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My husband is a type II diabetic who has had med part d for 2 years. Both years hit the donut hole by June.
He was taking expensive brand name drugs for years when he had insurance from his employer. These drugs cost no more than $50. for a 90 day supply mail order thru Medco for a prescription . Part D charges Over $400 for some of these drugs. By the time we got to the month of June he was in the donut hole, both years. Then, when using a generic diabetic drug that cost zero when not in the donut hole, cost $355. in the hole. I found it for $36. 26 at costco. So we not only pay the drug company's a monthly premium, but they get to add to our totals (when you and the insurance co get to $2940) they put you in the donut hole and youve got to pay about $1900 more to get in to catostrophic care. And for 6 months they don't have to do a thing while collecting your premium. By then it 's the end of the year and you start all over again. Generic drugs also go up in the gap. So once you reach the gap, you still pay premiums and the drug comany is off the hook. He is on all generics (9) but still has to test to see if they work as well as name brand drugs. Cross our fingers. We have since changed to Hummana for next year. I think this is a big gift to the drug makers by our former president. It has little or nothing to do with keeping seniors drug costs as low as possible. And I really think it should be revised!