Lexington is home for us. We live here, our kids grew up here, and a lot of the people we help with Medicare are folks we see at church, the grocery store, or a Lexington football game. When you work with us, you're not calling a 1-800 number. You're talking to people who know Sunset Boulevard traffic and which side of the lake you mean.

Mauldin Insurance Group is an independent Medicare agency based in Lexington, SC. Jennifer leads our Medicare practice, and Ben spent nearly 30 years in Midlands local government and regional planning before joining the agency. We compare plans from several carriers for Lexington County residents, and our help costs you nothing.

The 2027 Annual Enrollment Period: October 15 to December 7

Whatever you decide in this window takes effect January 1, 2027. Start with your Annual Notice of Change, and check two things above everything else: whether Lexington Medical Center and its doctors are still in your network, and what happened to your drug costs. If both look fine, you may be able to leave your plan alone.

What makes Medicare in Lexington County different

Lexington Medical Center is the anchor. Most Lexington County residents use Lexington Medical Center and its network of practices for at least part of their care. Some Medicare Advantage plans include it fully, and some don't. Before anything else, we make sure your plan covers the doctors you already see. Read does my Medicare plan cover Lexington Medical Center?

Columbia is close, too. Some specialists you're referred to may be with Prisma Health or MUSC Health in Columbia. A plan that covers your Lexington doctors might not cover those, so we check both.

A growing county with lots of newcomers. Lexington keeps adding neighborhoods, and plenty of new residents arrive with a Medicare Advantage or Part D plan from another state. Those plans generally don't work here. Moving opens a special enrollment period, and it has a deadline.

Teachers, state workers, and hospital retirees. Between Lexington One, Lexington Two, Lexington-Richland Five, state agencies, and Lexington Medical Center itself, many retirees here have retiree coverage that has to fit with Medicare. If you worked at the hospital, see retiring from Lexington Medical Center. Teachers and state retirees should read PEBA and Medicare.

Local, and not tied to one insurance company

An agent who works for one carrier can only show you that carrier's plans. We're independent, so we compare Medicare Advantage, Medicare Supplement, and Part D options across several companies and tell you plainly how they differ. Your premium is the same whether you enroll with us or on your own.

What our Lexington neighbors ask us about most

→ Whether a plan covers Lexington Medical Center and the doctors they already see

→ How PEBA, hospital, or other retiree coverage works with Medicare

→ What to do with an out-of-state plan after moving to Lexington

→ Medicare Advantage vs. Medicare Supplement for their health and budget

→ What their prescriptions will cost at the pharmacy down the street

→ Whether they qualify for help with Part B premiums or drug costs

Four mistakes we see in Lexington County

1. Assuming every plan includes Lexington Medical Center. It's the hospital most people here use, and it still isn't in every network.

2. Forgetting the Columbia referral. If a specialist in Columbia is in your future, the plan needs to cover them too.

3. Changing plans without checking retiree coverage. Some retiree benefits can't be restored once you leave them.

4. Skipping the supplement window at 65. During your first six months on Part B, any South Carolina supplement company has to accept you. After that, they can ask health questions and decline.

Sitting down with us

We'll go through your doctors, prescriptions, pharmacy, and any retiree, military, or VA coverage. Then we'll show you the 2027 plans that fit and what each would likely cost you in a year. We're happy to meet at your home, at a coffee shop in town, or by phone or video. Whatever's easiest.

Frequently Asked Questions: Medicare in Lexington, SC

Why work with a Medicare agent who lives in Lexington? We know the local doctors, the hospital networks, and the questions our neighbors run into. We also stick around after enrollment, so when a claim goes wrong or a letter shows up you don't understand, you have someone local to call.

Do you charge for your help? No. Insurance companies pay agents a commission, and your premium is the same whether you enroll with us or on your own.

When can I change Medicare plans for 2027? Annual Enrollment runs October 15 through December 7, 2026. Your new plan starts January 1, 2027. If you're in Medicare Advantage, you can also make one change between January 1 and March 31.

Do Medicare Advantage plans cover Lexington Medical Center? Many do, but not all, and networks can change from year to year. We check your specific doctors and the hospital before recommending a plan.

My specialist is in Columbia. Will a Lexington plan cover them? Some plans include Columbia providers and some don't. We check every doctor you use. A Medicare Supplement works with any provider in the country that accepts Medicare.

I retired from Lexington Medical Center. How does my coverage work with Medicare? It depends on the retiree benefits you have. Look closely at how any Medicare plan affects them before you enroll, and we'll help you sort it out.

I'm a retired teacher. How does PEBA fit with Medicare? PEBA retiree coverage is built to work with Medicare once you're eligible. Leaving it for an outside plan may be permanent, so check first.

I just moved to Lexington. Do I need a new Medicare plan? If you have Medicare Advantage or Part D from another state, almost certainly. Your move opens a special enrollment period. A Medicare Supplement usually comes with you.

Is Medicare Advantage or a Medicare Supplement better for Lexington retirees? Medicare Advantage often has a low premium with a network and copays. A supplement costs more monthly but lets you see any provider that accepts Medicare. Your doctors, health, and budget decide which fits.

Can I get help paying for Medicare? Medicare Savings Programs can help with your Part B premium, and Extra Help lowers drug costs. People with both Medicare and Healthy Connections Medicaid may qualify for a Dual Special Needs Plan.

I'm still working at 65. Do I need Part B? Maybe not yet. Coverage through your own or your spouse's current employer can let you wait without a penalty, depending on how big the employer is. Check before your birthday.

Can I switch from Medicare Advantage to a supplement later? You can apply, but after your first six months on Part B, South Carolina supplement companies can underwrite you and say no. Get approved before you cancel your current plan.

Where can we meet? We'll come to your home, meet you somewhere convenient in Lexington, or talk by phone or video. Call or text and we'll set it up.

What parts of Lexington County do you serve? All of it, including Lexington, Red Bank, Gilbert, Pelion, Gaston, Swansea, Batesburg-Leesville, Oak Grove, and the south shore of Lake Murray, plus West Columbia, Cayce, Irmo, and Chapin.

More for Lexington County

• Turning 65 in Lexington: A Local's Guide to the Deadlines
• Medicare Agent in Red Bank, SC
• Medicare Agent in Gilbert, SC
• Medicare Agent in Ballentine, SC
• South Carolina Medicare Agents for 2027: Find Your Region

Let's talk about 2027

Call or text 843-509-2462, or visit mauldininsurancegroup.com.

Mauldin Insurance Group serves Lexington, Red Bank, Gilbert, Pelion, Lake Murray, and communities across South Carolina.