INA Medicare Supplement Review

Who Is INA?

Chubb Company is the parent company of  INA, or Insurance Company of North America.  INA has replaced ACE as the company that Chubb currently offers for its Medicare Supplement. You can’t buy a new ACE Supplement anymore, except in a few states.  Those states will eventually also be phased out of new ACE sales and replaced with an INA offering.  Anyone who already owns an ACE Medicare Supplement can keep their policy as long as they continue to pay their premium.

Chubb has over $225 billion in assets and is considered one of the highest-rated Medicare Supplement companies in the insurance industry. They earned an AA from Standard & Poor’s and an A++ from AM Best.

As of April, 2025, ACE and INA are the only Medicare Supplements currently offered with an AM Best A++ rating.

Chubb has operations in 54 countries and territories and provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance. Chubb employs about 40,000 people worldwide.  They have offices in Zurich, Paris, London, and New York, just to name a few.

Chubb Limited, the parent company of Chubb, is listed on the New York Stock Exchange (NYSE: CB) and is a component of the S&P 500 index.

What Types of Plans Does INA Offer For People With Medicare?

INA Medicare Supplements

Chubb Medicare Supplement Plans offered by Insurance Company of North America provide competitive pricing and exceptional customer service.  Those features, combined with the strength of their A.M. Best rating of A++, make them an attractive company when you’re shopping for a Medicare Supplement.

INA Medigap plans to provide unbeatable coverage for hospitalization, outpatient care, and preventive care.  You won’t need to sacrifice great coverage for low cost.  They offer plans A, F, G, High Deductible G, and N.

The pricing method INA uses to determine the type of rate structure will depend on your state of residence.  If you’re a snowbird or have more than one residence in different areas of the country, your premiums are usually based on the area you spend more time in.

INA doesn’t offer Medicare Advantage plans or Medicare Part D prescription drug plans

What Medicare Supplement Plans Does INA offer?

INA Medicare Supplement plans include the following plan choices, but they could vary depending on the state you live in.
  • Plan A – The most basic Medicare Supplement plan offered.  It doesn’t include coverage for the skilled nursing facility coinsurance, Medicare Part A deductible, Medicare Part B deductible, Medicare Part B excess charges, or foreign travel emergencies.
  • Plan F – The highest level of coverage, which covers all the copays, coinsurance, and deductibles not fully covered by Medicare.  This plan is only available to people who were eligible for Medicare prior to January 1, 2020.
  • Plan G – The highest level of coverage available for those who were eligible for Medicare on or after January 1, 2020.  It covers everything that is not fully covered by Medicare, other than the annual Part B Deductible set by Medicare each calendar year.
  • High Deductible G – All the benefits of a regular plan G after you pay the copays, coinsurances, and deductibles not fully covered by Medicare up to the annual deductible determined by Medicare each year. Medicare will always pay its normal portion; you pick up the difference until you’ve reached the annual deductible.
  • Plan N – A cost-effective plan that covers almost everything plan G does, except up to a $20 office visit copay, $50 emergency room copay if you’re not admitted to the hospital, and the protection from an additional 15% excess Medicare Part B charge if your provider decides to bill for it.  It’s not common for physicians to charge 15%, but you could check with your physicians to be sure.

INA FAQs

What Discounts Does INA Offer?

INA Medicare plans offer a household discount for members of the same household. The household discount provided is 7%.

Does INA charge an application or one-time policy fee?

Yes, however, they charge the same total amount per year when paying monthly rather than annually.

When did INA start providing Medicare Supplements?

They started offering Medigap plans in August of 2025 in many states across the country.

Does INA offer any discounts?

They offer a discount for living with a spouse, another adult who is age 50 or older or if a shared household resident also has an INA policy.  It depends on your resident state.

Who Qualifies for an INA Medigap Plan?

If you’re not in a guaranteed issue special election period, or your Medicare Part B Open Enrollment, you will need to be within the height and weight guidelines below to be accepted for a Medicare Supplement policy.

Height and Weight Chart

Height Decline Weight Standard Weight Decline Weight
4’2″ < 54 54 – 145 146 +
4’3″ < 56 56 – 151 152 +
4’4″ < 58 58 – 157 158 +
4’5″ < 60 60 – 163 164 +
4’6″ < 63 63 – 170 171 +
4’7″ < 65 65 – 176 177 +
4’8″ < 67 67 – 182 183 +
4’9” < 70 70 – 189 190 +
4’10” < 72 72 – 196 197 +
4’11” < 75 75 – 202 203 +
5’0″ < 77 77 – 209 210 +
5’1″ < 80 80 – 216 217 +
5’2″ < 83 83 – 224 225 +
5’3″ < 85 85 – 231 232 +
5’4″ < 88 88 – 238 239 +
5’5″ < 91 91 – 246 247 +
5’6″ < 93 93 – 254 255 +
5’7″ < 96 96 – 261 262 +
5’8″ < 99 99 – 269 270 +
5’9″ < 102 102 – 277 278 +
5’10” < 105 105 – 285 286 +
5’11” < 108 108 – 293 294 +
6’0″ < 111 111 – 302 303 +
6’1″ < 114 114 – 310 311 +
6’2″ < 117 117 – 319 320 +
6’3″ < 121 121 – 328 329 +
6’4″ < 124 124 – 336 337 +
6’5″ < 127 127 – 345 346 +
6’6″ < 130 130 – 354 355 +
6’7″ < 134 134 – 363 364 +
6’8″ < 137 137 – 373 374 +
6’9″ < 140 140 – 382 383 +
6’10” < 144 144 – 392 393 +
6’11” < 147 147 – 401 402 +
7’0″ < 151 151 – 411 412 +
7’1″ < 155 155 – 421 422 +
7’2″ < 158 158 – 431 432 +
7’3″ < 162 162 – 441 442 +
7’4″ < 166 166 – 451 452 +

You Need To Answer Health Questions if you’re not applying during an open enrollment or guarantee issue period.

You don’t need to answer the health questions if the applicant is applying during an open enrollment or a guaranteed issue period. To be considered eligible for coverage, the first section of the application, which includes health questions that indicate when the applicant is not eligible for coverage, must be answered “No”.   If you answer “Yes” to the subsequent section of health questions, you may be eligible for coverage, but an underwriter must evaluate the information you provide.

Telephone Interviews

Telephone interviews may be conducted at the discretion of the Underwriter.  Telephone interview health information is only collected for underwritten policies.  If you’re in a guaranteed issue special election period or your Medicare Part B open enrollment, you won’t be asked any health questions, but you may need to provide information concerning the guaranteed issue qualification and to determine your premium.

Provide Medications Information

Suppose you’re taking any prescription or over-the-counter or prescription medications recommended by a physician. In that case, you’ll need to list each medication, when it was first prescribed, the date the prescription was last filled, the dosage and frequency, and the reason or condition for which you’re taking the medication.

Possible Medications and Health Condition Declines

Generic Brands Uninsurable Health
Condition
abacavir Ziagen HIV
abarelix Plenaxis cancer
acamprosate Campral alcohol abuse
AL-721 AL-721 AIDS, HIV
albuterol/ipratropium DuoNeb, Combivent Respimat COPD, emphysema
altretamine Hexalen cancer
amantadine Amantadine, Symmetrel, Symadine Parkinson’s
anakinra Kineret rheumatoid arthritis
apomorphine Apokyn, Uprima Parkinson’s
atazanavir Reyataz HIV
auranofin Ridaura rheumatoid arthritis
aurothioglucose Solganal rheumatoid arthritis
azathioprine Imuran, Azasan rheumatoid arthritis, kidney
transplant
BCG TheraCyx, Tice BCG bladder cancer
baclofen Lioresal, Lioresal Intrathecal, Gablofen multiple sclerosis
benztropine Cogentin Parkinson’s
bicalutamide Casodex prostate cancer
biperiden hydrochloride Akineton Parkinson’s
bleomycin Blenoxane cancer
bromocriptine Cycloset, Parlodel Parkinson’s
busulfan Myleran, Busulfex cancer
carbidopa Lodosyn Parkinson’s
carbidopa/levodopa Sinemet, Rytary, Duopa, Atamet,
Carbilev, Parcopa
Parkinson’s
carboplatin Paraplatin cancer
chlorambucil Leukeran cancer, kidney transplant,
rheumatoid arthritis
chlorotrianisene Tace cancer
chlorpromazine Thorazine psychosis, schizophrenia
cisplatin Platinol cancer
cyclophosphamide Cytoxan, Neosar cancer, rheumatoid arthritis,
lupus
cycloserine Seromycin tuberculosis
Generic Brands Uninsurable Health
Condition
cyclosporine Neoral, Sandimmune, Gengraf organ transplant, cancer,
rheumatoid arthritis
darunavir Prezista AIDS, HIV
delavirdine Rescriptor AIDS, HIV
didanosine Videx, ddl AIDS, HIV
disulfiram Antabuse alcohol abuse
donepezil Aricept dementia
doxorubicin Adriamycin, Caelyx, Rubex cancer
dronabinol Marinol, THC cancer
efavirenz Sustiva AIDS, HIV
emtricitabine Atripla AIDS, HIV
emtricitabine Emtriva, Coviracil AIDS, HIV
emtricitabine/tenofovir Truvada HIV
enfuvirtide Fuzeon AIDS, HIV
entacapone Comtan Parkinson’s
entacapone/levodopa/
carbidopa
Stalevo Parkinson’s
epoetin alfa Epogen, Procrit, Eprex chronic kidney disease, HIV,
cancer
ergoloid mesylates Hydergine dementia
etanercept Enbrel rheumatoid arthritis
ethinyl estradiol Estinyl cancer
ethopropazine Parsidol Parkinson’s
etoposide VePesid, Toposar, Etopophos cancer
filgrastim Neupogen, Granix, Zarxio cancer
fluphenazine Modecate, Prolixin, Moditen, Permitil psychosis
flutamide Euflex, Eulexin cancer
fosamprenavir Lexiva HIV
foscarnet sodium Foscavir AIDS, HIV
furosemide (>60mg/day) Lasix heart disease
galantamine Razadyne, Reminyl dementia
glatiramer Copaxone, Glatopa multiple sclerosis
gold sodium thiomalate Myochrysine, Aurolate severe arthritis
goserelin Zoladex cancer
haloperidol Haldol, Peridol psychosis
hydroxyurea Hydrea, Droxia cancer
imatinib Gleevec cancer
indinavir Crixivan, IDV AIDS, HIV
infliximab Remicade rheumatoid arthritis
insulin > 50 units per day many brands diabetes mellitus
interferon many brands AIDS, HIV, cancer, multiple
sclerosis, hepatitis
interferon alfa-2a Roferon-A AIDS, HIV, cancer
interferon beta 1a Avonex, Rebif multiple sclerosis
interferon beta 1b Betaseron, Extavia multiple sclerosis
ipratropium Atrovent COPD, emphysema
lamivudine Combivir, 3TC, Epivir AIDS
lamivudine/zidovudine/
abacavir
Trizivir HIV
leuprolide Lupron, Eligard cancer
Generic Brands Uninsurable Health
Condition
levamisole hydrochloride Ergamisol cancer
levodopa Larodopa, Dopar, L-Dopa Parkinson’s
lomustine Gleostine, CCNU cancer
lopinavir Kaletra HIV
maraviroc Selzentry HIV
medroxyprogesterone acetate Depo-Provera, Provera, Amen,
Curretab, Cycrin
cancer
megestrol Megace cancer
melphalan Alkeran cancer
memantine Namenda dementia
methotrexate Trexall, Rheumatrex, Rasuvo, Otrexup severe arthritis (>25mg/wk),
cancer
mitomycin Mutamycin cancer
mitoxantrone Novantrone multiple sclerosis, cancer
mycophenolate CellCept, Myfortic myasthenia gravis, organ
transplant
naltrexone ReVia, Vivitrol, Depade opioid or alcohol detox
natalizumab Tysabri multiple sclerosis
nelfinavir Viracept AIDS, HIV
neostigmine Prostigmin, Bloxiverz Myasthenia Gravis
nesiritide Natrecor congestive heart failure
nevirapine Viramune AIDS, HIV
ondansetron Zofran cancer
oxygen COPD, emphysema
paliperidone Invega schizophrenia
pergolide mesylate Permax Parkinson’s
pramipexole Mirapex Parkinson’s
prednisone Rayos, Sterapred severe arthritis (>10mg/day),
lupus, chronic lung disease
procyclidine Kemadrin Parkinson’s
pyridostigmine Mestinon, Regonol Myasthenia Gravis
rasagiline Azilect Parkinson’s
riluzole Rilutek ALS – amyotrophic lateral
sclerosis
risperidone Risperdal psychosis, schizophrenia
ritonavir Norvir AIDS, HIV
rivastigmine Exelon dementia
ropinirole Requip Parkinson’s
rotigotine Neupro Parkinson’s
saquinavir Invirase, Fortovase AIDS, HIV
selegiline Carbex, Eldepryl, Zelapar Parkinson’s
stavudine Zerit, d4T AIDS, HIV
streptozocin Zanosar cancer
tacrine Cognex dementia
tacrolimus Prograf, Hecoria, Astagraf, Envarsus myasthenia gravis, organ
transplant
tenofovir Viread AIDS, HIV
testolactone Teslac cancer
theophylline many brands COPD, emphysema
thioridazine Mellaril psychosis, dementia
thiotepa Tespa, Thioplex cancer
Generic Brands Uninsurable Health
Condition
thiothixene Navane psychosis
tiotropium Spiriva COPD, emphysema
tipranavir Aptivus AIDS, HIV
tolcapone Tasmar Parkinson’s
trastuzumab Herceptin cancer
trifluoperazine Stelazine psychosis, schizophrenia
trihexyphenidyl Artane, Trihex Parkinson’s
triptorelin Trelstar cancer
valganiciclovir Valcyte HIV
vincristine Oncovin, Vincasar cancer
zalcitabine Hivid, ddC AIDS, HIV
zidovudine AZT, ZDV, Retrovir AIDS, HIV, hepatitis
ziprasidone Geodon schizophrenia
zoledronic acid Reclast, Zometa hypercalcemia caused by
cancer

 

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