Pre-existing conditions explained

Life Insurance With Pre-Existing Conditions

A medical history does not automatically mean life insurance is unavailable. Insurers assess health differently, and the outcome can depend on the condition, treatment, severity, stability and the type of cover you are applying for.

Medical underwriting

A health condition changes the underwriting question, not necessarily the answer

Life insurers use medical underwriting to estimate the risk involved in offering cover. If you have a pre-existing condition, that can mean extra questions, a request for further medical information, different premium terms or, in some cases, a decision that a particular insurer cannot offer the cover requested.

That does not mean every insurer will respond in the same way. Underwriting criteria vary, and two people with the same condition can still receive different outcomes because factors such as age, treatment, control, complications and other health information matter.

The practical goal is therefore to understand the information an insurer is likely to need and to compare the market without assuming that a previous diagnosis automatically means refusal.

Disclose accurately Answer application questions fully and accurately. Missing or incorrect information can affect underwriting and may create problems if a claim is made later.
Expect insurer differences Different insurers can assess the same condition differently, so one decision does not necessarily describe the whole market.
Look beyond the diagnosis Insurers may consider severity, treatment, recent results, complications, time since diagnosis and how stable the condition is.
Frequently asked questions

Pre-existing condition questions

Often, yes, although the outcome depends on the condition and the insurer. You may be offered standard terms, a higher premium, modified terms, postponement or, in some cases, no offer of cover. A diagnosis on its own does not tell you what the outcome will be.

The application will normally ask about your medical history, diagnoses, treatment, investigations and medication. What needs to be disclosed depends on the wording of the insurer’s questions, so answer the questions asked rather than trying to decide for yourself what is relevant.

Not every application requires further evidence. Depending on the answers you provide, the amount of cover and the insurer’s process, they may decide from the application alone or request additional information such as a GP report, nurse screening or medical examination.

Yes. An insurer can decide not to offer cover where the risk falls outside its underwriting limits. That does not necessarily mean another insurer would reach the same decision, although repeated applications without a clear strategy can be unhelpful.

Possibly. Insurers may look at the type and stage of cancer, treatment, time since treatment, follow-up results and any recurrence. The outcome can range from standard or increased premiums to postponement or no offer, depending on the individual case.

Life insurance can be available to people with diabetes. Underwriters may consider the type of diabetes, control, treatment, recent measurements, complications and other health factors when deciding what terms can be offered.

It can form part of underwriting, but a mental health history does not automatically mean an application will be declined. Insurers may consider the diagnosis, severity, treatment, time off work, recent symptoms and other relevant information.

The insurer bases its decision on the information provided. Inaccurate or incomplete answers can affect the validity of the cover and may cause problems when a claim is assessed. If you are unsure how to answer a question, ask for clarification rather than guessing.

Next step

Compare life insurance with your medical history in mind

If you know the cover you need and the health information likely to be relevant, the next step is to compare insurers and underwriting approaches with help from a specialist.

Start your comparison