What is a Life Insurance Medical Exam (2024)

A life insurance medical exam is a routine part of most insurance applications. It usually has two parts: First, you’ll fill out a medical questionnaire about your current health, medical history, prescriptions, lifestyle, and habits. Then you’ll have a physical exam performed by a healthcare professional that will be much like a regular yearly checkup.

Why do life insurance companies require medical exams?

It’s not uncommon to be worried about going to the doctor for a medical exam, especially if it’s not your regular doctor. When applying for life insurance, however, a medical exam is usually required, and at the end of the day it’s a pretty easy process.

Why do you have to go through this step? The simple answer is that it helps keep most insurance premiums down. Insurers need to make informed decisions about individuals based on their health status in order to price policies fairly and accurately. To do this, they use medical exams to assess an applicant's overall health and evaluate potential risks associated with providing coverage. The process is called medical underwriting.

Applicants in good health typically receive more favorable rates, while those with preexisting medical conditions may face higher premiums or modified coverage terms. If an insurer had to make coverage decisions without this step, premiums, whether for whole life or term life insurance, would be higher for most people.

The medical exam helps the insurance company to...

Assess your health risks

During the medical exam, a licensed healthcare professional will collect vital health-related data. This information helps the insurer assess your current health status and identify any underlying medical conditions that may affect your life expectancy.

Determine premiums

The results of the medical exam will impact the cost of your life insurance policy. Applicants in good health typically qualify for lower premiums, while those with certain medical conditions may face higher rates or be ineligible for certain types of policies.

Customize coverage

Medical exams enable insurance companies to tailor coverage to your specific health situation. This helps ensure that you receive a policy that aligns with your unique needs and circ*mstances.

What should I expect from my life insurance medical exam?

Once you've applied for a life insurance policy that requires a medical exam, the insurance company will coordinate with you to schedule the exam at no cost to you, usually at a location convenient for you. Here’s what you can expect:

Medical history questionnaire

Before the exam, you may be asked to complete a health questionnaire detailing your medical history, lifestyle habits, and any medications you're currently taking. Providing accurate information is essential for the underwriting process.

Physical exam

The medical exam is generally quick and painless, often lasting about 20-30 minutes. If you have a normal yearly checkup, you’ll be familiar with most of the tests. The exam is likely to include measuring your blood pressure, heart rate, height, and weight. It may also involve collecting blood and urine samples for lab testing. Depending on your age and the coverage amount you're applying for, you might undergo additional tests such as an electrocardiogram (EKG) or a treadmill stress test, which can help assess your heart health.

Will my insurer check my medical records?

Yes, life insurers will review your medical records if you are applying for a medically underwritten policy. They can do so only with the consent of the applicant, however. The consent agreement between the applicant and insurance company will specify the number of years of medical records that will be examined.

What are insurers looking for?

They are looking for potential health risks in an effort to better understand your physical condition. In order to accurately price life insurance, the company might evaluate several factors to determine coverage and premiums, including:

  • Overall health status
  • Weight and BMI
  • Blood pressure
  • Cholesterol levels
  • Chronic conditions
  • Tobacco and alcohol use
  • Prescriptions and drug use
  • Other lifestyle factors

How to prepare for a life insurance medical exam

It's essential to follow any fasting or preparation instructions that are provided by the examiner. This will help ensure that you get accurate test results and a fair assessment of your health. Here are some tips to consider:

  • Get a good night’s rest
  • Avoid caffeine and alcohol
  • Fast if instructed
  • Stay hydrated
  • Gather and review your medical records
  • Be up-front and honest
  • Dress comfortably

Can I get life insurance without a medical exam?

Yes, there are life insurance policies that do not require a medical exam, typically called "no-exam life insurance" or "simplified-issue life insurance." These policies are designed to offer a more convenient and streamlined application process for individuals who prefer to avoid medical exams or have specific health concerns. Applicants will still likely need to fill out a medical questionnaire, and the coverage amounts and policy options may be more limited.

Will no-exam life insurance cost more?

In most cases, since the insurer knows less about you, no-exam policies will cost more than standard medically underwritten policies. If you have significant health issues, however, and are worried that you might not be able to get coverage if there is a medical exam, no-exam policies can be a good option. It’s also important to note that the availability and terms of no-exam life insurance vary among insurance companies. If you're considering this type of policy, go with an insurer you trust, and compare your options before you make a decision.

Life insurance medical exam FAQs

New York Life Insurance Company (NY, NY)

What is a Life Insurance Medical Exam (2024)

FAQs

What is a Life Insurance Medical Exam? ›

A life insurance medical exam tests for risk factors like drug use and health issues. It may include questions concerning your health, lifestyle, family medical history, and other factors that might affect your eligibility for life insurance.

What does a life insurance medical exam consist of? ›

The examiner will often come to your home or office and perform a short physical examination that includes basic height and weight measurements, a check of your vital signs, including pulse and blood pressure, and taking blood and urine samples.

How to pass a medical exam for life insurance? ›

How to prepare for a life insurance medical exam
  1. Eat healthy. During the life insurance physical, the examiner will take a blood sample for testing and he or she will check your blood pressure and pulse. ...
  2. Drink water. ...
  3. Consider fasting. ...
  4. Skip the gym. ...
  5. Get a good night's sleep. ...
  6. Wear lightweight clothing.

What does life insurance test for in urine? ›

Here are a few of the things that insurers are looking for. Drug use: Life insurance drug tests can detect drugs like amphetamines/methamphetamines, cocaine, opiates, phencyclidine (PCP), barbiturates, benzodiazepines, methadone, and marijuana.

Can you really get life insurance without a medical exam? ›

Getting life insurance without a medical exam is possible, even for seniors, but there are some important things to understand and consider before you choose to forgo an exam.

What not to say when applying for life insurance? ›

LYING ABOUT DRUG USE OR TOBACCO & ALCOHOL USE

An applicant for life insurance must disclose lifestyle habits, good and bad, including use of alcohol or use of tobacco.

How far back do life insurance companies look? ›

When initially underwriting a life insurance policy, life insurance companies sometimes check up to 10 years of an applicant's medical records.

What is the hardest insurance exam to pass? ›

Each insurance licensing exam presents its own challenge. Between Life and Health, students say that the Health insurance exam is the more difficult. Health insurance policies are simply more complicated than life insurance policies. The Property insurance exam is easier than the Casualty insurance exam.

What not to do before a physical exam? ›

What not to do before a physical exam
  1. Consuming alcohol.
  2. Drinking caffeine within an hour of your visit.
  3. Eating a high-fat meal before bloodwork.
  4. Eating or drinking anything for eight to 12 hours, or as directed by your provider, before bloodwork that requires a fast.
  5. Taking cold medicine if you're feeling under the weather.

What is the blood pressure for a life insurance exam? ›

Blood pressure must be lower than 141 over 86 consistently. Some carriers will allow higher readings for seniors who are otherwise in excellent health. Preferred – For applicants to receive a preferred rating, their blood pressure must be at 145 over 90 or lower.

What diseases show up in a urine test? ›

The results of a urine test may indicate the presence of:
  • Diabetes or prediabetes.
  • Chronic kidney disease.
  • Kidney or bladder stones.
  • Kidney or bladder cancer.
  • Bacterial or yeast infections.
  • A urinary tract disorder.
  • Sexually transmitted infections (STIs)
  • Liver or bile duct damage.

How does life insurance test if you smoke? ›

You may be required to submit to a physical exam by an independent medical practitioner, and blood and urine tests are often mandatory, the results of which may indicate that you smoke.

Do life insurance companies test for STDs? ›

Insurers also want to make sure you have listed all medications on your application and did not omit anything. STDs: The blood test will determine if you have any sexually transmitted diseases (STDs). Although STDs usually will not get you denied, they can affect your rates in some circ*mstances.

How to pass a medical for life insurance? ›

Tips to Help You Pass Your Life Insurance Medical Exam

Schedule Your Exam in the Morning: It's recommended that you avoid caffeine, working out, unhealthy foods, alcohol, and tobacco before your exam. To make this easier on yourself, just get it over and done with in the AM.

Who is not eligible for life insurance? ›

Pre-existing conditions – meaning any health issue or condition that existed before applying for coverage – are often considered high-risk by insurance companies and can lead to disqualification. Chronic conditions that require long-term medication or treatment can also impact eligibility.

What is the highest amount of life insurance you can get without a physical? ›

A fully underwritten option will also allow you to apply for higher coverage amounts if you need them — most no-exam options cap coverage at $1 million to $3 million. And depending on your health profile, you may have more affordable options if you're willing to take a medical exam.

What does a mouth swab test for life insurance? ›

Insurance companies may use lab work or an easier swab test to see if applicants are drug or tobacco users. Swab tests are generally used for younger applicants applying for lower face amounts. Swab tests can detect nicotine and other drug use as well as HIV. Insurance rates are higher for smokers and other drug use.

What questions do doctors ask at physicals? ›

You should also be prepared to answer some of your doctor's questions, including:
  • How often do you exercise?
  • Do you smoke, drink alcohol, or use any drugs?
  • What is your diet like?
  • Are you feeling any abnormal pain or discomfort?
  • Where do you feel the pain or discomfort?
  • How is your sleep?

Is it normal for life insurance to request medical records? ›

After you submit your life insurance application, the underwriter begins the verification process. They assess the findings from your underwriting medical exam (if you took one) or health questionnaire, review your medical records and may even conduct personal interviews with friends and relatives.

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