Medicare Part D and Repeal of the Affordable Care Act

What does the repeal of the Affordable Care Act do to Medicare Part D? No one seems to know, but bottom line, if it is repealed it could cost many on Medicare significant amounts of money for their prescription drugs when they hit the “donut hole.”

A Little History

Did you know that Medicare donut-holePart D after 38 years of “do nothing” became law and afforded seniors and those on Medicare some form of financial relief for the cost of their prescription drugs? It was enacted as part of the Medicare Modernization Act of 2003 and went into effect on January 1, 2006.

Not the greatest help, but offered some financial relief to many seniors and disabled people. Unfortunately, at that time when a you hit the “donut hole” you were required to pay 100% of the full retail price until you hit the catastrophic phase. I know I juggled with prescription costs to make sure my late husband stayed out of the “donut hole”.

The Affordable Care Act

When the Affordable Care Act (ACA) was signed into law, one of the provisions was to close the “gap” in the Part D prescription drug program.

Since the enactment of the ACA, the co-payment for prescription drugs, while in the “donut hole” has been decreasing. By 2020 the co-payment for prescription drugs will be 25% of the retail price. This is significant cost savings for seniors and others on Medicare should they hit the “donut hole.”

What WE Can Do

With all the back and forth and the repeal of the ACA, there isn’t much mention of what will happen to those on Medicare if the law is repealed, what and how it will be replaced. Will the Medicare Part D donut hole relief be repealed completely?

I hope not. The costs of your prescription drugs could be substantial. Perhaps even put you into financial trouble or you just decide to just stop taking them as it is too expensive.

We have come a long way with the Part D Prescription drug program, although premiums continue to rise and costs of drugs do, but think of your costs if there were no Part D.

Collectively, everyone on Medicare and future Medicare beneficiaries need to contact their elected officials and voice concern with the repeal of ACA and what will happen to Part D.

I am hoping our voices can be heard loud and clear and our representatives will do what is best for their constituents!

Not sure how to contact your elected officials, visit this site:

Need help with your Medicare? Contact your State Health Insurance Assistance Program (SHIP). Visit SHIP for more information.

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