I've been on SSDI and Medicare since 2010, started taking V in 2013, and have only hit the donut hole a couple times near the end of the year, and my V copay went up by $40 or $50 while in the hole IIRC - but a lot of things have been changing since rules enacted by the ACA in 2012 about shrinking the donut hole and improving out of pocket costs for patients (lower copays and/or bigger discounts) began effect things as the years passed - in 2020 the final steps were completed. Also, since I get Medicare from being on SSDI, different rules apply to me compared so someone who is retired and on regular SS - for one, I cannot purchase MediGap co-insurance. Glad you get assistance to offset costs while in the hole, but I do not I'm thankful I can afford it w/o breaking a sweat, but part of the reason I can is because I'm a cheapskate, spend next to no money on discretionary items ('cept golf balls, when I'm off my game I can lose a dozen in one round if the course is tight or watery) and I very rarely dine out.
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