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Life insurance with pre-existing health conditions is a type of coverage that is available for individuals who have health conditions that may increase their risk of premature death. Pre-existing health conditions can include a wide range of conditions, such as diabetes, heart disease, cancer, and more.

When applying for life insurance with a pre-existing health condition, the insurer will typically take into account several factors, such as the type and severity of the condition, the individual’s overall health and medical history, and other risk factors, such as smoking or a history of substance abuse.

The availability and cost of coverage will vary depending on the specific health condition and the individual’s overall health status. In some cases, coverage may be more expensive or may require a medical exam or additional underwriting. In other cases, coverage may be declined due to the increased risk associated with the health condition.

If you have a pre-existing health condition and are looking for life insurance coverage, it is important to work with a specialized insurance broker who can help you find the coverage that meets your needs. The broker can help you navigate the application process, provide guidance on the types of policies that may be available, and help you find coverage that fits your budget. It is also important to be honest and accurate in your answers to any health-related questions on the application, as providing false or misleading information can lead to the denial of coverage or other legal issues.

Why Do Insurance Companies Care If You have a Pre-existing Medical Condition?

Insurance companies care about pre-existing medical conditions because they represent a higher risk for premature death or disability, which can result in a payout of the life insurance benefit sooner than expected. Insurers use actuarial science and underwriting guidelines to assess the risk associated with providing coverage to an individual with a pre-existing medical condition. They consider factors such as the type and severity of the condition, the individual’s age, gender, family medical history, lifestyle factors such as smoking or alcohol use, and other relevant risk factors.

Based on this assessment, the insurer may offer coverage with higher premiums or exclusions for the pre-existing condition. In some cases, the insurer may decline coverage if the individual’s health condition represents too high of a risk. The goal of the insurer is to balance the risk of premature death or disability with the cost of providing coverage, in order to maintain financial stability and remain profitable.

It is important to note that insurance companies are regulated by government agencies and must comply with anti-discrimination laws. They cannot discriminate against individuals with pre-existing conditions based solely on their health status, and must provide coverage in compliance with applicable laws and regulations.

What are Pre-Existing Conditions?

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Here is a list of some common pre-existing conditions that insurance companies may consider when assessing an individual’s risk and determining the cost of coverage:

  • Heart disease
  • High blood pressure
  • Diabetes
  • Cancer
  • Mental health conditions, such as depression or anxiety
  • Asthma
  • Arthritis
  • Chronic kidney disease
  • Chronic obstructive pulmonary disease (COPD)
  • HIV/AIDS
  • Hepatitis C
  • Stroke
  • Chronic liver disease

It’s important to note that this is not an exhaustive list, and the specific conditions that are considered pre-existing may vary depending on the insurer and the policy. Additionally, not all pre-existing conditions will necessarily result in higher premiums or coverage exclusions, as the impact on risk and cost will depend on the individual’s overall health and medical history.

What Kind of Life Insurance Can You Get With a Pre-Existing Condition?

Individuals with pre-existing conditions may be able to obtain different types of life insurance coverage, depending on their specific health condition and the severity of the condition. Here are some of the types of life insurance coverage that may be available:

  1. Term life insurance: This is a type of policy that provides coverage for a specific period of time, typically 10, 20, or 30 years. Individuals with pre-existing conditions may be able to obtain term life insurance coverage, although the cost and availability of coverage may be affected by their health status.
  2. Permanent life insurance: This is a type of policy that provides coverage for the individual’s entire life, rather than a specific period of time. Permanent life insurance can be more expensive than term life insurance, but it may be a good option for individuals with pre-existing conditions who are looking for lifelong coverage.
  3. Simplified issue life insurance: This is a type of policy that does not require a medical exam, but may still ask health-related questions on the application. Simplified issue life insurance may be a good option for individuals with pre-existing conditions who may not qualify for traditional life insurance coverage.
  4. Guaranteed issue life insurance: This is a type of policy that does not require a medical exam or any health-related questions. Guaranteed issue life insurance may be a good option for individuals with severe pre-existing conditions who may not qualify for other types of coverage.

It’s important to note that the availability and cost of life insurance coverage will vary depending on the specific pre-existing condition and the individual’s overall health status. It’s recommended to work with a specialized insurance broker who can help you find the coverage that meets your needs.

Average Life Insurance Cost Per Month with Pre-Existing conditions in Canada

The cost of life insurance coverage for individuals with pre-existing conditions will vary depending on a number of factors, including the specific health condition, the severity of the condition, the individual’s overall health status, and other risk factors. Here are some sample monthly premiums for a $500,000 term life insurance policy for a non-smoking individual with pre-existing conditions in Canada:

  1. 40-year-old male with well-controlled type 2 diabetes: $116 per month
  2. 50-year-old female with high blood pressure and high cholesterol: $147 per month
  3. 45-year-old male with a history of cancer (in remission for five years): $183 per month
  4. 35-year-old female with depression and anxiety: $200 per month
  5. 60-year-old male with a history of heart disease: $413 per month
  6. 35-year-old male with well-controlled Crohn’s disease: $93 per month
  7. 50-year-old female with well-controlled asthma: $113 per month
  8. 55-year-old male with well-controlled high blood pressure and type 2 diabetes: $168 per month
  9. 40-year-old female with a history of breast cancer (in remission for three years): $205 per month
  10. 45-year-old male with a history of depression and anxiety: $218 per month

It’s important to note that these are just sample premiums and the actual cost of life insurance coverage will depend on the individual’s specific health condition and overall health status, as well as other factors such as the length and amount of coverage, and the insurer’s underwriting guidelines. It’s recommended to work with a specialized insurance broker who can help you find the coverage that meets your needs and budget.

Life Insurance with Pre-Existing Health Conditions FAQs

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Here are some frequently asked questions about life insurance with pre-existing health conditions:

  1. Can I get life insurance if I have a pre-existing condition?
  • Yes, it is possible to obtain life insurance coverage with a pre-existing condition. However, the availability and cost of coverage will depend on the specific condition, its severity, and the individual’s overall health status.
  1. Will I have to pay more for life insurance if I have a pre-existing condition?
  • It’s possible that individuals with pre-existing conditions may have to pay more for life insurance coverage, as the condition may increase the risk of premature death or disability. However, the actual cost will depend on a number of factors, including the severity of the condition, the individual’s overall health status, and other risk factors.
  1. What types of life insurance are available for individuals with pre-existing conditions?
  • Individuals with pre-existing conditions may be able to obtain different types of life insurance coverage, including term life insurance, permanent life insurance, simplified issue life insurance, and guaranteed issue life insurance.
  1. Will I be denied coverage because of a pre-existing condition?
  • It’s possible that some insurers may deny coverage to individuals with pre-existing conditions, depending on the specific condition and the insurer’s underwriting guidelines. However, it’s recommended to work with a specialized insurance broker who can help you find the coverage that meets your needs.
  1. Do I have to disclose my pre-existing condition when applying for life insurance?
  • Yes, it’s important to disclose any pre-existing conditions when applying for life insurance coverage. Failing to disclose a pre-existing condition could result in the denial of a claim in the event of the individual’s death.

Some more frequently asked questions about life insurance with pre-existing health conditions:

  1. How do I know if my pre-existing condition will affect my life insurance coverage?
  • The impact of a pre-existing condition on life insurance coverage will depend on the specific condition, its severity, and the insurer’s underwriting guidelines. It’s recommended to work with a specialized insurance broker who can help you understand the impact of your specific condition on your coverage options.
  1. Can I still get life insurance if my pre-existing condition is considered high risk?
  • It’s possible that individuals with high-risk pre-existing conditions may be able to obtain coverage through specialized insurance products, such as guaranteed issue life insurance. It’s recommended to work with a specialized insurance broker who can help you find the coverage that meets your needs.
  1. How can I improve my chances of getting life insurance with a pre-existing condition?
  • Some steps that may improve your chances of obtaining life insurance coverage with a pre-existing condition include: improving your overall health and lifestyle habits, working with a specialized insurance broker, and being honest and transparent about your condition and any treatments you are receiving.
  1. Can I get life insurance if I have a family history of a pre-existing condition?
  • A family history of a pre-existing condition may not necessarily prevent an individual from obtaining life insurance coverage, although it may be a factor in the insurer’s underwriting process. It’s recommended to work with a specialized insurance broker who can help you find the coverage that meets your needs.
  1. Will I have to undergo a medical exam to get life insurance with a pre-existing condition?
  • The requirement for a medical exam will depend on the specific condition and the insurer’s underwriting guidelines. Some policies, such as simplified issue or guaranteed issue life insurance, may not require a medical exam. It’s recommended to work with a specialized insurance broker who can help you find the coverage that meets your needs.

Here are some additional frequently asked questions about life insurance with pre-existing health conditions:

  1. How long will it take to get approved for life insurance with a pre-existing condition?
  • The approval process for life insurance with a pre-existing condition may take longer than for individuals without pre-existing conditions. The exact timeframe will depend on the individual’s specific condition, the severity of the condition, and the insurer’s underwriting guidelines.
  1. What should I look for in a life insurance policy if I have a pre-existing condition?
  • Individuals with pre-existing conditions should look for life insurance policies that provide adequate coverage, are affordable, and meet their specific needs. They should also look for policies that have favorable underwriting guidelines for their specific condition.
  1. Can I change my life insurance coverage if my pre-existing condition improves?
  • Yes, it’s possible to adjust your life insurance coverage if your pre-existing condition improves. However, the exact options and availability of coverage will depend on the specific condition and the insurer’s underwriting guidelines.
  1. What if I don’t know if I have a pre-existing condition?
  • It’s important to be honest and transparent when applying for life insurance coverage. If you’re unsure about whether you have a pre-existing condition, it’s recommended to speak with your healthcare provider to determine your overall health status.
  1. Should I work with a specialized insurance broker if I have a pre-existing condition?
  • Yes, it’s recommended to work with a specialized insurance broker if you have a pre-existing condition, as they can help you understand your coverage options, navigate the underwriting process, and find policies that meet your specific needs.

About the Author: Valerie D. Hahn

Valerie is an insurance editor, journalist, and business professional at RateLab. She has more than 15 years of experience in personal financial products. She strives to educate readers and ensure that they are properly protected.

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