Medicare made clear · Statewide in South Carolina

Medicare in South Carolina, explained by someone who actually teaches it.

Turning 65, retiring, just moved to the coast, or re-shopping because your premium jumped? Sit down with a credentialed independent agent who will walk you through Medicare Advantage, Medigap and Part D in plain English — patiently, and at no cost to you.

No cost, no obligation, no pressure.

Request your free Medicare review

Tell us a little about you and Darin will reach out. Prefer to talk now? Call (702) 706-6564.

We never ask about your health on this form. See our Privacy Policy. This is a solicitation for insurance. Not connected with or endorsed by the U.S. government or the federal Medicare program.

Licensed in South Carolina · SC License #18580338 · NPN 18580338 Gerontologist & RSSA® 22-year U.S. Air Force veteran Always free to you

South Carolina is different

Three things about Medicare in South Carolina that the national websites gloss over

South Carolina has 46 counties, about 1.25 million people on Medicare, a coast that fills with new retirees every year, and a Medigap rulebook with no second chances. Start with what actually applies where you live.

Your Medigap window does not come back

South Carolina has no birthday rule and no annual switching window. The six-month open enrollment at 65, and a handful of guaranteed-issue events such as moving here from an Advantage plan’s service area, are the only times a carrier must take you without health questions. Use them well.

How Medigap works here

Half the state moved here from somewhere else

Bluffton, Hilton Head, Myrtle Beach, Mount Pleasant, Fort Mill: a lot of South Carolina’s Medicare population arrived on Medicare. A move opens a Special Enrollment Period, changes your county’s plan menu, and, if you left an Advantage plan behind, opens a Medigap window.

Moving to South Carolina

Healthy Connections Prime is gone

South Carolina’s Medicare-Medicaid plan for people 65 and over ended on December 31, 2025. People with both Medicare and Healthy Connections Medicaid now use Dual Special Needs Plans, and the Medicare Savings Programs that pay the Part B premium still run through SCDHHS.

Dual-eligible help

Medicare in 2026, at a glance

The numbers that matter this year

Premiums and deductibles change every year. Here are the current 2026 Original Medicare figures — we refresh them annually so you are never reading last year’s numbers.

$202.90
Part B premium
Standard monthly, 2026
$283
Part B deductible
Annual, 2026
$1,736
Part A deductible
Per hospital benefit period, 2026
$2,100
Part D drug cap
Yearly out-of-pocket max, 2026

Source: Centers for Medicare & Medicaid Services, 2026 Medicare Parts A & B Premiums and Deductibles (released November 14, 2025) and 2026 Part D parameters. Higher earners may pay an income-related surcharge (IRMAA) — see our 2026 costs & IRMAA page.

Where to start

Four ways South Carolinians get covered

There is no single “best” plan — only the one that fits your doctors, your prescriptions, your county and your travel. Here is the plain-English version of your choices.

Medicare Advantage

All-in-one Part C plans, often $0 premium, that use a local network — so your providers, your county and your prescriptions matter.

How Advantage works

Medicare Supplement

Medigap pairs with Original Medicare and lets you see any provider nationwide that accepts Medicare — MUSC, Prisma, Duke or Emory across the line, or the hospital in your county seat.

How Medigap works

Part D drug plans

Standalone drug coverage chosen around your medications and pharmacy. 2026 out-of-pocket cap: $2,100.

How Part D works

Special Needs Plans

Advantage plans built for a chronic condition, for nursing-facility care, or for people with both Medicare and Healthy Connections Medicaid.

About SNPs

Your situation matters

Help for specific circumstances

The rules change a lot depending on what else you have and where you live. These are the situations South Carolinians ask us about most.

New to South Carolina

The relocation Special Enrollment Period, what happens to a Medigap policy from another state, and what a hurricane declaration does to your deadlines.

Moving to South Carolina

My premium went up

Why Medigap rates rise, how South Carolina’s rate filings are public, and what switching means in a state with no birthday rule.

Medigap in South Carolina

Veterans & military retirees

TRICARE For Life, the Charleston and Columbia VA systems, and why Part B timing still matters — from a retired Air Force officer.

Veterans & Medicare

Medicare + Healthy Connections Medicaid

The Medicare Savings Programs that pay your Part B premium, Extra Help, and the D-SNPs that replaced Healthy Connections Prime.

Dual-eligible help

Free guide

New to Medicare? Start with Turning 65 in South Carolina.

A clear, step-by-step walk-through of your enrollment windows, the South Carolina-specific choices in front of you, and the deadlines that carry a lifelong penalty if you miss them. No sign-up required.

Read the Turning 65 guide Get the free 295-page book

Who you’ll be working with

Darin Weidauer, independent Medicare insurance agent and credentialed gerontologist

Darin Weidauer, MBA, RSSA®

Gerontologist · Registered Social Security Analyst® · U.S. Air Force Veteran

  • NPN 18580338 · licensed in South Carolina, SC License #18580338
  • Credentialed gerontologist (2014)
  • RSSA®
  • 22-yr USAF veteran (retired officer)
  • Author, Retire With Confidence

Darin Weidauer is an independent Medicare insurance agent, credentialed gerontologist, and Registered Social Security Analyst® who helps South Carolina retirees and people approaching 65 make sense of their options — clearly, patiently, and with no cost to them. A 22-year U.S. Air Force veteran who retired as an officer, Darin holds five master’s degrees, including an MBA and a Master’s in Dispute Resolution from Pepperdine and a Master’s in Long-Term Care from USC, and became a credentialed gerontologist in 2014 — studying the human side of aging, not just the paperwork.

A former Professor of Aerospace Studies at Loyola Marymount University who has lectured at more than 50 colleges and universities, Darin now channels that teaching instinct into plain-English Medicare education through one-on-one reviews, no-cost workshops, and his book Retire With Confidence. More about Darin →

Questions South Carolinians ask

Frequently asked questions

How much does it cost to work with ECOS Medicare Solutions?

There is no cost to you. Independent Medicare agents are paid by the insurance carriers when you enroll, so our help comparing plans, answering questions, and reviewing your coverage each year is free. Your plan premium is the same whether you enroll with our help or on your own.

Does South Carolina have a Medigap birthday rule?

No. South Carolina follows the federal rules only: your six-month Medigap open enrollment when you are 65 and have Part B, plus guaranteed-issue events such as losing an Advantage plan through no fault of your own. Outside those, South Carolina insurers can use medical underwriting. That makes the first choice matter more here than in a birthday-rule state.

I just moved to South Carolina. What happens to my Medicare?

Original Medicare comes with you unchanged. A Medicare Advantage or Part D plan is tied to your old county, so a permanent move gives you a Special Enrollment Period to pick a plan sold where you live now. If you leave an Advantage plan because you moved out of its service area, federal rules give you a guaranteed-issue right to buy certain Medigap plans without health questions, generally for 63 days. A Medigap policy from another state usually keeps working here; the premium may be re-rated.

When can I enroll in or change my Medicare plan in South Carolina?

Most people first enroll during their Initial Enrollment Period, the seven months around their 65th birthday. After that, the Annual Election Period runs October 15 to December 7 each year, and the Medicare Advantage Open Enrollment Period runs January 1 to March 31. Moving, losing a plan, qualifying for Medicaid, or a FEMA hurricane declaration opens a Special Enrollment Period.

I have VA or TRICARE benefits. Do I still need Medicare?

Often, yes. VA health care and Medicare do not coordinate with each other, and TRICARE For Life requires you to have Medicare Parts A and B. Enrolling in Part B on time matters even with VA care, because VA medical coverage is not creditable for Part B and the late penalty lasts for life. Our Veterans page explains how these benefits fit together.

Do you offer every Medicare plan available in my area?

No — and we will always be upfront about that. We represent a number of insurance organizations and products in South Carolina, not all of them. The easiest next step is to call us at (702) 706-6564 and we will walk through what fits you. To compare every option on your own, Medicare.gov, 1-800-MEDICARE, and I-CARE (800-868-9095) have the complete list.

Ready when you are

Let’s find the plan that fits your life.

A short, friendly conversation — no pressure, no cost. We’ll look at your doctors, your prescriptions, your county and your travel together.