Health insurance in Pickens County, South Carolina
3 insurers sell 48 marketplace plans here, and 12.0% 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
3 insurers sell marketplace plans in Pickens County, offering 48 plans between them, roughly 16 each. It gained 1 since the previous plan year, up from 2.
How many people here have no coverage
12.0% of Pickens County's 104,996 under-65 residents have no health coverage — 12,609 people. That is close to the South Carolina rate of 11.2%, and puts Pickens County in the middle half of the 1,817 counties on this site (697th).
Some of those 12,609 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
11,414 Pickens County residents selected a marketplace plan for 2026: 109 per thousand under-65 residents, 685th of 1,817. That is above the 78 per thousand typical of published counties. 1,517 of them — 13% — were new rather than renewing.
Pickens County against South Carolina
Pickens County is the smallest of the 12 South Carolina counties we publish a page for. Its uninsured rate runs 0.8 points higher than South Carolina overall and its 3 insurers sit between the state's 2 and 5. Marketplace use is close to the South Carolina rate.
| Pickens County | South Carolina | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 12.0% | 11.2% | 9.9% |
| Insurers selling | 3 | 2–5 | 4 |
| Plans offered | 48 | — | 57 |
| Selections per 1,000 | 109 | 138 | 78 |
| New rather than renewing | 13% | 14% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Florence County | 107,661 | 10.1% | 4 | 57 |
| Beaufort County | 135,242 | 11.3% | 3 | 52 |
| Aiken County | 138,502 | 10.4% | 3 | 43 |
| Strafford County (New Hampshire) | 103,621 | 5.3% | 4 | 46 |
Florence County has 4 insurers against this county's 3 — a reminder that the county line, not the state line, is what decides your options.
Other South Carolina counties · Where the subsidy stops · Enrollment dates