Horry County, SC
Get paid to care for your family member in Horry County, South Carolina
About 114,200 people in Horry County are 65 or older — 28% of everyone who lives here. That is an older county than South Carolina overall, so more families here are already doing this work. Roughly 7,340 are 85 or older, the age when daily help usually starts. Agencies operate in Horry County, though families still run into gaps: no weekend coverage, a new aide every few weeks, hours that don't match real life.
Who needs care in Horry
- People 65 and older
- 114,200
- People 85 and older
- 7,340
- Median age
- 49.6
- Rank in South Carolina
- 1st
28% of Horry residents
the age daily help usually starts
older than the country as a whole
of 46 counties, by residents 65+
Source: U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Horry County is a metro county (USDA Rural-Urban Continuum Code 2). South Carolina as a whole is 20% aged 65 or older.
What South Carolina pays family caregivers
Rates vary — check with the program.
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: South Carolina Medicaid program data · Updated September 2026
South Carolina's programs at a glance
- Community Choices Waiver (self-directed)
- Medically Complex Children Waiver
- Spouse paid?
- Sometimes
- Parent paid for a child?
- Yes
- Waitlist
- Some programs have no waitlist.
These rules are set by the state, so they are the same in every county. Read the full South Carolina guide →
Towns and cities in Horry County
South Carolina sets eligibility, not your town — so a family in Myrtle Beach and a family at the far edge of the county apply the same way. The largest communities in Horry County:
- Myrtle Beach40,535
- Conway29,656
- North Myrtle Beach20,798
- Surfside Beach4,368
- Loris2,825
- Aynor1,063
- Briarcliffe Acres568
- Atlantic Beach418
Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.
How families in Horry apply
You do not need a county office to start. Families in Horry County start with South Carolina's program:
Contact the regional Community Long Term Care (CLTC) office or Healthy Connections at 888-549-0820 and file the Application for Nursing Home, Residential or In-Home Care; MCC families request self-direction through their Waiver Nurse Case Manager.
Or skip the phone tag — our free 2-minute check tells you which South Carolina program fits your family, then we help with the forms.
See if you qualify →Horry questions, answered honestly
Can I get paid to care for a family member in Horry County?
Yes. South Carolina runs real Medicaid programs — like Community Choices Waiver (self-directed) — that pay family caregivers, and they cover families in Horry County. We help you enroll, and applying costs you nothing.
How much do family caregivers earn in Horry County?
South Carolina doesn't publish one flat rate. The program sets your exact pay. We'll tell you your real number before you enroll.
Where do families in Horry County apply?
Families in Horry County start with the state, not the county. Contact the regional Community Long Term Care (CLTC) office or Healthy Connections at 888-549-0820 and file the Application for Nursing Home, Residential or In-Home Care; MCC families request self-direction through their Waiver Nurse Case Manager.
Can I get paid to care for my spouse in Horry County?
Sometimes — it depends on the program. The fine print for South Carolina: limited — spouses cannot provide companion care but may provide attendant care services; legal guardians excluded
How many people in Horry County might need this?
114,200 residents of Horry County are 65 or older and about 7,340 are 85 or older, according to the U.S. Census Bureau's 2024 population estimates. Most of them are cared for at home by a relative rather than in a facility. South Carolina's programs exist to pay for exactly that care.
Which towns in Horry do you cover?
All of Horry County — including Myrtle Beach, Conway, North Myrtle Beach, Surfside Beach and Loris. Eligibility is set by South Carolina, not by your town, so where you live inside the county does not change whether you qualify.
Program facts come from South Carolina's published Medicaid program rules · Population figures from the U.S. Census Bureau · Updated September 2026. Rules change — always confirm with the program.
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