Health insurance in Florence County, South Carolina
4 insurers sell 57 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 Florence County, offering 57 plans between them, roughly 14 each. It gained 1 since the previous plan year, up from 3.
How many people here have no coverage
10.1% of Florence County's 107,661 under-65 residents have no health coverage — 10,872 people. That is close to the South Carolina rate of 11.2%, and puts Florence County in the middle half of the 1,817 counties on this site (1040th).
Some of those 10,872 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.
The marketplace is used heavily here
20,189 Florence County residents selected a marketplace plan for 2026: 188 per thousand under-65 residents, 166th of 1,817. That is 2.4× the 78 per thousand typical here. 2,930 of them — 15% — were new rather than renewing.
Florence County against South Carolina
Florence County is the 11th 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 about 1.4 times the South Carolina rate.
| Florence County | South Carolina | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 10.1% | 11.2% | 9.9% |
| Insurers selling | 4 | 2–5 | 4 |
| Plans offered | 57 | — | 57 |
| Selections per 1,000 | 188 | 138 | 78 |
| New rather than renewing | 15% | 14% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Pickens County | 104,996 | 12.0% | 3 | 48 |
| Beaufort County | 135,242 | 11.3% | 3 | 52 |
| Aiken County | 138,502 | 10.4% | 3 | 43 |
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