That's terrible. It hurts so many people. I have regular insurance and can't pay the extra cost of the tiers. I had to have my doctor totally redo my meds to get me on generics and no I don't think they work as well, but at least I'm stable.

When I signed up first for insurance I tried the Humana HMO plan until I found the closest pdoc was over 80 miles away. I switched to BCBS, but I don't think you have a choice being on Medicare. Best wishes to you. i wish we had a better system.