Insurer profile · NAIC + CMS

Blue Cross and Blue Shield of South Carolina

Blue Cross and Blue Shield of South Carolina's complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.

B
Reputation grade
17.3%
Claims denied
1
States (CMS data)

The verdict

Blue Cross and Blue Shield of South Carolina earns a B reputation grade - a better-than-average record versus peers, according to CMS Transparency in Coverage filings, 17.3% of its marketplace claims were denied across 1 state.

B
reputation grade
17.3%
claims denied (CMS)

Reputation grade

B

Peer-relative, A–F

NAIC complaint index

N/A

1.0 = market average; lower is better

Claim denial rate

17.3%

CMS, 1 states

BBB
Reputation grade B (composite score 72.4) - A=Excellent, F=Failing. Based on NAIC complaint ratios and CMS denial data.

Graded on 1 of 3 measures: claim denials. The score is rescaled across the measures available, so it is not directly comparable with a carrier graded on more of them.

How we calculated this grade →

CMS marketplace filing

Reported appeal outcomes for Blue Cross and Blue Shield of South Carolina

2,902
appeals filed
1,215
overturned (reported outcomes)
41.9%
of appeals with a reported outcome

The reported appeals on this profile come from South Carolina (2,902 filed, 1,215 overturned).

CMS reports an overturn outcome for 2,902 of these 2,902 filed appeals; missing outcomes are excluded from the percentage. These filing totals are not a prediction for an individual appeal. View the CMS source ↗

What the data shows for Blue Cross and Blue Shield of South Carolina

Blue Cross and Blue Shield of South Carolina carries a B reputation grade in PlainInsurer's dataset, with a composite score of 72.4 (higher means more consumer friction relative to size). It does not yet carry enough NAIC complaint history for a normalized complaint index.

On the claims side, CMS Transparency-in-Coverage filings show Blue Cross and Blue Shield of South Carolina denied 17.3% of marketplace claims across 1 reporting state - a moderate rate that still varies by plan design and network.

See where Blue Cross and Blue Shield of South Carolina sits against every reporting carrier in the claim-denial rate ranking.

Source: NAIC Consumer Information Source complaint data (2024). Source: CMS Transparency in Coverage PUF (PY2026), cms.gov.

Aggregates only, not advice. Full terms on the disclaimer.

Other B-graded carriers in PlainInsurer's dataset include UnitedHealthcare and Travelers Insurance, and the closest overall composite score to Blue Cross and Blue Shield of South Carolina's 72.4 belongs to Highmark Health (71.9), each rescaled across the measures that carrier reports.

Other B-graded insurers

Carriers with the same peer-relative reputation grade

Insurer Grade
UnitedHealthcare B
Travelers Insurance B
Humana Health B
John Hancock Life B
Openly Insurance B

Closest composite score to Blue Cross and Blue Shield of South Carolina

Carriers with the nearest overall composite score (72.4)

Insurer Composite score
Highmark Health 71.9
Medical Health Insuring Corp. of Ohio 71.9
CHRISTUS Health Plan 73.0
State Farm 73.2

Questions about Blue Cross and Blue Shield of South Carolina

What does Blue Cross and Blue Shield of South Carolina's grade mean?
Blue Cross and Blue Shield of South Carolina received a grade of B, indicating a better-than-average record versus peers.
How many complaints does Blue Cross and Blue Shield of South Carolina have?
NAIC's public bulk data does not include a complaint-volume estimate for Blue Cross and Blue Shield of South Carolina - the carrier may be new, small, or file under a parent company. Absence of an estimate is missing data, not evidence of zero complaints.
How do I file a complaint against Blue Cross and Blue Shield of South Carolina?
File against Blue Cross and Blue Shield of South Carolina through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is Blue Cross and Blue Shield of South Carolina a good insurance company?
PlainInsurer's B grade for Blue Cross and Blue Shield of South Carolina reflects a better-than-average record versus peers relative to peers on published complaint and denial data.
What types of insurance does Blue Cross and Blue Shield of South Carolina offer?
Detailed line-of-business data isn't currently available for Blue Cross and Blue Shield of South Carolina. The carrier is licensed in 0 states.

Source: NAIC published complaint index + CMS Transparency in Coverage PY2026 Complaint index, reputation grade and per-state claim denial rates for Blue Cross and Blue Shield of South Carolina · 2024

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Data: NAIC published complaint index (2024) · CMS Transparency in Coverage PUF PY2026. Not affiliated with NAIC or CMS.

Every figure on PlainInsurer comes directly from NAIC MCAS and CMS Transparency in Coverage data; no editor types in numbers. See our editorial standards or methodology, or report an error. Data current as of 2026-08-11. Grades measure only the published complaint/denial data; we don't recommend any insurer or policy.