Ranked 3 of 17 states · median $636/mo · CMS PY2026
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A 40-year-old interior designer in South Carolina pays a median $636/month for a Silver plan before subsidies — 3th of 17 on cost. The cheapest plan in the state is $456 from Ambetter from Absolute Total Care in Abbeville. On counties covered, South Carolina ranks 16 of 17 for this occupation.
Work that crosses county and state lines makes network geography the binding constraint. A cheap HMO that only contracts in one metro is worthless 200 miles away, so these pages rank states by network reach and flag the ones with no PPO on the exchange at all.
Occupational context: Lifting strain; jobsite exposure during installs.
This is background for choosing a plan, not for pricing one. Since 2014 every South Carolina exchange plan has been guaranteed issue and community rated: same age, same ZIP, same tobacco status means the same filed premium whether you are a interior designer or an accountant. Occupation changes the shopping criteria, nothing else.
Premium is set by rating area, so a interior designer in one South Carolina county can pay materially more than one an hour away. Six counties from across the state, cheapest Silver plan for a 40-year-old:
| County | Cheapest Silver @40 | Issuer | Deductible | Carriers |
|---|---|---|---|---|
| Edgefield | $498 | Ambetter from Absolute Total Care | $6,000 | 3 |
| Fairfield | $530 | Ambetter from Absolute Total Care | $6,000 | 5 |
| Newberry | $546 | Ambetter from Absolute Total Care | $6,000 | 4 |
| Chesterfield | $558 | InStil Health | $6,500 | 4 |
| Clarendon | $582 | Molina Healthcare | $7,000 | 4 |
| York | $613 | InStil Health | $6,500 | 4 |
The spread across just these six is $114/month — $1,372 a year for the same metal tier. Statewide the range runs $456 to $931. Coverage by County publishes all 46 South Carolina counties individually.
| South Carolina — network reach | 2026 |
|---|---|
| Counties in the state | 46 |
| Counties with only one carrier | 0 (0%) |
| Plan types available | EPO, HMO, POS, PPO |
| PPO available on exchange | Yes |
| Carriers filing in the state | 6 |
| Cheapest Silver @40 | $456 — Abbeville |
South Carolina has PPO plans available. For a interior designer covering distance, that single fact outweighs premium: 0 of 46 counties here are served by one carrier, so an HMO bought in one metro may leave you out of network for the rest of your route.
Source: CMS Plan Year 2026 Qualified Health Plan Landscape file. 2,518 plan records across 46 South Carolina counties. Full-price filed rates before premium tax credits — verify at enrollment.
Cheaper for the same coverage: Indiana ($558), Ohio ($625). More expensive: Alabama ($680), Wisconsin ($687), Michigan ($708).
Side-by-side: South Carolina vs Indiana · South Carolina vs Ohio · South Carolina vs Alabama · South Carolina vs Wisconsin
A caveat on the table above: rating is by residence, not by job site. A interior designer living in South Carolina and working across a state line still buys South Carolina plans. A genuine permanent move does trigger a special enrollment period, but the plan year restarts with a fresh deductible.
If you file a Schedule C as a interior designer, the categories that usually show up are: Samples, software, vehicle, liability insurance. The health premium itself is normally an above-the-line deduction under IRC §162(l), which reduces AGI rather than requiring you to itemize. Your CPA should confirm it against your actual situation.
If your household income is above the subsidy range, ACA is not automatically the answer. There are other categories of coverage that may fit, and they work very differently. That is a conversation, not a web page.
The BLS median wage for Interior Designers in South Carolina is $59,450 a year (May 2024). Starting pay — the 10th percentile — is about $27,620. The middle half earn $42,140 to $80,300, and the top 10% more than $95,770. BLS counts about 990 people doing this work for an employer in South Carolina. The self-employed are not in the BLS survey, so this is the going rate for the work, not your own number.
The cheapest Silver plan for a 40-year-old in South Carolina is $456 per month from Ambetter from Absolute Total Care, with a state median of $636. Both figures are full price before premium tax credits; most buyers pay less after subsidies.
It cannot happen on an exchange plan. Rating in South Carolina uses four inputs only: age, ZIP code, tobacco use and how many people are on the policy. Trade, injury history and pre-existing conditions are all excluded from pricing by law.
Yes. Plan types filed for 2026: EPO, HMO, POS, PPO.
South Carolina ranks 3 of 17 states covered here, at a median $636 per month. Indiana is cheapest at $558 and Nebraska is most expensive at $875.
Below the cliff. At this income a single-person household remains eligible for a premium tax credit in 2027.
This occupation sits above the cliff in 5 of the 23 states reported and below it in the other 18, so the answer changes with the state.
What this figure is. It is the median annual wage BLS reports for Interior Designers (SOC 27-1025) in South Carolina. BLS surveys wage and salary workers and excludes the self-employed, so it is a benchmark for the occupation in this state — not the income of a self-employed interior designer. Premium tax credit eligibility is set by household modified adjusted gross income and household size, not by occupation, so treat this as a reference point rather than a determination of what you qualify for.
Why the cliff is back. The enhanced premium tax credits expired on 31 December 2025. For plan year 2027 the 400% FPL limit applies again, so household income above $63,840 ends premium tax credit eligibility outright.
This page compares states. For South Carolina specifically — county-by-county carriers, plan data and enrollment help — I publish that on Coverage by County, including a page written for Interior Designers in South Carolina and a blog covering deductibles, subsidies and special enrollment.
The South Carolina market currently runs to 6 carriers over 46 counties. Carriers re-file every year, and for Interior Designers the question that actually decides your renewal is which of them are still there in November.
Rate filings for 2027 point to roughly a 15% median increase nationally, from −1% at one end to 54% at the other. South Carolina has finalised: insurers were approved for an average 22.1% increase for 2027. Your own premium still turns on your plan and county.
Enrollment opens November 1, 2026. Treat December 15 as the deadline: it guarantees January 1 cover on every marketplace, South Carolina included. Conflicting end dates get quoted because a 2025 rule shortened the window and a court vacated it in June 2026, appeal pending — enrol by the 15th and the argument is irrelevant to you.
All 46 counties in South Carolina sell a PPO, which is unusual and useful. For an interior designer covering ground, it is the plan type that travels best.
Nothing about 2027 is urgent yet, which is exactly why it is worth ten minutes now. Come November you will be choosing between South Carolina’s carriers under a deadline; today you can do it without one.
Enter a ZIP and a licensed agent will tell you three things:
The sticker price is rarely what Interior Designers in South Carolina end up paying. Start with a ZIP and a licensed agent will work out your actual number.
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