Ranked 3 of 15 states · median $636/mo · CMS PY2026
Prefer to talk? Call (713) 575-9904
Licensed Independent Agent · NPN #22052447 · 23 States
A 40-year-old personal chef in South Carolina pays a median $636/month for a Silver plan before subsidies — 3th of 15 on cost. The cheapest plan in the state is $456 from Ambetter from Absolute Total Care in Abbeville. On highest out-of-pocket maximum, South Carolina ranks 11 of 15 for this occupation.
Trade work concentrates cost into rare, expensive events rather than spreading it across the year. That inverts the usual shopping logic: a lower premium with a $9,200 ceiling is a worse deal than a higher premium with a $6,000 one, because the ceiling is what you actually hit. These rankings follow the ceiling.
Occupational context: Burns and cuts; prolonged standing; heat exposure.
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 personal chef or an accountant. Occupation changes the shopping criteria, nothing else.
Premium is set by rating area, so a personal chef 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 |
|---|---|---|---|---|
| York | $613 | InStil Health | $6,500 | 4 |
| McCormick | $497 | Molina Healthcare | $7,000 | 3 |
| Williamsburg | $515 | Ambetter from Absolute Total Care | $6,000 | 4 |
| Sumter | $537 | BlueCross BlueShield of South Carolina | $6,500 | 3 |
| Dillon | $553 | Ambetter from Absolute Total Care | $6,000 | 4 |
| Colleton | $567 | Molina Healthcare | $7,000 | 4 |
The spread across just these six is $116/month — $1,391 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 — worst-case exposure | 2026 |
|---|---|
| Lowest annual out-of-pocket maximum | $3,400 |
| Highest annual out-of-pocket maximum | $10,600 |
| Cheapest Gold plan @40 | $476 — Ambetter from Absolute Total Care |
| Gold deductible | $2,000 |
| Cheapest Silver @40 | $456 — Ambetter from Absolute Total Care |
| Cheapest Silver @50 | $637 |
For a personal chef, the gap between $3,400 and $10,600 in annual out-of-pocket maximum is worth more than any premium difference on this page. One serious injury reaches that ceiling regardless of which plan you picked.
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 personal chef 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.
Expense categories that typically apply to this trade: Ingredients, knives and equipment, vehicle, licensing. Premiums are generally deductible above the line under IRC §162(l) when no employer plan is available to you or your spouse — a question for your CPA, not your agent.
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 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.
No. South Carolina exchange plans are guaranteed issue and community rated, so a personal chef pays exactly what anyone else of the same age in the same ZIP pays. Occupation is not on the application as a rating factor.
Yes. Plan types filed for 2026: EPO, HMO, POS, PPO.
South Carolina ranks 3 of 15 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 2026.
This occupation sits above the cliff in 2 of the 21 states reported and below it in the other 19, so the answer changes with the state.
What this figure is. It is the median annual wage BLS reports for Chefs and Head Cooks (SOC 35-1011) 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 personal chef. 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 2026 the 400% FPL limit applies again, so household income above $62,600 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 Personal Chefs in South Carolina and a blog covering deductibles, subsidies and special enrollment.
Right now 6 carriers file plans across the 46 counties of South Carolina. Participation is reset annually, which is why Personal Chefs should check the roster in November rather than assume this year’s options carry over.
Nobody can tell you your 2027 South Carolina premium yet. Filings nationally cluster around a 15% median increase, with the full spread running −1% to 54% — and until this state signs off, a specific local number is invention.
Mark November 1, 2026 to open and December 15 to act. That second date guarantees cover from January 1 in South Carolina regardless of how the current litigation over the enrollment window resolves.
All 46 counties in South Carolina sell a PPO, which is unusual and useful. For a personal chef 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.
Give me a ZIP and I will tell you three things:
The sticker price is rarely what Personal Chefs in South Carolina end up paying. Start with a ZIP and I will work out your actual number.