Managed Care · SC
South Carolina
Moderate opportunity · score 52
MA penetration is near the national average — selective contracting opportunities.
State MA penetration
46.6%
National rank #31 · National avg 47.8%
-1.21 pp vs national
584,952
MA beneficiaries (rolled up)
1,255,610
Medicare eligibles
46
Counties indexed
187
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +105.7%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 62.3%Allendale1,329 of 2,132 eligibles
- 60.1%Williamsburg5,150 of 8,564 eligibles
- 59.6%Union4,561 of 7,650 eligibles
- 59.6%Marlboro3,896 of 6,536 eligibles
- 59.0%Bamberg2,086 of 3,533 eligibles
- 58.9%Orangeburg12,804 of 21,735 eligibles
- 58.9%Dillon4,059 of 6,892 eligibles
- 58.4%Barnwell2,843 of 4,869 eligibles
- 57.8%Hampton2,683 of 4,644 eligibles
- 57.4%Marion4,683 of 8,153 eligibles
Highest opportunity counties
- 33.1%Beaufort60,984 eligibles · 20,214 enrolled
- 36.2%Charleston85,518 eligibles · 30,987 enrolled
- 37.5%Saluda4,884 eligibles · 1,829 enrolled
- 39.3%Jasper11,108 eligibles · 4,368 enrolled
- 42.0%Lexington64,644 eligibles · 27,135 enrolled
- 42.0%Georgetown23,066 eligibles · 9,682 enrolled
- 42.2%Richland77,947 eligibles · 32,923 enrolled
- 42.9%Dorchester33,226 eligibles · 14,267 enrolled
- 43.5%Aiken44,945 eligibles · 19,533 enrolled
- 44.3%Berkeley46,778 eligibles · 20,698 enrolled
Top MA payers in South Carolina
597,193 total MA enrolled- 1SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.125,74221.1%
- 2HUMANA INSURANCE COMPANY80,98013.6%
- 3ARCADIAN HEALTH PLAN, INC.68,95111.6%
- 4AETNA LIFE INSURANCE COMPANY61,92710.4%
- 5EMPHESYS INSURANCE COMPANY49,2728.3%
- 6BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA48,2668.1%
- 7CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.31,4295.3%
- 8DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC26,9814.5%
- 9HUMANA BENEFIT PLAN OF SOUTH CAROLINA, INC.23,8204.0%
- 10WELLCARE OF SOUTH CAROLINA, INC.19,9653.3%
- 11AETNA BETTER HEALTH INC. (GA)19,1443.2%
- 12HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.15,7052.6%
- 13ABSOLUTE TOTAL CARE, INC.5,3640.9%
- 14CLOVER INSURANCE COMPANY3,4990.6%
- 15MOLINA HEALTHCARE OF SOUTH CAROLINA,INC3,1750.5%
Top-rated SNFs in South Carolina
187 total- NHC HealthCare - AndersonAnderson, SC · Anderson County · 290 beds5★
- Loris Rehab And Nursing Center, LLCLoris, SC · Horry County · 88 beds5★
- John Edward Harter Nursing CenterFairfax, SC · Allendale County · 44 beds5★
- White Oak Manor - YorkYork, SC · York County · 109 beds5★
- Oakhaven Nursing CenterDarlington, SC · Darlington County · 88 beds5★
- PruittHealth- BarnwellBarnwell, SC · Barnwell County · 44 beds5★
- Morrell Nursing CenterHartsville, SC · Darlington County · 154 beds5★
- NHC Healthcare - SumterSumter, SC · Sumter County · 138 beds5★
- NHC Healthcare - ClintonClinton, SC · Laurens County · 131 beds5★
- Palmetto PatriotsGaffney, SC · Cherokee County · 52 beds5★
Source: CMS MA State/County Penetration (Aug 2025). Secondary metrics from CMS Medicare Advantage Geographic Variation PUF (2016–2022). Penetration is computed by rolling up county-level CMS-published MA enrolled / Medicare eligibles. Trend chart spans 2016–2022.