Absolute Total Care
Absolute Total Care is a South Carolina-based managed care organization and wholly-owned subsidiary of Centene Corporation, offering Medicaid, ACA Marketplace, Medicare Advantage, and dual-eligible health plans to members across all 46 South Carolina counties.
- Company typePrivate
- Founded2006
- HeadquartersRockford, United States
- Headcount51–100
- GTM typeB2C
- OfferingServices
What Absolute Total Care does
Absolute Total Care, Inc. is a South Carolina-based managed care organization headquartered at 100 Center Point Circle, Columbia, that operates as a wholly-owned subsidiary of Centene Corporation (NYSE: CNC). Founded in 2006 and led by CEO John McClellan, the plan serves members across all 46 South Carolina counties through four product brands: Ambetter (ACA Marketplace Qualified Health Plans), Healthy Connections Medicaid (state Medicaid managed care), Wellcare By Absolute Total Care (Medicare Advantage), and the dual-eligible Wellcare Prime Medicare-Medicaid Plan, which transitions to a D-SNP product on January 1, 2026. The plan holds NCQA Health Plan accreditation and ranks in the top 5% of U.S. health plans for member experience per the 2025 Press Ganey Human Experience Pinnacle of Excellence Award.
The company is built on Centene's healthcare management platform, including integrated care coordination, pharmacy benefit management, prior authorization systems, and CMS-9115-F-compliant FHIR-based Patient Access and Provider Directory APIs accessed via the Centene Partner Portal. Member-facing technology is delivered through the Ambetter Health Insurance Portal mobile app, while providers access a portal with a pre-authorization check tool, eligibility verification, claims status, and care management resources. A network of vendor partnerships extends capability: Evolent handles oncology and complex imaging prior authorizations, National Imaging Associates (NIA) manages advanced imaging and musculoskeletal services, CareCentrix covers post-acute facility services, TurningPoint Healthcare Solutions provides musculoskeletal and surgical support, and Centene Vision/Dental Services manage vision and dental benefits. Member services include a 24/7 bilingual nurse advice line, the My Health Pays rewards program, Start Smart for Your Baby maternal care program, and Ambetter Telehealth.
Absolute Total Care generates revenue through three primary streams: capitation payments from the South Carolina Medicaid program for Healthy Connections beneficiaries, premium payments (including premium tax credits) for Ambetter Marketplace plans, and Medicare capitation for Wellcare Medicare Advantage and D-SNP products. The plan distributes directly to consumers through open enrollment periods, indirectly through licensed broker partners, and via its statewide contracted provider network. Recent strategic activity has focused on regulatory-aligned product transitions (MMP to D-SNP), tighter pharmacy benefit management (discontinuation of GLP-1 weight-loss coverage effective January 1, 2026), and expansion of specialty vendor partnerships to scale utilization management.
Absolute Total Care firmographics
Firmographics- Name
- Absolute Total Care
- Legal name
- Absolute Total Care, Inc.
- Website
- https://absolutetotalcare.com
- Company type
- Private
- Founded year
- 2006
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Short description
- Absolute Total Care is a South Carolina-based managed care organization and wholly-owned subsidiary of Centene Corporation, offering Medicaid, ACA Marketplace, Medicare Advantage, and dual-eligible health plans to members across all 46 South Carolina counties.
- Ownership category
- akta.pro rank
Absolute Total Care industry classification
Industry- Product category
- Managed Health Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP) (HLAEAEAJ)
Keywords
Where Absolute Total Care is headquartered
LocationHeadquarters
- HQ city
- Rockford
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Absolute Total Care business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Operations, Personnel, Marketing or Sales, Technology or R&D, Infrastructure
Revenue model
- Medicaid Managed Care: Absolute Total Care operates as a Managed Care Organization (MCO) serving Healthy Connections Medicaid members in South Carolina. Revenue is generated through capitation payments from the state for providing covered healthcare services to enrolled Medicaid beneficiaries.
- Health Insurance Marketplace (Ambetter): Ambetter from Absolute Total Care offers Qualified Health Plans through the South Carolina Health Insurance Marketplace. Revenue is generated through premium payments from individuals and through premium tax credits for eligible enrollees.
- Medicare Advantage Plans: Wellcare By Absolute Total Care offers Medicare Advantage plans including D-SNP (Dual-Eligible Special Needs Plans) products that coordinate care for individuals with both Medicare and Medicaid coverage.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Ambetter Health Insurance Marketplace Plans - 2026 |
Go-to-market motion2 records
Distribution channels4 records
Marketing channels5 records
Absolute Total Care product offering
Product offeringCore offering
Absolute Total Care is a South Carolina-based Managed Care Organization (MCO) operating as a wholly-owned subsidiary of Centene Corporation. It sells government-sponsored and ACA marketplace health insurance plans — specifically Healthy Connections Medicaid, Wellcare Medicare Advantage (including D-SNP products for dual-eligibles), and Ambetter Qualified Health Plans on the South Carolina Health Insurance Marketplace — supported by integrated care management, pharmacy benefits, a 24/7 nurse advice line, and a contracted provider network across all 46 South Carolina counties.
Product overview
Absolute Total Care is a health insurance company operating as a subsidiary of Centene Corporation, offering multiple health insurance products in South Carolina. The company operates a platform-plus-products architecture comprising four distinct product brands: Ambetter Health Insurance Marketplace (ACA marketplace plans), Healthy Connections Medicaid (state Medicaid managed care), Wellcare Prime Medicare-Medicaid Plan ( MMP transitioning to D-SNP in 2026), and Wellcare By Absolute Total Care (Medicare Advantage). These products are supported by shared services including a 24/7 nurse advice line, care management programs, pharmacy benefits with prior authorization tools, provider pre-auth check tools, telehealth services, and the My Health Pays rewards program. The company also leverages third-party vendors including Evolent for oncology and imaging management, CareCentrix for post-acute care, and Centene subsidiaries for vision and dental services. The company was recognized with the 2025 Press Ganey Human Experience Pinnacle of Excellence Award.
Differentiator
Problem solved
Functional benefit
Brands
- Ambetter Health Insurance Marketplace: Health Insurance Marketplace plans offered through the Affordable Care Act marketplace in South Carolina
- Healthy Connections Medicaid
- Wellcare Prime Medicare-Medicaid Plan
- Wellcare By Absolute Total Care
- Wellcare Absolute Total Care Dual Align (HMO D-SNP)
Products and services
- Ambetter Health Insurance Marketplace
Companies that use Absolute Total Care
Customer profileSegments4 records
Ideal customer profiles3 records
Absolute Total Care technology and API
TechnologyTechnology focussed No
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
Absolute Total Care partnerships and signals
Strategic signalPartnerships
Ten partnerships are on record, tiered core and general.
- EvolentcoreEvolent provides prior authorization services for oncology-related chemotherapeutic drugs and supportive agents administered in physician offices, outpatient hospitals, or ambulatory settings. The partnership covers both Medical Benefit (Buy and Bill) and Pharmacy Services (Retail Pharmacy) for oncology medications.
- National Imaging Associates (NIA)coreNIA manages complex imaging services including MRA, MRI, PET, and CT scans, as well as musculoskeletal services for shoulder, hip, spine, and knee surgery, pain management, and spinal cord stimulators for Ambetter members.
- CareCentrixcoreCareCentrix manages post-acute facility services including Skilled Nursing Facilities (SNF), Inpatient Rehabilitation Facilities (IRF), and Long-Term Acute Care Hospitals (LTAC) for Ambetter members.
- Cover My MedsgeneralCover My Meds provides prior authorization forms for Continuous Glucose Monitors (CGM) and retail pharmacy medication prior authorizations, streamlining the prior authorization process for providers.
- Centene Vision ServicescoreCentene Vision Services handles vision service authorizations for Ambetter members.
- Centene Dental ServicescoreCentene Dental Services manages dental service authorizations for Ambetter members.
- TurningPoint Healthcare SolutionsgeneralTurningPoint Healthcare Solutions provides services related to the provider resource network for Absolute Total Care members.
- AcariaHealthgeneralAcariaHealth provides specialty pharmacy services as part of the Ambetter pharmacy resources.
- Sempre HealthgeneralSempre Health provides pharmacy resources and medication adherence programs for Ambetter members.
- PaySpangeneralPaySpan provides electronic funds transfer (EFT) and electronic remittance advice (ERA) services for provider payments through electronic transactions.
Scale indicators3 records
Recent moves5 records
Expansion highlights5 records
Absolute Total Care competitors and assessment
Company assessmentDirect peers
- Molina Healthcare of South Carolina: Molina Healthcare operates a Medicaid managed care plan in South Carolina, directly competing with Absolute Total Care for the same Medicaid beneficiaries in the same state under the Healthy Connections program.
- BlueChoice HealthPlan: BlueChoice HealthPlan is a South Carolina Medicaid MCO and a subsidiary of BlueCross BlueShield of South Carolina, directly competing with Absolute Total Care in the same state Medicaid program.
- Select Health of South Carolina: First Choice by Select Health is a South Carolina Medicaid managed care plan operated by Select Health, directly competing with Absolute Total Care in the same state Medicaid market.
- Humana Healthy Horizons in South Carolina: Humana Healthy Horizons offers Medicaid managed care in South Carolina, directly competing with Absolute Total Care for state Medicaid beneficiaries with similar product structures.
- UnitedHealthcare Community Plan of South Carolina: UnitedHealthcare Community Plan offers Medicaid coverage in South Carolina through a contract with the state, directly competing with Absolute Total Care in the same Medicaid market.
Broad incumbents
- Centene Corporation: Centene Corporation is the parent company of Absolute Total Care and the largest U.S. Medicaid managed care insurer. Comparable as the overarching enterprise that owns the subject and operates similar plans in dozens of other states.
- Elevance Health: Elevance Health operates Medicaid and Medicare health plans through its affiliated BCBS plans and Anthem brands, comparable as a diversified managed care insurer with overlapping product lines and target populations.
- Molina Healthcare: Molina Healthcare is a national Medicaid managed care specialist with very similar business model, member demographics, and product focus to Absolute Total Care, operating at greater scale across multiple states.
- Humana: Humana is a major Medicare Advantage and Medicaid managed care insurer with comparable product portfolio including D-SNP and Medicaid plans, overlapping significantly with Absolute Total Care's Medicare business.
- CVS Health (Aetna): CVS Health through its Aetna subsidiary operates Medicaid managed care plans and Medicare Advantage products across multiple states, comparable as a diversified payer with overlapping government-sponsored insurance lines.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights6 records
Customer concentration
Absolute Total Care social profiles
Digital presenceAbsolute Total Care compliance and trust
Trust signalCompliance2 records
Absolute Total Care financial estimates
Financial estimateRevenue estimate
Valuation estimate
Absolute Total Care leadership team
Management profileNumber of profiles
Profiles1 record
Absolute Total Care funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Absolute Total Care M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Absolute Total Care
What does Absolute Total Care do?
Absolute Total Care is a South Carolina-based Managed Care Organization (MCO) operating as a wholly-owned subsidiary of Centene Corporation. It sells government-sponsored and ACA marketplace health insurance plans — specifically Healthy Connections Medicaid, Wellcare Medicare Advantage (including D-SNP products for dual-eligibles), and Ambetter Qualified Health Plans on the South Carolina Health Insurance Marketplace — supported by integrated care management, pharmacy benefits, a 24/7 nurse advice line, and a contracted provider network across all 46 South Carolina counties.
Is Absolute Total Care a public or private company?
Absolute Total Care is a private company. It is classified as corporate owned and is currently operating.
When was Absolute Total Care founded?
Absolute Total Care was founded in 2006. It employs 51 to 100 people.
Where is Absolute Total Care based?
Absolute Total Care is headquartered in Rockford, United States, in the North America region.
How does Absolute Total Care make money?
Three revenue lines are on record. Medicaid Managed Care is the primary driver. The others are health Insurance Marketplace (Ambetter) and medicare Advantage Plans.
Who are Absolute Total Care's main competitors?
Direct peers on record are Molina Healthcare of South Carolina, BlueChoice HealthPlan, Select Health of South Carolina, Humana Healthy Horizons in South Carolina and UnitedHealthcare Community Plan of South Carolina. Broad incumbents are Centene Corporation, Elevance Health, Molina Healthcare, Humana and CVS Health (Aetna).
Does Absolute Total Care have an API?
Yes. Absolute Total Care provides a Patient Access API and Provider Directory API accessible via the Centene Partner Portal (partners.centene.com). These APIs are part of the FHIR-based interoperability standards required under the CMS Interoperability and Patient Access Rule (CMS-9115-F). The Patient Access API allows third-party applications to access member health information including claims, medications, diagnoses, procedures, lab results, and clinical data for dates of service from January 1, 2016 onward. The Provider Directory API provides access to provider information. Developers must commit to following CARIN Alliance privacy code of conduct standards. Developer documentation is at partners.centene.com/apis.
What industry is Absolute Total Care in?
Absolute Total Care's product category is Managed Health Insurance. Its primary akta.pro industry code is HLAEAEAJ, Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP). Its NAICS code is 524114 and its SIC code is 6324.