15 Medical Conditions That Require an Agent to Apply for Life Insurance

Shawn Plummer, CRPC

Retirement Planner, Financial Advisor, Annuity Broker, and Insurance Agent

How to Apply for Life Insurance With a Pre-Existing Condition

If you have a serious medical condition, applying for life insurance can be challenging. Many insurers automatically decline high-risk applicants, while others charge inflated premiums. A life insurance agent can help you navigate underwriting and find an insurer willing to accept your condition.

Here’s a look at 15 pre-existing conditions that require working with an agent to get life insurance.

1. Cancer (Current or History of Cancer)

Life insurance for cancer patients is complex. If you’ve had cancer, insurers will evaluate the stage, treatment type, and recurrence risk. Many decline applicants within five years of treatment, but an agent can find carriers that specialize in cancer survivors.

2. Heart Disease (Heart Attack, Bypass, Stents)

A history of heart disease raises red flags with insurers. The severity, treatment, and lifestyle changes impact approval odds. An agent can identify insurers that offer coverage with manageable rates.

  • Pros: Some insurers accept controlled heart conditions.
  • Cons: Higher premiums and strict underwriting.
  • Who Needs It? Anyone with prior heart issues.
  • Who Doesn’t? Those without significant heart-related medical history.

3. Stroke or TIA (Transient Ischemic Attack)

Stroke survivors face stricter underwriting. Approval depends on the severity, recovery, and time since the event. An agent can match applicants with insurers offering reasonable rates.

  • Pros: Some companies offer post-stroke policies.
  • Cons: Many insurers decline recent stroke survivors.
  • Who Needs It? Those with a history of stroke or mini-strokes.
  • Who Doesn’t? People with no neurological issues.

4. Diabetes (Type 1 or Uncontrolled Type 2)

Type 1 diabetics and those with uncontrolled Type 2 face difficulties. Insurers assess medication, insulin use, and related complications. An agent finds policies that accommodate diabetes management.

  • Pros: Some insurers accept well-managed cases.
  • Cons: Poorly controlled diabetes results in denials.
  • Who Needs It? Insulin users and those with complications.
  • Who Doesn’t? Those with controlled Type 2 diabetes.

5. Kidney Disease (Including Dialysis Patients)

Chronic kidney disease, especially dialysis, often leads to automatic declines. Agents locate insurers with guaranteed issue or high-risk policies.

  • Pros: Some policies accept kidney conditions.
  • Cons: Dialysis patients have few options.
  • Who Needs It? People with CKD or transplant recipients.
  • Who Doesn’t? Those with normal kidney function.

6. COPD or Chronic Respiratory Diseases

Chronic Obstructive Pulmonary Disease (COPD) and other lung diseases raise insurance risk. Agents match applicants with insurers that consider stable cases.

  • Pros: Coverage available for mild cases.
  • Cons: Severe COPD often results in denials.
  • Who Needs It? Those with asthma, emphysema, or chronic bronchitis.
  • Who Doesn’t? People with normal lung function.

7. Obesity (Morbidly Obese Applicants)

Insurers assess height, weight, and related conditions. Severe obesity may lead to higher rates or denials. An agent finds companies with lenient BMI requirements.

  • Pros: Some insurers offer coverage with weight loss proof.
  • Cons: BMI limits impact eligibility.
  • Who Needs It? Applicants with high BMI.
  • Who Doesn’t? Those within standard weight ranges.

8. Liver Disease (Cirrhosis, Hepatitis B or C)

Liver disease is a major underwriting concern. An agent helps applicants find insurers that accept managed conditions.

  • Pros: Some policies accept controlled cases.
  • Cons: Cirrhosis leads to denials.
  • Who Needs It? Hepatitis or liver disease patients.
  • Who Doesn’t? Those with healthy liver function.

9. HIV/AIDS

Only a few insurers provide life insurance for HIV-positive applicants. An agent connects clients to specialized insurers.

  • Pros: Some policies accept HIV patients.
  • Cons: Higher premiums and strict guidelines.
  • Who Needs It? HIV-positive individuals.
  • Who Doesn’t? HIV-negative applicants.

10. Neurological Disorders (MS, Parkinson’s, ALS, Epilepsy, etc.)

These conditions affect life expectancy, making coverage hard to obtain. Agents find insurers willing to provide options.

  • Pros: Some insurers accept mild cases.
  • Cons: Advanced cases often get denied.
  • Who Needs It? Those with neurological conditions.
  • Who Doesn’t? Healthy individuals.

11. Mental Health Disorders (Bipolar, Schizophrenia, Severe Depression, etc.)

Underwriters assess history, hospitalizations, and medications. An agent finds insurers that accept mental health conditions.

  • Pros: Some insurers approve stable cases.
  • Cons: Suicide attempts can lead to denials.
  • Who Needs It? Those with a history of mental illness.
  • Who Doesn’t? People without mental health diagnoses.

12. Alcohol or Drug Abuse History

Insurers look at treatment history and sobriety length. An agent connects clients to insurers offering second-chance policies.

  • Pros: Some policies accept long-term recovery cases.
  • Cons: Relapses result in higher premiums or denials.
  • Who Needs It? Those with a history of addiction.
  • Who Doesn’t? People without substance abuse history.

13. Organ Transplant Recipients

Most insurers decline organ transplant recipients. An agent finds high-risk or guaranteed issue policies.

  • Pros: Some options for transplant patients.
  • Cons: Limited availability and high cost.
  • Who Needs It? People who have received organ transplants.
  • Who Doesn’t? Those without transplant history.

14. Dementia or Alzheimer’s Disease

Cognitive decline leads to automatic declines for traditional policies. An agent helps find guaranteed issue policies.

  • Pros: Some final expense policies accept applicants.
  • Cons: Higher costs and limited coverage amounts.
  • Who Needs It? People diagnosed with dementia or Alzheimer’s.
  • Who Doesn’t? Those without cognitive impairments.

15. Autoimmune Disorders (Lupus, Rheumatoid Arthritis, etc.)

Some insurers consider autoimmune conditions high-risk. An agent finds companies that accept stable cases.

  • Pros: Some policies cover mild cases.
  • Cons: Severe conditions may result in denials.
  • Who Needs It? Those diagnosed with autoimmune disorders.
  • Who Doesn’t? People without chronic autoimmune conditions.
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Additional Insurance Options

For those who cannot qualify for traditional life insurance, guaranteed issue life insurance and final expense insurance are available. Additionally, annuities can provide financial security for those who cannot get life insurance.

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If you have a pre-existing medical condition, the right life insurance policy is still possible. Contact The Annuity Expert’s financial advisors and insurance agents for free life insurance quotes today!

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Shawn Plummer, CRPC

Retirement Planner, Financial Advisor, Annuity Broker, and Insurance Agent

I am a licensed Retirement Planner (CRPC), insurance agent, financial advisor, annuity broker, and former financial trainer with more than 18 years of hands-on experience in annuities and insurance. My National Producer Number (NPN) is 15524738. I spent 12 years training financial advisors nationwide on annuity, insurance, and retirement planning strategies, in addition to 18 years of direct field experience selling annuities and insurance products, helping clients protect their savings and secure reliable retirement income.

I have been quoted in Time Magazine, Bloomberg, Entrepreneur, Yahoo! Finance, MSN, SmartAsset, LegalZoom, U.S. News & World Report, Women’s Health Magazine, Forbes, and many other leading publications.

I am also the founder of The Annuity Expert, an independent online insurance agency and annuity broker serving consumers across the United States. Through this platform, my team and I help Americans remove the guesswork from retirement planning and compare insurance solutions to find the strongest value at the most competitive rates. I want to see you get the best products at the lowest prices.

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