A patient with ESRD who is 67 years old and has both Medicare Part A and B, and is covered by a spouse's Cigna plan, will have which coverage apply for outpatient services?

In this scenario, the correct consideration indicates that Medicare Part B will apply for outpatient services. Medicare Part B primarily covers outpatient care, including doctor visits, preventive services, and outpatient hospital services. Since the patient is enrolled in both Medicare Part A and Part B, Part B will coordinate benefits when it comes to outpatient services.

Medicare Part A typically provides coverage for inpatient hospital stays, skilled nursing facility care, hospice, and some home health services, so it is not relevant in this case where the services are outpatient. Therefore, since the patient requires outpatient services, Medicare Part B is the appropriate payer to cover those services.

Regarding Cigna, while it is important to note that the spouse's insurance plan may provide additional benefits or coverage, Medicare serves as primary for outpatient services in this context. Hence, Medicare Part B would apply as the primary payer for the outpatient services the patient needs.