What is Healthy Connections Medicaid?
Medicaid is a joint state and federal program that provides health insurance coverage to many low-income individuals and families. Adults, children, and families must meet certain non-financial, financial, and categorical criteria to qualify. If approved, covered services include physical exams, prescription drugs, medical services, laboratory services, transportation services, and much more.

Who can receive Healthy Connections Medicaid?
To be eligible for full Medicaid benefits, an individual must be a South Carolina resident and either a U.S. citizen or a lawfully present non-citizen and meet all the eligibility criteria. People of all ages can potentially receive Medicaid benefits including families, people living alone, people living with roommates, people in nursing facilities and hospitals, and even people who are homeless.
Lawfully present non-citizens may only be eligible for emergency services such as labor and delivery services if the income requirements are met.

How do I apply for Medicaid?

• Visit scdhhs.gov to learn more.
• Call our Contact Center at 800.726.8774 to start your application now.

What is Healthy Connections Prime?
Healthy Connections Prime is an enhanced healthcare option for seniors providing enhanced Medicare and Medicaid Services. Healthy Connections Prime offers better care by making it easier for you to get all of your Medicare, Medicaid, and Part D services from a health plan that you choose, better value through a care team and a care manager that works directly with you and your doctors and better health through benefits that help you stay at home with your family for as long as possible.

Benefits for enrollees include:

• No insurance premiums or deductibles
• No cost for prescription drugs, doctor visits, or hospital stays
• One health plan card to manage all your Medicare (Parts A, B, & D) and Healthy Connections Medicaid medical and prescription drug benefits
• A care plan designed specifically to meet your health needs

Who can receive Healthy Connections Prime?

• Applicants must be 65 years of age or older.
• Applicants must be receiving BOTH Medicare and South Carolina Healthy Connections Medicaid.
• Applicants must reside in a county that participates in the program. Click here to view a map of the participating counties.

How do I apply for Healthy Connections Prime?

• Visit scdhhs.gov to learn more.
• Call our Contact Center at 1.800.726.8774 to start your application now.
• Email us at contact@scthrive.org.

South Carolina Healthy Connections Medicaid Long Term Care provides services and supports necessary to meet health and personal care needs for qualifying seniors over an extended period of time. These services can cover:

• Nursing Home Care including a wide range of health and personal services like 24-hour supervision and nursing assistance.
• Community Long Term Care that allows seniors to stay in their homes while receiving needed medical care and help with daily activities.

 
How do I apply for Long-Term Care benefits?

• To be eligible for Long-Term Care benefits through Healthy Connections Medicaid, individuals must meet categorical, financial, non-financial, and additional requirements. You can learn more HERE. 
• Visit scdhhs.gov to learn more.
• Call our Contact Center at 800.726.8774 to start your application now.

MIAP is designed to assist individuals to pay part or all of a hospital bill from an inpatient procedure.

Who can qualify for MIAP?

• Applicants must be 19 years of age or older.
• Individuals must be U.S. citizens or lawful permanent resident non-citizens residing in South Carolina.
• Individuals with limited or no healthcare coverage may be eligible for MIAP.
• Applicants must have had an eligible inpatient procedure in the past year (or scheduled in the near future).
• Individuals must meet additional eligibility requirements to qualify for MIAP.

What is the Medicare Savings Program?
The Medicare Savings Program is designed to help cover the cost of Medicare premiums. Some programs pay for the Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) deductible, coinsurance and copayments if you meet certain conditions.

Who can receive the Medicare Savings Program?
Anyone who is receiving Medicare Part A and/or Medicare Part B who meets income and resource eligibility requirements may qualify for one of the Medicare Savings Programs.

What is the Affordable Care Act (ACA)?
The Patient Protection Affordable Care Act (ACA) requires all U.S. citizens to have healthcare coverage or insurance that meets the definition of Minimum Essential Coverage. Depending on income, individuals and families may qualify for lower premiums or tax credits. For more information, visit healthcare.gov

How do I apply for Marketplace Insurance with the ACA?
To be eligible for healthcare coverage through the Marketplace, an applicant must live in the United States, must be a U.S. citizen, U.S. national or lawfully present non-citizen and cannot be currently incarcerated. There is an annual Open Enrollment Period usually taking place in November and December. There are special circumstances that allow for applications and enrollments outside for Open Enrollment. To apply or to get more information, call 800.318.2596 or visit healthcare.gov

What is Medicare Rx Extra Help?
Medicare Rx Extra Help or Low Income Subsidy (LIS) pays for Medicare Part D prescription drug coverage. Individuals who qualify for QMB, SLMB or QI are automatically enrolled.

Who can receive Medicare Rx Extra Help?
Anyone who is receiving Medicare Part A and B and who meets certain eligibility requirements may qualify for Medicare Rx Extra Help.

What is Welvista Medication Assistance Program?
Welvista is an SC Thrive nonprofit partner that provides prescription drugs to qualifying individuals without healthcare coverage through their Medication Assistance Program (MAP). Welvista MAP recipients can get their prescriptions filled for no cost.

Who can receive the Welvista MAP?

• Individuals without any form of healthcare coverage (except Family Planning) may qualify for Welvista.
• Applicants must live in South Carolina and provide proof of residency.
• Applicants must verify all income for each person in the household.
• Applicants must be 64 years of age or younger.

How do I apply for Welvista MAP?

• Call us at 800.726.8774 to learn more!
• Learn more about Welvista by visiting welvista.org.