UPDATE:
NOTICE: As of Jan. 1, 2026 , Healthy Connections Prime (Prime), South Carolina's Medicare-Medicaid plan, has ended. Members who were enrolled in Prime are encouraged to switch to a new dual special needs plan (D-SNP). Some members may be automatically moved to a new plan if their current plan offers a D-SNP.
Under federal guidance, in January 2026 the South Carolina Department of Health and Human Services made changes for members who receive both Medicaid and Medicare. Healthy Connections Medicaid members who qualify for Medicare may also enroll in a Healthy Connections Medicaid managed care plan. Some rules and exceptions apply.
Healthy Connections Medicaid works with Medicare to help combine coverage with Medicaid when possible. This is done by partnering with health plans to offer D-SNPs.
Healthy Connections Medicaid members with questions about Medicare coverage or enrollment should visit Medicare.gov or call 1-800 Medicare (1-800-633-4227). Members can also visit the SCDHHS website for more information about D-SNPs .
How can I find out more information?
Visit the Provider Frequently Asked Questions (FAQ) page and learn more details about the program and how you can participate. Additionally, you can email PrimeProviders@scdhhs.gov for help with a specific question or concern.