South Carolina charity care

South Carolina hospital bills: the free-care rules.

The state figures below apply at hospitals in the named state program; at other nonprofit hospitals the federal 501(r) rules and the hospital's own policy govern. Below: the five things that decide your bill in South Carolina — the free-care line, the discount line, whether the hospital must screen you, your application window, and your credit-report protection — each with its source.

Run the free checker with South Carolina rules

The law: State Medically Indigent Assistance Program

The five cells for South Carolina

State figures rest on the named secondary sources cited (state program trackers and hospital-assistance references) rather than our own read of the statute text — verify against the hospital's current policy, which controls individual cases. Checked October 19, 2026.

South Carolina numbers for 2026

Household sizePoverty guidelineFree-care lineDiscount line
1$15,960$31,920 200%$47,880 300% (typical policy)
2$21,640$43,280 200%$64,920 300% (typical policy)
4$33,000$66,000 200%$99,000 300% (typical policy)
6$44,360$88,720 200%$133,080 300% (typical policy)

Guidelines: 2026 HHS Poverty Guidelines (Federal Register, January 2026). Lines shown use South Carolina's statutory percentages where the state sets them; "typical policy" marks the most common hospital-policy lines where it doesn't. Your hospital's policy is the deciding document — the kit shows you how to get it and read it.

The federal floor under all of it

At any nonprofit hospital in South Carolina: a written financial assistance policy must exist and be publicized; you have 240 days from the first post-discharge bill to apply; no extraordinary collection actions for 120 days or while a complete application is decided; charges for eligible patients are capped at amounts generally billed; and money paid above what you owed comes back when a submitted application is approved. The full plain-words version.

Included in the $49 HospitalBillDecoded Kit

  • The application pack: how to get the policy and the form, the exact words to ask with, and what to do when the desk says no
  • Filling guidance, field group by field group — including income proof when pay stubs don't exist
  • The itemized-bill error checklist: the recurring errors, how to spot each one, and the dispute letter
  • Negotiation scripts for whatever is left after free care and error fixes
  • The deadline tracker for your 240-day window and 120-day shield
  • The escalation ladder: financial counselor, ombudsman, state attorney general, IRS Form 13909

Get the HospitalBillDecoded Kit — $49

One payment of $49. No subscription. The kit is a web page you can return to and print — the application pack, the error checklist, the scripts, the deadline tracker, and the escalation ladder.

South Carolina questions

What is the charity care income limit in South Carolina?

Free care reaches 200% of the poverty guidelines under South Carolina law — $66,000 a year for a household of four in 2026. The hospital decides individual cases from the application.

How long do I have to apply for financial assistance in South Carolina?

The federal period controls: 240 days from your first post-discharge billing statement, with no extraordinary collection actions in the first 120 days.

Does South Carolina keep medical debt off credit reports?

No state ban found. Federal bureau practice still keeps paid medical collections and collections under $500 off reports, and any medical collection gets a 1-year waiting period before it can appear.