The Affordable Care Act set in motion a series of reforms to slowly close the coverage gap or “donut hole” that Part D members faced after they met their initial coverage dollar amount. Pharmaceutical manufacturers that wanted their Brand name drugs covered in the gap had to sign an agreement with Medicare to cover 50% of the cost of the drug. Medicare has had to assess civil monetary penalties on many companies that failed to cover the discount.
Even with socialized medicine, the U.K. still has a competitive private health insurance market place. For those folks that want some expanded coverage, discounts for staying healthy and not filing claims, health insurance plans like that offered by Aviva would seem like a natural choice.