Health insurance in Berkeley County, South Carolina
4 insurers sell 60 marketplace plans here, and 10.1% of under-65 residents have no coverage at all.
Source: CMS Marketplace Open Enrollment Public Use Files and US Census Small Area Health Insurance Estimates, 2026 release.
Who sells here, and how much choice that gives
4 insurers sell marketplace plans in Berkeley County, offering 60 plans between them, roughly 15 each. It gained 1 since the previous plan year, up from 3.
How many people here have no coverage
10.1% of Berkeley County's 219,189 under-65 residents have no health coverage — 22,145 people. That is close to the South Carolina rate of 11.2%, and puts Berkeley County in the middle half of the 1,817 counties on this site (1039th).
Some of those 22,145 are in the South Carolina coverage gap: under $15,960 a year, too little for a subsidy and no expanded Medicaid to fall back on.
How much the marketplace is used
26,975 Berkeley County residents selected a marketplace plan for 2026: 123 per thousand under-65 residents, 524th of 1,817. That is above the 78 per thousand typical of published counties. 3,525 of them — 13% — were new rather than renewing.
Berkeley County against South Carolina
Berkeley County is the 7th largest of the 12 South Carolina counties we publish. Its uninsured rate runs 1.1 points lower than South Carolina overall and its 4 insurers sit between the state's 2 and 5. Marketplace use is close to the South Carolina rate.
| Berkeley County | South Carolina | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 10.1% | 11.2% | 9.9% |
| Insurers selling | 4 | 2–5 | 4 |
| Plans offered | 60 | — | 57 |
| Selections per 1,000 | 123 | 138 | 78 |
| New rather than renewing | 13% | 14% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| York County | 251,592 | 9.0% | 4 | 48 |
| Lexington County | 256,624 | 10.8% | 3 | 52 |
| Anderson County | 173,004 | 11.4% | 3 | 39 |
| Horry County | 291,194 | 14.1% | 3 | 48 |
| Greenville County | 463,426 | 11.5% | 3 | 48 |
All of them have fewer insurers than this county's 4, which makes it the stronger market locally.
Other South Carolina counties · Where the subsidy stops · Enrollment dates