Wellpoint of South Carolina
Read reviews, FAQs, and get instant quotes
By Leslie Jablonski – Updated January 9th, 2025
Reviewed by Wiley Long – Fact checked by Christine Corsini
All You Need To Know About Wellpoint
Wellpoint of South Carolina, previously known as Anthem UniCare, is a trusted health insurance carrier operating across 23 states and Puerto Rico.
Serving over 3 million members, Wellpoint is committed to providing affordable, high-quality healthcare solutions.
Wellpoint by the Numbers
Operating Areas:
23 states +Puerto Rico
Membership:
3 million+ members
Plans starting at $0 per month (after ACA subsidies)
Vision plans available
Affordable access to medical care, preventive care, mental health care, and prescription drugs
Robust digital tools, including a mobile app and online portal for managing care
$0 copays for certain drugs, telemedicine visits, and preventive care
Access to a vast network of in-network providers
Wellpoint Plan Tiers
Wellpoint offers ACA-compliant plans in four metal tiers, each reflecting your estimated coinsurance costs in the event you need care.
Bronze
These plans pay 60% of your covered medical expenses after your deductible. You will be responsible for the remaining 40%.
Bronze plan tiers feature the lowest premiums of all the Affordable Care Act plans, but they also have the highest coinsurance percentage of any of the plan tiers.
However, your maximum out-of-pocket cost within the calendar year is capped at $9,200 for individuals, and $18,000 for family plans, as of 2025.
Gold
Gold-tier plans pay up to 80% of your expenses after higher premiums, suitable for those with anticipated healthcare needs. They do not qualify for cost sharing reductions.
Silver
Silver plans pay 70% of your medical costs after your deductible. You pay the remaining 30%. Silver-tier plans are considered to be balanced between generous coverage and keeping monthly premiums reasonable costs.
Silver plans are the only plans that allow you to qualify for cost sharing reductions (CSRs) which reduce your premium and coinsurance costs, depending on your income. You must purchase a Silver-tier plan, and have an income of 250% of the federal poverty level or less in order to qualify for cost sharing reductions.
Again, your maximum out-of-pocket cost for a Silver-tier plan is capped at $9,200 for individuals, and $18,000 for family plans, as of 2025.
Platinum
90% coverage, highest premiums, lowest out-of-pocket costsMaximum out-of-pocket costs for 2025: $9,200 for individuals, $18,400 for families.
Note: Specific Wellpoint plans may have lower out-of-pocket caps than the federal maximum.. Ask a Personal Benefits Manager for specifics based on your location.
How to Enroll in Wellpoint South Carolina
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1. Select your state and click Instant Quote
2. Enter your information.
3. Click “Show Quotes Now” and you will see different plan options to choose from.
Once you found you find the option you like, simply apply online. You can also contact one of our Personal Benefits Managers to help you analyze your needs and help you choose the best plan for your specific situation, needs, and budget.
Wellpoint Plan Features
Wellpoint offers ACA-qualified health insurance plans tailored to individuals and families in South Carolina.
Plan availability varies by location, and options include deductibles ranging from $1,000 to $5,000 or more.
Deductibles
Wellpoint plans are available with a range of deductibles for you to choose from, ranging from as low as $1,000 to as high as $5,000 or more. The higher the deductible you choose, the lower your insurance premiums will be, all other things being equal.
But a higher deductible means you will need to take on more of the cost burden in the event you need care.
Copays
$0 copays are available for telemedicine and preventive care visits, making care accessible and affordable.
Preventive Care Benefits
Wellpoint emphasizes preventive care with $0 copays for wellness visits, immunizations, and screenings.
High Deductible Health Plans. Wellpoint offers ACA-qualified high-deductible health plans (HDHPs). These plans allow you to make tax-advantaged contributions to health savings accounts – HSAs. This is the most tax-efficient way to save onfor medical expenses.
See the High Deductible Health Plans (HDHPs) section below for more information.
Pros
- Affordable options with $0 premium plans (after subsidies)
- Extensive provider network
- Focus on preventive care
- Strong telehealth and digital services
- Prescription drug discounts through ScriptSave®
- Wellness and incentive programs
Cons
- Not all plans are available in all markets
- High deductibles on some plans may deter members seeking lower upfront costs
Wellpoint Advantages
Prescription Drug Discounts
Wellpoint customers have access to the ScriptSave® program, which provides discounts on prescription drugs. This can be a big plus if you have prescription drug expenses but don’t normally meet your health insurance deductible.
User-Friendly Technology
Extensive Provider Network
Wellpoint patients can seek care from a vast network of in-network doctors, hospitals, and specialists throughout South Carolina.
Telehealth Services
Access to telehealth services for virtual doctor visits and 24/7 nurse hotlines, providing convenient care options.
Customer Support
Strong customer service support, including a 24/7 nurse helpline and dedicated representatives, ensures members receive the help they need promptly.
Focus on Preventive Care
Wellness and Incentive Programs
A variety of wellness programs and incentives encourage members to take active steps towards healthier living.
Integrated Care Coordination
Tools and resources for providers promote integrated care coordination, improving patient outcomes and experience.
High Deductible Health Plans
High Deductible Health Plans
Wellpoint offers High Deductible Health Plans in most areas. If you meet certain other eligibility criteria, enrolling in a high deductible plan makes you eligible to make pre-tax contributions to Health Savings Accounts, or HSAs.
What Is a High Deductible Health Plan? (FAQ)
These special savings accounts effectively allow you to pay qualified medical expenses with tax-free dollars, while potentially saving you thousands of dollars in income and payroll taxes along the way.
Employers and Group Health Plans
Wellpoint provides tailored solutions for employers of all sizes, including stop-loss insurance for level-funded health plans.
Stop Loss Insurance
Wellpoint is a leading provider of stop-loss insurance, helping employers manage the financial risks of self-insured health plans.
Note: Giving employees a choice between a level-funded ACA-qualified health plan or a low-cost health sharing plan/MEC plan combination can be a powerful money-saving strategy for employers with 50 employees or more, while avoiding shared responsibility penalties under the Affordable Care Act.
For more information about setting up a level-funded health plan, or for pursuing this strategy, make an appointment with a Personal Benefits Manager
Frequently Asked Questions
Q: What is Wellpoint?
A: Wellpoint is a health insurance carrier currently expanding into the South Carolina market. Wellpoint offers Affordable Care Act-qualified plans for both individuals and families. It also serves businesses looking to provide group health plans for employees.
A managed care organization, Wellpoint contracts with community providers to provide medical services to its clients, focusing on whole-person health.
Q: What is the ScriptSave® Program?
A: ScriptSave® offers discounts on prescription medications for Wellpoint members.
Q: Does Wellpoint cover preventive care?
A: Yes. Wellpoint covers a variety of preventive care and screening services.
Q: Does Wellpoint offer telehealth services?
A: Yes, Wellpoint offers telehealth services.
Q: Are mental health services included in Wellpoint’s plans?
A: Yes, Wellpoint offers mental health and behavioral health services as part of its coverage.
Q: What is a High Deductible Health Plan?
A: HDHPs are health plans with higher deductibles and lower premiums, qualifying members for HSAs.
Q: How can I find out if a specific medication is covered by Wellpoint?
A: You can check the formulary list available on the Wellpoint website or contact Member Services for assistance. Need help? Contact a Personal Benefits Manager.
Q: What is prior authorization, and when is it needed?
A: Prior authorization is a process to determine if a prescribed service or medication is medically necessary. Some services and medications may require prior authorization.
Q: What services are covered under Wellpoint’s Medicaid plans in South Carolina?
A: Wellpoint’s Medicaid plans cover a range of services, including doctor visits, hospital care, prescription drugs, and preventive care.
Q: Can I manage my Wellpoint account online?
A: Wellpoint’s Medicaid plans cover a range of services, including doctor visits, hospital care, prescription drugs, and preventive care.
We’ve helped over 16 thousand people find health insurance or a health sharing plan.
Each customer gets the same amazing service.
“Wellpoint’s preventive care benefits and telemedicine services have been a game-changer for my family.”
– A satisfied member
“With my HDHP and HSA, I’ve been able to save significantly on medical costs while staying insured.”
– A Wellpoint policyholder
Ready to regain control of your healthcare decisions? Contact a Personal Benefits Manager today for expert guidance and assistance with enrollment.
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Schedule a call with one of our Personal Benefits Manager today.
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We’re Here to Help!
HSA for America can offer you free and professional advice so you can make the best choice possible regarding your health care plan. Your Personal Benefits Manager is available to answer any questions about Wellpoint of South Carolina, ultimately maximizing the amount of money you can save annually while truly understanding the type of health care you will receive.
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Contact Information:
1001-A E. Harmony Rd #519 Fort Collins, CO 80525
800-913-0172
[email protected]
Disclaimer: All information on this website is relayed to the best of the Company's ability, but does not guarantee accuracy. Information may be out of date. The content provided on this site is intended for informational purposes only and does not guarantee price or coverage. This site is not intended as, and does not constitute, accounting, legal, tax, and/or other professional advice. Determination of actual price is subject to Carriers.