Before subsidies, the benchmark silver plan for a 40-year-old in Lexington County cost about $593 a month for 2026, and the South Carolina average for 2027 is $702 a month. Premium tax credits bring that down for many households, depending on income and family size. 3 insurers offered marketplace plans in Lexington County for 2026. Below you'll find how coverage works in Cayce, the local agencies with the strongest reviews, and where to get free help.
Top-rated health insurance agencies near Cayce
Licensed agents can compare plans available in Lexington County, check your doctors and estimate your premium tax credit. Free to you.
Call 866-645-8540Health insurance at a glance: Cayce, SC
| Where to enroll | HealthCare.gov |
|---|---|
| Average benchmark silver, age 40 (2027) | $702/mo before subsidies |
| Lexington County benchmark (2026) | $593/mo |
| Plans offered in Lexington County (2026) | 52 |
| Plan types | HMO, EPO, PPO |
| Marketplace insurers in South Carolina (2027) | 6 |
| Medicaid expansion | No |
| Short-term plans | Sold with state limits (not ACA-compliant) |
Sources: CMS plan data, KFF, state marketplace and insurance department pages.
A quick checklist
- Ask each agent which carriers they can quote in your county.
- Compare total yearly cost (premiums plus deductible), not just the monthly premium.
- Check that the agent's license is active with the state regulator.
- Have a realistic estimate of next year's household income; subsidies are based on it.
Free enrollment help in South Carolina
HealthCare.gov Marketplace assisters: CMS-funded Navigator organizations plus Certified Application Counselors, who give free, impartial help applying and enrolling; consumers search for nearby help with the HealthCare.gov Find Local Help tool. You can search for in-person help on the official find-help page. If you'd rather have someone compare plans and recommend one, a licensed agent can do that at no cost to you.
Frequently asked questions
How much is health insurance in Cayce?
Before subsidies, the benchmark silver plan for a 40-year-old in Lexington County cost about $593 a month for 2026, and the South Carolina average for 2027 is $702 a month. Premium tax credits bring that down for many households, depending on income and family size. 3 insurers offered marketplace plans in Lexington County for 2026. A licensed agent can quote your exact price.
Can I get coverage outside open enrollment?
Only with a qualifying life event, unless you qualify for Healthy Connections. Some people also look at short-term or fixed-indemnity plans, which are not ACA-compliant coverage.
Which insurers sell marketplace plans in South Carolina?
For 2027, marketplace plans in South Carolina come from 6 insurers: BlueCross BlueShield of South Carolina (incl. BlueChoice), Ambetter (Absolute Total Care), Molina Healthcare, Select Health of SC, UnitedHealthcare and InStil Health. Not every insurer sells in every county.
Health insurance in nearby cities
- West Columbia, SC 4 miles
- Oak Grove, SC 6 miles
- Forest Acres, SC 7 miles
- St. Andrews, SC 8 miles
- Seven Oaks, SC 9 miles
- Woodfield, SC 10 miles
- Columbia, SC 10 miles
- Dentsville, SC 10 miles
- Lexington, SC 11 miles
- Red Bank, SC 11 miles