 [ Symptoms ] how will the health care reform law impact our medicare part d insurance [ Disease ] health reform has helped to shrink the part d prescription drug doughnut hole  or the gap in part d coverage you will get a 52 5 discount on covered brand name drugs and 21 off generics until you have reached the end of the coverage gap and catastrophic coverage kicks in the gap will continue to shrink over the years the plans also now receive quality ratings so consumers can look for higher ranked plans