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South Carolina Medicare, by the Numbers

The data layer behind our South Carolina guide and all 55 city pages, in one place: CMS enrollment, Census demographics, and federal shortage designations, county by county.

Plans we accept in South Carolina covering ~74.1% of South Carolina's Medicare beneficiaries
  • Original Medicare
  • UnitedHealthcare ~31% of MA members
  • Aetna ~12% of MA members

Coverage data 2024. Plan networks change - we confirm exactly what your plan covers before any work begins.

1,263,550Medicare beneficiaries statewide (2025)
46.1%chose Medicare Advantage plans
179,433dual-eligible for Medicare and Medicaid
249,406South Carolinians 65+ live alone
160 minmedian ER visit statewide (CMS)
110federal primary-care shortage designations

Medicare Enrollment by County

The 29 South Carolina counties anchored by our city pages (1,152,411 beneficiaries). Each county links to its anchor city page.

County Medicare beneficiaries Medicare Advantage share Dual-eligible Residents 65+ Shortage designations
Horry County 134,115 44.7% 11,243 94,867 4
Greenville County 118,800 48.6% 14,681 88,164 4
Charleston County 84,939 36.4% 9,897 72,478 2
Richland County 76,532 42.4% 12,219 57,401 2
Spartanburg County 74,829 53.5% 12,192 54,742 3
Lexington County 66,836 40.7% 7,610 50,204 2
Beaufort County 62,455 32.6% 3,151 53,616 2
York County 56,895 45.9% 5,988 43,314 5
Anderson County 48,844 53.5% 7,669 37,680 1
Berkeley County 48,168 43% 5,400 34,719 2
Aiken County 44,506 43.5% 5,648 35,009 2
Dorchester County 33,260 42.5% 3,883 24,347 2
Florence County 32,481 45.9% 7,351 24,276 3
Pickens County 30,593 53.1% 4,205 22,594 2
Lancaster County 27,074 44.8% 2,907 21,699 3
Oconee County 24,785 46.5% 2,880 19,264 2
Sumter County 24,458 48.9% 5,596 18,224 3
Orangeburg County 22,121 57.7% 5,572 17,227 2
Georgetown County 21,989 42.9% 2,520 19,152 1
Kershaw County 17,947 44.9% 2,662 12,641 1
Greenwood County 17,648 47.1% 3,029 13,243 8
Darlington County 16,245 50.3% 3,777 12,227 3
Cherokee County 12,915 55.7% 2,529 9,630 3
Newberry County 10,484 44.5% 1,703 7,593 2
Colleton County 10,428 49.8% 2,291 7,771 1
Jasper County 9,776 43.2% 1,069 6,731 2
Chester County 8,273 54.6% 1,726 6,079 1
Marion County 8,136 56.9% 2,368 6,104 2
Dillon County 6,879 57.8% 2,166 4,852 2

Statewide, 46.1% of beneficiaries chose Medicare Advantage in 2025, a little below the national average. Counties above that line see more prior authorizations and more denials worth appealing; counties below it lean on Medigap rights, which in South Carolina mean no birthday rule and, for under-65 disability beneficiaries, only the South Carolina Health Insurance Pool's limited Plans A, C, and D, on top of the standard six-month Open Enrollment Period at 65 with Part B. About 10.7% of South Carolina seniors live below the poverty line, the group most likely to qualify for unclaimed help: Extra Help and South Carolina's Medicare Savings Programs (which keep an income and asset test). South Carolina has no state pharmaceutical assistance program, so Extra Help is the drug-cost help to claim, and because the state has not expanded Medicaid, screening for every program that does exist matters more. For the full rundown, sources included, see our South Carolina patient advocacy hub.

The Numbers Are the Backdrop. The Help Is the Point.

One dedicated advocate for the bills, appeals, appointments, and paperwork, serving all 46 South Carolina counties virtually, usually at $0 with Medicare.

Or start from your city: every South Carolina city we serve.

Sources: CMS Medicare Monthly Enrollment (2025); US Census Bureau ACS 2023 5-year; CMS Care Compare Timely & Effective Care (median ER minutes, period ending 09/30/2025); HRSA Health Professional Shortage Area designation file. Data retrieved 2026-09-23. Understood Care is an independent private advocacy service, not a government agency.