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What Will a Pre-Existing Medical Condition Mean for Your Life Insurance? Thumbnail

What Will a Pre-Existing Medical Condition Mean for Your Life Insurance?

There are a lot of misconceptions when it comes to how a pre-existing medical condition will affect a life insurance premium. It's time to look at the facts.

If you have a pre-existing medical condition, it's time to look at your life insurance.


Some people may hear advertisements for no-exam policies and assume that a pre-existing condition won't hinder their quest for quality life insurance. Others may not even attempt to get life insurance if they have a serious medical condition such as cancer or diabetes because they're afraid the policy won't be worth it.

Controllable Issues  

There are certain pre-existing conditions that will be more appealing to insurance providers than others. When it comes down to it, insurance providers are looking for how a person is making the effort to keep themselves healthy. So if an applicant has Type 2 diabetes, an agent will want to see that the individual is working hard to adjust their diet and exercise routine as well as taking any medications they may need to keep their blood sugar levels at a normal level. If the person has a history of heart disease in their family as well as a current serious heart condition, they may have fewer options when it comes to negotiating their premium. But the good news is the number of controllable issues will only continue to climb as new research and medical techniques continue to improve life expectancy and patient outcomes. 

Making the Rounds 

Each life insurer will have their own take on pre-existing conditions, so shopping around and comparing reputations can make a difference when it comes to the service and benefits an individual receives.1 Typically, insurance companies will have the most resistance to major conditions such as metastasized cancer or COPD. When it comes other types of conditions though, including high cholesterol, high blood pressure or stroke, insurance companies will look at the severity of the condition, the factors that led up to the problem, and the actions a person has taken to control the issues. Even HIV and AIDS patients may have slightly higher chances of having a life insurance company work with them due to advances in treatment. However, patients with severely compromised immune systems may still have trouble finding approval.

Guaranteed Acceptance 

Guaranteed acceptance policies are sometimes the only choice for people with severe pre-existing conditions. They're generally available to those between the ages of 50-75 regardless of any pre-existing health conditions they may have. The rates are typically much higher than that of a normal life insurance policy, but there's also no chance of being denied. So long as a person continues to pay their premiums, their family or loved ones will receive a limited death benefit to cover the necessary expenses. Each life insurance policy will have their own terms, but the total amount of the death benefit is often the amount of the total premiums plus interest. There is no medical underwriting with this type of policy, and thus can be approved within minutes of application. 

It's fairly easy for patients to spot the patterns when it comes to how their pre-existing condition affects their benefits. Some may find that their rates are all relatively equal, while others may find their condition is far more malleable in the eyes of insurance companies. For example, they may find that four insurance companies deny full coverage due to Type 2 diabetes while three others approve them for full benefits. There is no absolute when it comes to exactly how much a person will pay for coverage over time. However, all potential applicants should be aware that they do have options for coverage if they so choose — even if their only option comes in the form of a guaranteed acceptance. 

For more information on Medicare and life insurance policies, feel free to contact our team, California Retirement Advisors, at cradvisors.com or call at 888-643-7472 to schedule an appointment to speak with an advisor.

By Christian Cordoba
Founder, California Retirement Advisors

  1. https://www.mcmha.org/pre-existing-conditions-mean-get-life-insurance/

Investment advisory services offered through Mutual Advisors, LLC DBA California Retirement Advisors, a SEC registered investment adviser. Securities offered through Mutual Securities, Inc., member FINRA/SIPC. Mutual Securities, Inc. and Mutual Advisors, LLC are affiliated companies. CA Insurance license #0B09076. This content is developed from sources believed to be providing accurate information and provided by California Retirement Advisors. It may not be used for the purpose of avoiding any federal tax penalties. Please consult legal or tax professionals for specific information regarding your individual situation. The opinions expressed and material provided are for general information, and should not be considered a solicitation for the purchase or sale of any security. California Retirement Advisors, nor any of its members, are tax accountants or legal attorneys and do not provide tax or legal advice. For tax or legal advice, you should consult your tax or legal professional.