After three months with the HD Only package, my wife noticed Saturday night that the Sirius and CD music channels were gone. Big fight ensued, "I said ...", "no you didn't ...".
Ended up buying XM satellite radio for the house and her car as a compromise. Not as convenient as having music on every TV in the house, but there's more variety than the Dish music channels, and you can take it with you on the road.
$75 in equipment, $13/month subscription. No way I'm going back to AT250 + HD Ultimate to get music, and raise my monthly bill by $55 bucks.