Part A Hospital Services A G N
The Part A deductible is $1632 per benefit period
A benefit period starts when you are admitted to a facility
and ends 60 days after you last received inpatient care at any facilityPart A Deductible ($1632)
  • The inpatient deductible is $1632 for each benefit period
  • Days 1-60: Medicare covers 100%
  • Days 61-90: You are responsible for $408 per day
  • Days 91 until 60 day lifetime reserve is used up: Your responsibility is $826 per day
  • Beyond lifetime reserve: You are responsible for all costs incurred
Hospital Coinsurance
Covers 365 Additional inpatient days after lifetime reserve has been used up365 days extra Hospital coverage
Skilled nursing facility coinsurance
3 Pints of (unreplaced) blood
Part B Services A G N
Part B Annual Deductible ($240)


Medicare covers 80% of Part B claims, you are responsible for 20%Part B Coinsurance You pay $20 for Dr. office visits
You pay $50 for emergency room visits$20/$50
Doctors who do not take Medicare Assignment can charge 15% above what medicare allows
Some Medicare Supplement plans cover that extra 15%Part B Excess Charges

Additional Features A G N
Out of Pocket Limit NA NA NA
Hospice coverage
Foreign Travel Emergency
Monthly Rates & Brochures A G N
Cigna 156.80 168.95 120.25
Choosing a Medigap Policy

Prepared for
Zip code: 92064
Age: 69
Select all that apply
    Automatic Checking Withdrawal Discount
    If you are new to Medicare the following monthly discounts
    are available for your first year of coverage
      Welcome       to Medicare discount 2 party
      Cigna Cigna
      • You are eligible for a 6% household you live with another person age 18 or over
      • You are eligible for a 11% discount if another person in your household has a Cigna Medicare Supplement plan
      household discount
      Contact us
      (619) 463-5475
      [email protected]
      CA Ins Lic 0827043