Patient Advocacy Without the Call Center
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.
Coverage data 2024. Plan networks change - we confirm exactly what your plan covers before any work begins.
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.
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Read moreSources: 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.