54 $603.34 $522.80 $503.58 $504.94 $516.67 $503.00 $445.40 $472.72 $432.94 $396.02
55 $630.19 $546.07 $525.99 $527.41 $539.66 $525.38 $465.22 $493.75 $452.20 $413.64
56 $659.29 $571.29 $550.29 $551.77 $564.59 $549.65 $486.71 $516.56 $473.09 $432.75
57 $688.68 $596.76 $574.82 $576.37 $589.75 $574.15 $508.40 $539.58 $494.18 $452.04
58 $720.05 $623.94 $601.00 $602.62 $616.62 $600.30 $531.56 $564.16 $516.69 $472.63
59 $735.60 $637.41 $613.97 $615.63 $629.93 $613.26 $543.03 $576.34 $527.84 $482.83
60 $766.96 $664.59 $640.15 $641.88 $656.79 $639.41 $566.19 $600.92 $550.35 $503.42
61 $794.09 $688.09 $662.80 $664.58 $680.02 $662.03 $586.22 $622.17 $569.82 $521.23
62 $811.90 $703.52 $677.66 $679.48 $695.27 $676.87 $599.36 $636.12 $582.59 $532.91
63 $834.22 $722.87 $696.29 $698.17 $714.38 $695.48 $615.84 $653.61 $598.61 $547.57
64 $847.78 $734.61 $707.60 $709.51 $725.99 $706.78 $625.84 $664.23 $608.34 $556.46
65+ $847.78 $734.61 $707.60 $709.51 $725.99 $706.78 $625.84 $664.23 $608.34 $556.46
Rates
33
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Greenwood CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $189.09 $163.85 $157.82 $158.25 $161.92 $157.64 $139.59 $148.15 $135.68 $124.11
21 $297.77 $258.03 $248.54 $249.21 $255.00 $248.25 $219.82 $233.31 $213.67 $195.45
22 $297.77 $258.03 $248.54 $249.21 $255.00 $248.25 $219.82 $233.31 $213.67 $195.45
23 $297.77 $258.03 $248.54 $249.21 $255.00 $248.25 $219.82 $233.31 $213.67 $195.45
24 $297.77 $258.03 $248.54 $249.21 $255.00 $248.25 $219.82 $233.31 $213.67 $195.45
25 $298.96 $259.06 $249.53 $250.21 $256.02 $249.24 $220.70 $234.24 $214.53 $196.23
26 $304.92 $264.22 $254.50 $255.19 $261.12 $254.21 $225.10 $238.90 $218.80 $200.14
27 $312.07 $270.41 $260.47 $261.17 $267.24 $260.17 $230.37 $244.50 $223.93 $204.83
28 $323.68 $280.47 $270.16 $270.89 $277.18 $269.85 $238.95 $253.60 $232.26 $212.46
29 $333.21 $288.73 $278.12 $278.86 $285.34 $277.79 $245.98 $261.07 $239.10 $218.71
30 $337.97 $292.86 $282.09 $282.85 $289.42 $281.76 $249.50 $264.80 $242.52 $221.84
31 $345.12 $299.05 $288.06 $288.83 $295.54 $287.72 $254.77 $270.40 $247.65 $226.53
32 $352.27 $305.24 $294.02 $294.81 $301.66 $293.68 $260.05 $276.00 $252.78 $231.22
33 $356.73 $309.11 $297.75 $298.55 $305.49 $297.40 $263.35 $279.50 $255.98 $234.15
34 $361.50 $313.24 $301.73 $302.54 $309.57 $301.38 $266.86 $283.23 $259.40 $237.28
35 $363.88 $315.31 $303.71 $304.53 $311.61 $303.36 $268.62 $285.10 $261.11 $238.84
36 $366.26 $317.37 $305.70 $306.53 $313.65 $305.35 $270.38 $286.97 $262.82 $240.41
37 $368.64 $319.44 $307.69 $308.52 $315.69 $307.33 $272.14 $288.83 $264.53 $241.97
38 $371.03 $321.50 $309.68 $310.51 $317.73 $309.32 $273.90 $290.70 $266.24 $243.53
39 $375.79 $325.63 $313.66 $314.50 $321.81 $313.29 $277.42 $294.43 $269.66 $246.66
40 $380.55 $329.76 $317.63 $318.49 $325.89 $317.26 $280.93 $298.16 $273.07 $249.79
41 $387.70 $335.95 $323.60 $324.47 $332.01 $323.22 $286.21 $303.76 $278.20 $254.48
42 $394.55 $341.88 $329.31 $330.20 $337.87 $328.93 $291.26 $309.13 $283.12 $258.97
43 $404.08 $350.14 $337.27 $338.18 $346.03 $336.88 $298.30 $316.60 $289.95 $265.23
44 $415.99 $360.46 $347.21 $348.14 $356.23 $346.81 $307.09 $325.93 $298.50 $273.05
45 $429.98 $372.59 $358.89 $359.86 $368.22 $358.47 $317.42 $336.89 $308.54 $282.23
46 $446.66 $387.04 $372.81 $373.81 $382.50 $372.38 $329.73 $349.96 $320.51 $293.18
47 $465.42 $403.29 $388.47 $389.51 $398.56 $388.02 $343.58 $364.66 $333.97 $305.49
48 $486.86 $421.87 $406.36 $407.46 $416.92 $405.89 $359.41 $381.45 $349.36 $319.57
49 $508.00 $440.19 $424.01 $425.15 $435.03 $423.52 $375.02 $398.02 $364.53 $333.44
50 $531.82 $460.83 $443.89 $445.09 $455.42 $443.38 $392.60 $416.68 $381.62 $349.08
51 $555.35 $481.22 $463.53 $464.77 $475.57 $462.99 $409.97 $435.11 $398.50 $364.52
52 $581.25 $503.67 $485.15 $486.45 $497.75 $484.59 $429.09 $455.41 $417.09 $381.52
53 $607.46 $526.37 $507.02 $508.39 $520.19 $506.43 $448.44 $475.94 $435.89 $398.72
54 $635.75 $550.88 $530.63 $532.06 $544.42 $530.02 $469.32 $498.11 $456.19 $417.29
55 $664.03 $575.40 $554.24 $555.73 $568.64 $553.60 $490.20 $520.27 $476.49 $435.86
56 $694.70 $601.97 $579.84 $581.40 $594.91 $579.17 $512.85 $544.30 $498.50 $455.99
57 $725.67 $628.81 $605.69 $607.32 $621.43 $604.99 $535.71 $568.57 $520.72 $476.32
58 $758.73 $657.45 $633.28 $634.98 $649.73 $632.54 $560.11 $594.46 $544.44 $498.01
59 $775.10 $671.64 $646.95 $648.69 $663.76 $646.20 $572.20 $607.29 $556.19 $508.76
60 $808.16 $700.28 $674.53 $676.35 $692.06 $673.75 $596.60 $633.19 $579.91 $530.46
61 $836.74 $725.05 $698.39 $700.28 $716.54 $697.58 $617.70 $655.59 $600.42 $549.22
62 $855.50 $741.31 $714.05 $715.98 $732.61 $713.22 $631.55 $670.29 $613.88 $561.54
63 $879.03 $761.69 $733.69 $735.66 $752.75 $732.84 $648.92 $688.72 $630.76 $576.98
64 $893.31 $774.07 $745.61 $747.62 $764.98 $744.74 $659.46 $699.91 $641.01 $586.35
65+ $893.31 $774.07 $745.61 $747.62 $764.98 $744.74 $659.46 $699.91 $641.01 $586.35
Rates
34
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Kershaw CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $192.76 $167.03 $160.89 $161.32 $165.07 $160.70 $142.30 $151.03 $138.32 $126.52
21 $303.56 $263.04 $253.37 $254.05 $259.95 $253.07 $224.09 $237.84 $217.82 $199.25
22 $303.56 $263.04 $253.37 $254.05 $259.95 $253.07 $224.09 $237.84 $217.82 $199.25
23 $303.56 $263.04 $253.37 $254.05 $259.95 $253.07 $224.09 $237.84 $217.82 $199.25
24 $303.56 $263.04 $253.37 $254.05 $259.95 $253.07 $224.09 $237.84 $217.82 $199.25
25 $304.77 $264.09 $254.38 $255.06 $260.99 $254.08 $224.99 $238.79 $218.69 $200.04
26 $310.84 $269.35 $259.45 $260.14 $266.19 $259.14 $229.47 $243.54 $223.05 $204.03
27 $318.13 $275.66 $265.53 $266.24 $272.43 $265.22 $234.85 $249.25 $228.28 $208.81
28 $329.96 $285.92 $275.41 $276.15 $282.56 $275.09 $243.59 $258.53 $236.77 $216.58
29 $339.68 $294.34 $283.52 $284.28 $290.88 $283.19 $250.76 $266.14 $243.74 $222.96
30 $344.53 $298.55 $287.57 $288.34 $295.04 $287.24 $254.34 $269.94 $247.23 $226.15
31 $351.82 $304.86 $293.65 $294.44 $301.28 $293.31 $259.72 $275.65 $252.46 $230.93
32 $359.11 $311.17 $299.73 $300.54 $307.52 $299.38 $265.10 $281.36 $257.68 $235.71
33 $363.66 $315.12 $303.53 $304.35 $311.42 $303.18 $268.46 $284.93 $260.95 $238.70
34 $368.52 $319.33 $307.59 $308.41 $315.58 $307.23 $272.05 $288.73 $264.44 $241.89
35 $370.94 $321.43 $309.61 $310.45 $317.66 $309.25 $273.84 $290.63 $266.18 $243.48
36 $373.37 $323.53 $311.64 $312.48 $319.74 $311.28 $275.63 $292.54 $267.92 $245.08
37 $375.80 $325.64 $313.67 $314.51 $321.82 $313.30 $277.42 $294.44 $269.66 $246.67
38 $378.23 $327.74 $315.69 $316.54 $323.90 $315.33 $279.22 $296.34 $271.41 $248.26
39 $383.09 $331.95 $319.75 $320.61 $328.06 $319.38 $282.80 $300.15 $274.89 $251.45
40 $387.94 $336.16 $323.80 $324.67 $332.21 $323.42 $286.39 $303.95 $278.38 $254.64
41 $395.23 $342.47 $329.88 $330.77 $338.45 $329.50 $291.77 $309.66 $283.60 $259.42
42 $402.21 $348.52 $335.71 $336.61 $344.43 $335.32 $296.92 $315.13 $288.61 $264.00
43 $411.92 $356.94 $343.82 $344.74 $352.75 $343.42 $304.09 $322.74 $295.59 $270.38
44 $424.07 $367.46 $353.95 $354.90 $363.15 $353.54 $313.06 $332.26 $304.30 $278.35
45 $438.33 $379.82 $365.86 $366.84 $375.37 $365.43 $323.59 $343.43 $314.54 $287.71
46 $455.33 $394.55 $380.05 $381.07 $389.92 $379.61 $336.14 $356.75 $326.73 $298.87
47 $474.46 $411.12 $396.01 $397.08 $406.30 $395.55 $350.25 $371.74 $340.46 $311.42
48 $496.31 $430.06 $414.25 $415.37 $425.02 $413.77 $366.39 $388.86 $356.14 $325.77
49 $517.86 $448.74 $432.24 $433.41 $443.47 $431.74 $382.30 $405.75 $371.61 $339.92
50 $542.15 $469.78 $452.51 $453.73 $464.27 $451.98 $400.23 $424.77 $389.03 $355.86
51 $566.13 $490.56 $472.53 $473.80 $484.80 $471.98 $417.93 $443.56 $406.24 $371.60
52 $592.54 $513.45 $494.57 $495.90 $507.42 $493.99 $437.43 $464.25 $425.19 $388.93
53 $619.25 $536.59 $516.86 $518.26 $530.29 $516.26 $457.15 $485.18 $444.36 $406.47
54 $648.09 $561.58 $540.93 $542.39 $554.99 $540.31 $478.43 $507.78 $465.05 $425.39
55 $676.93 $586.57 $565.00 $566.53 $579.69 $564.35 $499.72 $530.37 $485.74 $444.32
56 $708.19 $613.66 $591.10 $592.69 $606.46 $590.41 $522.80 $554.87 $508.18 $464.85
57 $739.76 $641.02 $617.45 $619.11 $633.49 $616.73 $546.11 $579.61 $530.83 $485.57
58 $773.46 $670.21 $645.57 $647.31 $662.35 $644.82 $570.98 $606.00 $555.01 $507.68
59 $790.15 $684.68 $659.51 $661.29 $676.65 $658.74 $583.31 $619.09 $566.99 $518.64
60 $823.85 $713.88 $687.63 $689.48 $705.50 $686.83 $608.18 $645.49 $591.17 $540.76
61 $852.99 $739.13 $711.96 $713.87 $730.46 $711.13 $629.70 $668.32 $612.08 $559.89
62 $872.11 $755.70 $727.92 $729.88 $746.83 $727.07 $643.81 $683.30 $625.80 $572.44
63 $896.09 $776.48 $747.93 $749.95 $767.37 $747.07 $661.52 $702.09 $643.01 $588.18
64 $910.66 $789.10 $760.09 $762.13 $779.84 $759.20 $672.26 $713.50 $653.46 $597.73
65+ $910.66 $789.10 $760.09 $762.13 $779.84 $759.20 $672.26 $713.50 $653.46 $597.73
Rates
35
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Williamsburg CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $196.43 $170.21 $163.95 $164.39 $168.21 $163.76 $145.01 $153.90 $140.95 $128.93
21 $309.34 $268.05 $258.19 $258.89 $264.90 $257.89 $228.36 $242.37 $221.97 $203.04
22 $309.34 $268.05 $258.19 $258.89 $264.90 $257.89 $228.36 $242.37 $221.97 $203.04
23 $309.34 $268.05 $258.19 $258.89 $264.90 $257.89 $228.36 $242.37 $221.97 $203.04
24 $309.34 $268.05 $258.19 $258.89 $264.90 $257.89 $228.36 $242.37 $221.97 $203.04
25 $310.57 $269.12 $259.22 $259.92 $265.96 $258.92 $229.27 $243.34 $222.86 $203.86
26 $316.76 $274.48 $264.39 $265.10 $271.26 $264.08 $233.84 $248.18 $227.30 $207.92
27 $324.19 $280.91 $270.58 $271.31 $277.62 $270.27 $239.32 $254.00 $232.63 $212.79
28 $336.25 $291.37 $280.65 $281.41 $287.95 $280.33 $248.23 $263.45 $241.28 $220.71
29 $346.15 $299.94 $288.92 $289.69 $296.42 $288.58 $255.53 $271.21 $248.39 $227.21
30 $351.10 $304.23 $293.05 $293.84 $300.66 $292.71 $259.19 $275.09 $251.94 $230.45
31 $358.52 $310.66 $299.24 $300.05 $307.02 $298.90 $264.67 $280.90 $257.26 $235.33
32 $365.95 $317.10 $305.44 $306.26 $313.38 $305.09 $270.15 $286.72 $262.59 $240.20
33 $370.59 $321.12 $309.31 $310.15 $317.35 $308.95 $273.57 $290.35 $265.92 $243.25
34 $375.54 $325.41 $313.44 $314.29 $321.59 $313.08 $277.23 $294.23 $269.47 $246.49
35 $378.01 $327.55 $315.51 $316.36 $323.71 $315.14 $279.06 $296.17 $271.25 $248.12
36 $380.48 $329.70 $317.57 $318.43 $325.83 $317.21 $280.88 $298.11 $273.02 $249.74
37 $382.96 $331.84 $319.64 $320.50 $327.95 $319.27 $282.71 $300.05 $274.80 $251.37
38 $385.43 $333.98 $321.71 $322.57 $330.07 $321.33 $284.54 $301.99 $276.58 $252.99
39 $390.38 $338.27 $325.84 $326.71 $334.30 $325.46 $288.19 $305.87 $280.13 $256.24
40 $395.33 $342.56 $329.97 $330.86 $338.54 $329.59 $291.84 $309.74 $283.68 $259.49
41 $402.76 $349.00 $336.16 $337.07 $344.90 $335.77 $297.32 $315.56 $289.01 $264.36
42 $409.87 $355.16 $342.10 $343.02 $350.99 $341.71 $302.58 $321.13 $294.11 $269.03
43 $419.77 $363.74 $350.37 $351.31 $359.47 $349.96 $309.88 $328.89 $301.22 $275.53
44 $432.14 $374.46 $360.69 $361.66 $370.07 $360.27 $319.02 $338.58 $310.09 $283.65
45 $446.68 $387.06 $372.83 $373.83 $382.52 $372.40 $329.75 $349.98 $320.53 $293.19
46 $464.01 $402.07 $387.29 $388.33 $397.35 $386.84 $342.54 $363.55 $332.96 $304.56
47 $483.49 $418.96 $403.55 $404.64 $414.04 $403.08 $356.93 $378.82 $346.94 $317.36
48 $505.77 $438.25 $422.14 $423.28 $433.11 $421.65 $373.37 $396.27 $362.92 $331.98
49 $527.73 $457.29 $440.47 $441.66 $451.92 $439.96 $389.58 $413.48 $378.68 $346.39
50 $552.48 $478.73 $461.13 $462.37 $473.11 $460.59 $407.85 $432.87 $396.44 $362.64
51 $576.91 $499.91 $481.53 $482.82 $494.04 $480.97 $425.89 $452.01 $413.98 $378.68
52 $603.83 $523.23 $503.99 $505.35 $517.08 $503.40 $445.76 $473.10 $433.29 $396.34
53 $631.05 $546.81 $526.71 $528.13 $540.40 $526.10 $465.85 $494.43 $452.82 $414.21
54 $660.43 $572.28 $551.24 $552.72 $565.56 $550.60 $487.55 $517.45 $473.91 $433.50
55 $689.82 $597.74 $575.77 $577.32 $590.73 $575.10 $509.24 $540.48 $495.00 $452.79
56 $721.68 $625.35 $602.36 $603.98 $618.01 $601.66 $532.76 $565.44 $517.86 $473.70
57 $753.85 $653.23 $629.21 $630.91 $645.56 $628.48 $556.51 $590.65 $540.94 $494.82
58 $788.19 $682.98 $657.87 $659.64 $674.96 $657.11 $581.86 $617.55 $565.58 $517.35
59 $805.20 $697.72 $672.07 $673.88 $689.53 $671.29 $594.42 $630.88 $577.79 $528.52
60 $839.54 $727.48 $700.73 $702.62 $718.94 $699.92 $619.77 $657.78 $602.43 $551.06
61 $869.24 $753.21 $725.52 $727.47 $744.37 $724.67 $641.69 $681.05 $623.74 $570.55
62 $888.73 $770.10 $741.78 $743.78 $761.06 $740.92 $656.08 $696.32 $637.72 $583.34
63 $913.16 $791.27 $762.18 $764.23 $781.98 $761.30 $674.12 $715.46 $655.26 $599.38
64 $928.00 $804.13 $774.56 $776.65 $794.69 $773.66 $685.07 $727.09 $665.90 $609.12
65+ $928.00 $804.13 $774.56 $776.65 $794.69 $773.66 $685.07 $727.09 $665.90 $609.12
Rates
36
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Richland CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $197.81 $171.40 $165.10 $165.55 $169.39 $164.91 $146.02 $154.98 $141.94 $129.84
21 $311.51 $269.92 $260.00 $260.70 $266.76 $259.70 $229.96 $244.06 $223.53 $204.47
22 $311.51 $269.92 $260.00 $260.70 $266.76 $259.70 $229.96 $244.06 $223.53 $204.47
23 $311.51 $269.92 $260.00 $260.70 $266.76 $259.70 $229.96 $244.06 $223.53 $204.47
24 $311.51 $269.92 $260.00 $260.70 $266.76 $259.70 $229.96 $244.06 $223.53 $204.47
25 $312.75 $271.00 $261.04 $261.74 $267.82 $260.74 $230.88 $245.04 $224.42 $205.28
26 $318.98 $276.40 $266.24 $266.96 $273.16 $265.93 $235.48 $249.92 $228.89 $209.37
27 $326.46 $282.88 $272.48 $273.21 $279.56 $272.16 $241.00 $255.78 $234.26 $214.28
28 $338.61 $293.41 $282.62 $283.38 $289.96 $282.29 $249.97 $265.30 $242.97 $222.25
29 $348.57 $302.05 $290.94 $291.72 $298.50 $290.60 $257.33 $273.11 $250.13 $228.80
30 $353.56 $306.36 $295.10 $295.90 $302.77 $294.76 $261.00 $277.01 $253.70 $232.07
31 $361.03 $312.84 $301.34 $302.15 $309.17 $300.99 $266.52 $282.87 $259.07 $236.98
32 $368.51 $319.32 $307.58 $308.41 $315.57 $307.22 $272.04 $288.73 $264.43 $241.88
33 $373.18 $323.37 $311.48 $312.32 $319.57 $311.12 $275.49 $292.39 $267.79 $244.95
34 $378.17 $327.69 $315.64 $316.49 $323.84 $315.27 $279.17 $296.29 $271.36 $248.22
35 $380.66 $329.85 $317.72 $318.58 $325.98 $317.35 $281.01 $298.25 $273.15 $249.86
36 $383.15 $332.01 $319.80 $320.66 $328.11 $319.43 $282.85 $300.20 $274.94 $251.49
37 $385.64 $334.17 $321.88 $322.75 $330.24 $321.51 $284.69 $302.15 $276.73 $253.13
38 $388.14 $336.33 $323.96 $324.83 $332.38 $323.59 $286.53 $304.10 $278.52 $254.77
39 $393.12 $340.64 $328.12 $329.00 $336.65 $327.74 $290.21 $308.01 $282.09 $258.04
40 $398.10 $344.96 $332.28 $333.18 $340.92 $331.90 $293.89 $311.91 $285.67 $261.31
41 $405.58 $351.44 $338.52 $339.43 $347.32 $338.13 $299.41 $317.77 $291.03 $266.22
42 $412.74 $357.65 $344.50 $345.43 $353.45 $344.10 $304.70 $323.39 $296.17 $270.92
43 $422.71 $366.29 $352.82 $353.77 $361.99 $352.41 $312.06 $331.20 $303.33 $277.46
44 $435.17 $377.08 $363.22 $364.20 $372.66 $362.80 $321.25 $340.96 $312.27 $285.64
45 $449.81 $389.77 $375.44 $376.45 $385.20 $375.01 $332.06 $352.43 $322.77 $295.25
46 $467.26 $404.89 $390.00 $391.05 $400.14 $389.55 $344.94 $366.10 $335.29 $306.70
47 $486.88 $421.89 $406.38 $407.48 $416.94 $405.91 $359.43 $381.47 $349.37 $319.58
48 $509.31 $441.33 $425.10 $426.25 $436.15 $424.61 $375.98 $399.05 $365.47 $334.30
49 $531.43 $460.49 $443.56 $444.76 $455.09 $443.05 $392.31 $416.37 $381.34 $348.82
50 $556.35 $482.09 $464.36 $465.61 $476.43 $463.82 $410.71 $435.90 $399.22 $365.18
51 $580.96 $503.41 $484.90 $486.21 $497.50 $484.34 $428.88 $455.18 $416.88 $381.33
52 $608.06 $526.89 $507.52 $508.89 $520.71 $506.93 $448.88 $476.41 $436.33 $399.12
53 $635.47 $550.65 $530.40 $531.83 $544.18 $529.79 $469.12 $497.89 $456.00 $417.11
54 $665.06 $576.29 $555.10 $556.60 $569.53 $554.46 $490.96 $521.08 $477.23 $436.54
55 $694.66 $601.93 $579.80 $581.36 $594.87 $579.13 $512.81 $544.26 $498.47 $455.96
56 $726.74 $629.73 $606.58 $608.22 $622.34 $605.88 $536.50 $569.40 $521.49 $477.02
57 $759.14 $657.81 $633.62 $635.33 $650.09 $632.89 $560.41 $594.79 $544.74 $498.28
58 $793.72 $687.77 $662.48 $664.27 $679.70 $661.71 $585.94 $621.88 $569.55 $520.98
59 $810.85 $702.61 $676.78 $678.61 $694.37 $676.00 $598.59 $635.30 $581.84 $532.23
60 $845.43 $732.58 $705.64 $707.54 $723.98 $704.82 $624.11 $662.39 $606.65 $554.92
61 $875.33 $758.49 $730.60 $732.57 $749.59 $729.75 $646.19 $685.82 $628.11 $574.55
62 $894.95 $775.49 $746.98 $748.99 $766.39 $746.12 $660.68 $701.20 $642.19 $587.43
63 $919.56 $796.82 $767.52 $769.59 $787.47 $766.63 $678.84 $720.48 $659.85 $603.58
64 $934.51 $809.76 $779.99 $782.09 $800.26 $779.09 $689.87 $732.18 $670.57 $613.39
65+ $934.51 $809.76 $779.99 $782.09 $800.26 $779.09 $689.87 $732.18 $670.57 $613.39
Rates
37
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Oconee CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $197.81 $171.40 $165.10 $165.55 $169.39 $164.91 $146.02 $154.98 $141.94 $129.84
21 $311.51 $269.92 $260.00 $260.70 $266.76 $259.70 $229.96 $244.06 $223.53 $204.47
22 $311.51 $269.92 $260.00 $260.70 $266.76 $259.70 $229.96 $244.06 $223.53 $204.47
23 $311.51 $269.92 $260.00 $260.70 $266.76 $259.70 $229.96 $244.06 $223.53 $204.47
24 $311.51 $269.92 $260.00 $260.70 $266.76 $259.70 $229.96 $244.06 $223.53 $204.47
25 $312.75 $271.00 $261.04 $261.74 $267.82 $260.74 $230.88 $245.04 $224.42 $205.28
26 $318.98 $276.40 $266.24 $266.96 $273.16 $265.93 $235.48 $249.92 $228.89 $209.37
27 $326.46 $282.88 $272.48 $273.21 $279.56 $272.16 $241.00 $255.78 $234.26 $214.28
28 $338.61 $293.41 $282.62 $283.38 $289.96 $282.29 $249.97 $265.30 $242.97 $222.25
29 $348.57 $302.05 $290.94 $291.72 $298.50 $290.60 $257.33 $273.11 $250.13 $228.80
30 $353.56 $306.36 $295.10 $295.90 $302.77 $294.76 $261.00 $277.01 $253.70 $232.07
31 $361.03 $312.84 $301.34 $302.15 $309.17 $300.99 $266.52 $282.87 $259.07 $236.98
32 $368.51 $319.32 $307.58 $308.41 $315.57 $307.22 $272.04 $288.73 $264.43 $241.88
33 $373.18 $323.37 $311.48 $312.32 $319.57 $311.12 $275.49 $292.39 $267.79 $244.95
34 $378.17 $327.69 $315.64 $316.49 $323.84 $315.27 $279.17 $296.29 $271.36 $248.22
35 $380.66 $329.85 $317.72 $318.58 $325.98 $317.35 $281.01 $298.25 $273.15 $249.86
36 $383.15 $332.01 $319.80 $320.66 $328.11 $319.43 $282.85 $300.20 $274.94 $251.49
37 $385.64 $334.17 $321.88 $322.75 $330.24 $321.51 $284.69 $302.15 $276.73 $253.13
38 $388.14 $336.33 $323.96 $324.83 $332.38 $323.59 $286.53 $304.10 $278.52 $254.77
39 $393.12 $340.64 $328.12 $329.00 $336.65 $327.74 $290.21 $308.01 $282.09 $258.04
40 $398.10 $344.96 $332.28 $333.18 $340.92 $331.90 $293.89 $311.91 $285.67 $261.31
41 $405.58 $351.44 $338.52 $339.43 $347.32 $338.13 $299.41 $317.77 $291.03 $266.22
42 $412.74 $357.65 $344.50 $345.43 $353.45 $344.10 $304.70 $323.39 $296.17 $270.92
43 $422.71 $366.29 $352.82 $353.77 $361.99 $352.41 $312.06 $331.20 $303.33 $277.46
44 $435.17 $377.08 $363.22 $364.20 $372.66 $362.80 $321.25 $340.96 $312.27 $285.64
45 $449.81 $389.77 $375.44 $376.45 $385.20 $375.01 $332.06 $352.43 $322.77 $295.25
46 $467.26 $404.89 $390.00 $391.05 $400.14 $389.55 $344.94 $366.10 $335.29 $306.70
47 $486.88 $421.89 $406.38 $407.48 $416.94 $405.91 $359.43 $381.47 $349.37 $319.58
48 $509.31 $441.33 $425.10 $426.25 $436.15 $424.61 $375.98 $399.05 $365.47 $334.30
49 $531.43 $460.49 $443.56 $444.76 $455.09 $443.05 $392.31 $416.37 $381.34 $348.82
50 $556.35 $482.09 $464.36 $465.61 $476.43 $463.82 $410.71 $435.90 $399.22 $365.18
51 $580.96 $503.41 $484.90 $486.21 $497.50 $484.34 $428.88 $455.18 $416.88 $381.33
52 $608.06 $526.89 $507.52 $508.89 $520.71 $506.93 $448.88 $476.41 $436.33 $399.12
53 $635.47 $550.65 $530.40 $531.83 $544.18 $529.79 $469.12 $497.89 $456.00 $417.11
54 $665.06 $576.29 $555.10 $556.60 $569.53 $554.46 $490.96 $521.08 $477.23 $436.54
55 $694.66 $601.93 $579.80 $581.36 $594.87 $579.13 $512.81 $544.26 $498.47 $455.96
56 $726.74 $629.73 $606.58 $608.22 $622.34 $605.88 $536.50 $569.40 $521.49 $477.02
57 $759.14 $657.81 $633.62 $635.33 $650.09 $632.89 $560.41 $594.79 $544.74 $498.28
58 $793.72 $687.77 $662.48 $664.27 $679.70 $661.71 $585.94 $621.88 $569.55 $520.98
59 $810.85 $702.61 $676.78 $678.61 $694.37 $676.00 $598.59 $635.30 $581.84 $532.23
60 $845.43 $732.58 $705.64 $707.54 $723.98 $704.82 $624.11 $662.39 $606.65 $554.92
61 $875.33 $758.49 $730.60 $732.57 $749.59 $729.75 $646.19 $685.82 $628.11 $574.55
62 $894.95 $775.49 $746.98 $748.99 $766.39 $746.12 $660.68 $701.20 $642.19 $587.43
63 $919.56 $796.82 $767.52 $769.59 $787.47 $766.63 $678.84 $720.48 $659.85 $603.58
64 $934.51 $809.76 $779.99 $782.09 $800.26 $779.09 $689.87 $732.18 $670.57 $613.39
65+ $934.51 $809.76 $779.99 $782.09 $800.26 $779.09 $689.87 $732.18 $670.57 $613.39
Rates
38
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Anderson CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $208.36 $180.55 $173.91 $174.38 $178.43 $173.71 $153.82 $163.25 $149.51 $136.76
21 $328.13 $284.33 $273.88 $274.61 $280.99 $273.56 $242.23 $257.09 $235.46 $215.38
22 $328.13 $284.33 $273.88 $274.61 $280.99 $273.56 $242.23 $257.09 $235.46 $215.38
23 $328.13 $284.33 $273.88 $274.61 $280.99 $273.56 $242.23 $257.09 $235.46 $215.38
24 $328.13 $284.33 $273.88 $274.61 $280.99 $273.56 $242.23 $257.09 $235.46 $215.38
25 $329.44 $285.47 $274.97 $275.71 $282.12 $274.65 $243.20 $258.12 $236.40 $216.24
26 $336.00 $291.15 $280.45 $281.20 $287.74 $280.12 $248.05 $263.26 $241.11 $220.55
27 $343.88 $297.98 $287.02 $287.79 $294.48 $286.69 $253.86 $269.43 $246.76 $225.72
28 $356.68 $309.07 $297.70 $298.50 $305.44 $297.36 $263.31 $279.46 $255.94 $234.12
29 $367.18 $318.16 $306.47 $307.29 $314.43 $306.11 $271.06 $287.68 $263.47 $241.01
30 $372.43 $322.71 $310.85 $311.69 $318.93 $310.49 $274.93 $291.80 $267.24 $244.45
31 $380.30 $329.54 $317.42 $318.28 $325.67 $317.05 $280.75 $297.97 $272.89 $249.62
32 $388.18 $336.36 $323.99 $324.87 $332.41 $323.62 $286.56 $304.14 $278.54 $254.79
33 $393.10 $340.63 $328.10 $328.99 $336.63 $327.72 $290.19 $307.99 $282.08 $258.02
34 $398.35 $345.18 $332.48 $333.38 $341.12 $332.10 $294.07 $312.11 $285.84 $261.47
35 $400.97 $347.45 $334.68 $335.58 $343.37 $334.29 $296.01 $314.16 $287.73 $263.19
36 $403.60 $349.72 $336.87 $337.77 $345.62 $336.48 $297.94 $316.22 $289.61 $264.91
37 $406.22 $352.00 $339.06 $339.97 $347.87 $338.66 $299.88 $318.28 $291.49 $266.64
38 $408.85 $354.27 $341.25 $342.17 $350.12 $340.85 $301.82 $320.33 $293.38 $268.36
39 $414.10 $358.82 $345.63 $346.56 $354.61 $345.23 $305.70 $324.45 $297.15 $271.81
40 $419.35 $363.37 $350.01 $350.96 $359.11 $349.61 $309.57 $328.56 $300.91 $275.25
41 $427.22 $370.20 $356.59 $357.55 $365.85 $356.17 $315.39 $334.73 $306.56 $280.42
42 $434.77 $376.74 $362.89 $363.86 $372.31 $362.46 $320.96 $340.64 $311.98 $285.38
43 $445.27 $385.83 $371.65 $372.65 $381.31 $371.22 $328.71 $348.87 $319.51 $292.27
44 $458.40 $397.21 $382.60 $383.63 $392.55 $382.16 $338.40 $359.15 $328.93 $300.88
45 $473.82 $410.57 $395.48 $396.54 $405.75 $395.02 $349.78 $371.24 $340.00 $311.01
46 $492.19 $426.49 $410.81 $411.92 $421.49 $410.34 $363.35 $385.63 $353.18 $323.07
47 $512.86 $444.41 $428.07 $429.22 $439.19 $427.57 $378.61 $401.83 $368.02 $336.64
48 $536.49 $464.88 $447.79 $448.99 $459.42 $447.27 $396.05 $420.34 $384.97 $352.14
49 $559.79 $485.07 $467.23 $468.49 $479.37 $466.69 $413.25 $438.59 $401.69 $367.43
50 $586.04 $507.81 $489.14 $490.46 $501.85 $488.57 $432.63 $459.16 $420.52 $384.66
51 $611.96 $530.27 $510.78 $512.15 $524.05 $510.19 $451.76 $479.47 $439.12 $401.68
52 $640.51 $555.01 $534.60 $536.05 $548.50 $533.98 $472.84 $501.84 $459.61 $420.42
53 $669.38 $580.03 $558.71 $560.21 $573.22 $558.06 $494.15 $524.46 $480.33 $439.37
54 $700.55 $607.04 $584.72 $586.30 $599.92 $584.05 $517.16 $548.88 $502.70 $459.83
55 $731.73 $634.05 $610.74 $612.39 $626.61 $610.03 $540.18 $573.31 $525.07 $480.29
56 $765.52 $663.34 $638.95 $640.67 $655.55 $638.21 $565.13 $599.79 $549.32 $502.48
57 $799.65 $692.91 $667.43 $669.23 $684.78 $666.66 $590.32 $626.53 $573.81 $524.88
58 $836.07 $724.47 $697.83 $699.71 $715.97 $697.03 $617.21 $655.06 $599.94 $548.78
59 $854.12 $740.11 $712.90 $714.82 $731.42 $712.07 $630.53 $669.20 $612.89 $560.63
60 $890.54 $771.67 $743.30 $745.30 $762.61 $742.44 $657.42 $697.74 $639.03 $584.53
61 $922.04 $798.96 $769.59 $771.66 $789.59 $768.70 $680.67 $722.42 $661.63 $605.21
62 $942.71 $816.88 $786.84 $788.96 $807.29 $785.93 $695.93 $738.62 $676.46 $618.78
63 $968.64 $839.34 $808.48 $810.66 $829.49 $807.54 $715.07 $758.93 $695.07 $635.79
64 $984.38 $852.98 $821.62 $823.83 $842.97 $820.66 $726.69 $771.26 $706.36 $646.12
65+ $984.38 $852.98 $821.62 $823.83 $842.97 $820.66 $726.69 $771.26 $706.36 $646.12
Rates
39
Non-tobacco rates. To get tobacco rate, multiply by 1.20 (20%)
Sumter CountyAge Gold 1000 Silver 400 Silver 2501 Silver 2502 Silver 1750 Silver 1500 Bronze 5001 Bronze 5002 Bronze 6350 Catastrophic0-20 $208.36 $180.55 $173.91 $174.38 $178.43 $173.71 $153.82 $163.25 $149.51 $136.76
21 $328.13 $284.33 $273.88 $274.61 $280.99 $273.56 $242.23 $257.09 $235.46 $215.38
22 $328.13 $284.33 $273.88 $274.61 $280.99 $273.56 $242.23 $257.09 $235.46 $215.38
23 $328.13 $284.33 $273.88 $274.61 $280.99 $273.56 $242.23 $257.09 $235.46 $215.38
24 $328.13 $284.33 $273.88 $274.61 $280.99 $273.56 $242.23 $257.09 $235.46 $215.38
25 $329.44 $285.47 $274.97 $275.71 $282.12 $274.65 $243.20 $258.12 $236.40 $216.24
26 $336.00 $291.15 $280.45 $281.20 $287.74 $280.12 $248.05 $263.26 $241.11 $220.55
27 $343.88 $297.98 $287.02 $287.79 $294.48 $286.69 $253.86 $269.43 $246.76 $225.72
28 $356.68 $309.07 $297.70 $298.50 $305.44 $297.36 $263.31 $279.46 $255.94 $234.12
29 $367.18 $318.16 $306.47 $307.29 $314.43 $306.11 $271.06 $287.68 $263.47 $241.01
30 $372.43 $322.71 $310.85 $311.69 $318.93 $310.49 $274.93 $291.80 $267.24 $244.45
31 $380.30 $329.54 $317.42 $318.28 $325.67 $317.05 $280.75 $297.97 $272.89 $249.62
32 $388.18 $336.36 $323.99 $324.87 $332.41 $323.62 $286.56 $304.14 $278.54 $254.79
33 $393.10 $340.63 $328.10 $328.99 $336.63 $327.72 $290.19 $307.99 $282.08 $258.02
34 $398.35 $345.18 $332.48 $333.38 $341.12 $332.10 $294.07 $312.11 $285.84 $261.47
35 $400.97 $347.45 $334.68 $335.58 $343.37 $334.29 $296.01 $314.16 $287.73 $263.19
36 $403.60 $349.72 $336.87 $337.77 $345.62 $336.48 $297.94 $316.22 $289.61 $264.91
37 $406.22 $352.00 $339.06 $339.97 $347.87 $338.66 $299.88 $318.28 $291.49 $266.64
38 $408.85 $354.27 $341.25 $342.17 $350.12 $340.85 $301.82 $320.33 $293.38 $268.36
39 $414.10 $358.82 $345.63 $346.56 $354.61 $345.23 $305.70 $324.45 $297.15 $271.81
40 $419.35 $363.37 $350.01 $350.96 $359.11 $349.61 $309.57 $328.56 $300.91 $275.25
41 $427.22 $370.20 $356.59 $357.55 $365.85 $356.17 $315.39 $334.73 $306.56 $280.42
42 $434.77 $376.74 $362.89 $363.86 $372.31 $362.46 $320.96 $340.64 $311.98 $285.38
43 $445.27 $385.83 $371.65 $372.65 $381.31 $371.22 $328.71 $348.87 $319.51 $292.27
44 $458.40 $397.21 $382.60 $383.63 $392.55 $382.16 $338.40 $359.15 $328.93 $300.88
45 $473.82 $410.57 $395.48 $396.54 $405.75 $395.02 $349.78 $371.24 $340.00 $311.01
46 $492.19 $426.49 $410.81 $411.92 $421.49 $410.34 $363.35 $385.63 $353.18 $323.07
47 $512.86 $444.41 $428.07 $429.22 $439.19 $427.57 $378.61 $401.83 $368.02 $336.64
48 $536.49 $464.88 $447.79 $448.99 $459.42 $447.27 $396.05 $420.34 $384.97 $352.14
49 $559.79 $485.07 $467.23 $468.49 $479.37 $466.69 $413.25 $438.59 $401.69 $367.43
50 $586.04 $507.81 $489.14 $490.46 $501.85 $488.57 $432.63 $459.16 $420.52 $384.66
51 $611.96 $530.27 $510.78 $512.15 $524.05 $510.19 $451.76 $479.47 $439.12 $401.68
52 $640.51 $555.01 $534.60 $536.05 $548.50 $533.98 $472.84 $501.84 $459.61 $420.42
53 $669.38 $580.03 $558.71 $560.21 $573.22 $558.06 $494.15 $524.46 $480.33 $439.37
54 $700.55 $607.04 $584.72 $586.30 $599.92 $584.05 $517.16 $548.88 $502.70 $459.83
55 $731.73 $634.05 $610.74 $612.39 $626.61 $610.03 $540.18 $573.31 $525.07 $480.29
56 $765.52 $663.34 $638.95 $640.67 $655.55 $638.21 $565.13 $599.79 $549.32 $502.48
57 $799.65 $692.91 $667.43 $669.23 $684.78 $666.66 $590.32 $626.53 $573.81 $524.88
58 $836.07 $724.47 $697.83 $699.71 $715.97 $697.03 $617.21 $655.06 $599.94 $548.78
59 $854.12 $740.11 $712.90 $714.82 $731.42 $712.07 $630.53 $669.20 $612.89 $560.63
60 $890.54 $771.67 $743.30 $745.30 $762.61 $742.44 $657.42 $697.74 $639.03 $584.53
61 $922.04 $798.96 $769.59 $771.66 $789.59 $768.70 $680.67 $722.42 $661.63 $605.21
62 $942.71 $816.88 $786.84 $788.96 $807.29 $785.93 $695.93 $738.62 $676.46 $618.78
63 $968.64 $839.34 $808.48 $810.66 $829.49 $807.54 $715.07 $758.93 $695.07 $635.79
64 $984.38 $852.98 $821.62 $823.83 $842.97 $820.66 $726.69 $771.26 $706.36 $646.12
65+ $984.38 $852.98 $821.62 $823.83 $842.97 $820.66 $726.69 $771.26 $706.36 $646.12
Because It Matters How You’re Treated
Because It Matters How You’re TreatedBlueChoice HealthPlan’s goal is to help keep you healthy. We look forward to helping you decide which MyChoice Advantage plan is best for you and your family members.
For more information on MyChoice Advantage plans, you can:1. Visit ApplyNowSC.com, our private exchange where you can get product information, get
instructions on how to check if you qualify for a subsidy or apply for coverage.2. Call our MyChoice Advantage Call Center at 855-433-2132. Assistance is available
Monday–Friday, 8:30 a.m.–5 p.m.3. Contact a local insurance agent.
14991-10-2013
BlueCross BlueShield of South Carolina and BlueChoice HealthPlan are independent licensees of the Blue Cross and Blue Shield Association.