At year end I dropped the Plan D because it blocked me from getting patient assistance program help with drugs that run from $18, 000 to $20, 000 per year retail. One of them is $690/mo for the Brand which is absolutely required for me. Therefore, it cost me more to be on Plan D than to be without it. After dropping the Plan D, I kept getting information for the other plan I'd had for 6 years. It took 3 months to get a card with the correct information. Now I have no idea who is ultimately reponsible for my insurance — AARP, Secure Horizons, Pacificare and/or North Texas Specialty Physicians which appears to be a very limited few doctors that I can use out of 82 pages of providers. When I talk to them they just tell me I have to be in the 'physicians group' my primary care doctor is in. Always before, I could go see anyone listed with Secure Horizons. I can't figure out why I am so limited by Secure Horizons. It's seems to be a mystery to everyone I talk to. I can't get a list of physicians in the group with name, specialties, phone #'s or addresses that is anywhere up to date. I'm at a loss to understand the underworkings of all this craziness. I've even read that North Texas Specialty Physicians have been sued by FDA or F something for 'price fixing'. It seems there is no 'truth' about anything anymore and no place to get unbiased explanations as to why my Medicare Complete has become so complicated and no doctors are in my home town.