Life Insurance with Pre-Existing Conditions
Over 15 million people in the UK live with a long-term health condition. Most can get life insurance, and many pay standard or near-standard rates. Do not assume you cannot be covered.
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Can You Get Life Insurance with a Pre-Existing Condition?
Yes, and in the vast majority of cases, you can. Over 15 million people in the UK live with at least one long-term health condition, and the life insurance industry covers millions of them every year. Having a pre-existing condition does not automatically mean you will be declined or face unaffordable premiums.
When you apply for life insurance with a health condition, insurers will typically take one of four approaches:
- Standard terms, your condition is considered low risk and has no impact on your premiums. Common for well-controlled asthma, mild hay fever, or treated thyroid conditions.
- Cover with a loading, you pay a percentage more than standard rates to account for the additional risk. A 50% loading on a £10/month policy means you pay £15/month.
- Cover with an exclusion, the insurer covers you for everything except claims directly caused by your specific condition. More common on critical illness and income protection than life insurance.
- Postponement or decline, rare, and usually only for very recently diagnosed or unstable conditions. Even then, another insurer may accept you.
The critical point is that different insurers have very different attitudes to different conditions. One insurer might apply a 100% loading where another applies just 25% for the exact same condition. This is why comparing the whole market through a specialist broker is not optional, it is essential.
For a detailed look at how specific conditions affect your options, see our comprehensive guide to life insurance with pre-existing conditions.
Standard vs Exclusion vs Loading vs Guaranteed: Your Options
Understanding the different types of cover available helps you know what to expect and what questions to ask your adviser.
| Feature | Standard Cover | Cover with Exclusion | Cover with Loading | Guaranteed Acceptance |
|---|---|---|---|---|
| Medical questions | Yes, full disclosure | Yes, full disclosure | Yes, full disclosure | None required |
| Premium impact | No increase | No increase (but exclusion | 25–200%+ added | Significantly higher |
| Cover | Unlimited | Unlimited | Unlimited | £25k–£50k typical max |
| Waiting | None | None | None | 1–2 year moratorium |
| Best for | Low-risk conditions | Single specific condition | Moderate-risk conditions | Last resort after decline |
| Common conditions | Mild asthma, hay fever, | Previous depression, past | Diabetes, heart conditions, | Any condition, no health |
The outcome depends on your specific condition, its severity, treatment, and which insurer you apply to. A specialist broker will identify your best option.
Life Insurance by Condition
Here is how insurers typically approach some of the most common pre-existing conditions.
High Blood Pressure
Hypertension is one of the most commonly insured conditions. If your blood pressure is well-controlled with medication and there are no complications, many insurers offer standard or near-standard rates. Uncontrolled hypertension may result in a moderate loading.
Depression & Anxiety
Mental health conditions are among the most frequently disclosed on applications, and the vast majority of people receive cover. Mild to moderate cases managed with medication typically qualify for standard rates. Severe or recent episodes may result in a small loading or short postponement.
Asthma
Mild to moderate asthma rarely affects life insurance premiums at all. Most people with asthma pay standard rates. Severe asthma requiring frequent hospitalisations, oral steroids, or nebuliser treatment may attract a small loading, but cover is almost always available.
Cancer Survivors
Many cancer survivors can get life insurance after a period of remission, typically 2–5 years depending on the type and stage. The type of cancer, treatment received, and current health status all factor in. A specialist broker is essential for navigating which insurers have the most favourable approach.
Heart Conditions
Heart conditions including previous heart attacks, angina, arrhythmias, and heart valve issues can all be covered. Premiums depend on the condition, when it occurred, current treatment, and overall cardiovascular health. Recovery time and ongoing management are key factors.
Multiple Conditions
Having two or more pre-existing conditions does not automatically prevent you from getting life insurance. Insurers assess the overall risk rather than simply adding up conditions. The right broker will know which insurers take a holistic approach and offer the most competitive terms for combined conditions.
Not sure if your condition can be covered? Ask a specialist.
Get matched with an FCA-regulated adviser who specialises in medical underwriting. They know which insurers are most favourable for your specific condition.
Get a Free Quote →How Much Does Life Insurance Cost with a Pre-Existing Condition?
The impact on your premiums depends entirely on your specific condition and how it is managed. Here is what a 35-year-old non-smoker might expect for £200,000 of level term cover over 20 years.
If you have been declined by one insurer, it does not mean you cannot get cover elsewhere. Different insurers have genuinely different appetites for different conditions, and a specialist broker will know exactly where to place your application.
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What Our Customers Say
I was worried that my high blood pressure would make life insurance really expensive. My adviser found me cover at virtually the same price as someone without any conditions. I wish I had done this years ago instead of worrying about it.
After bowel cancer treatment, I assumed life insurance was off the table. My adviser explained the remission requirements and found an insurer willing to cover me three years after my all-clear. The loading was far less than I expected.
We both have a history of anxiety and depression. The adviser was incredibly understanding and found us joint cover with no exclusions and only a very small loading. The process was straightforward and completely judgement-free.
I have both asthma and eczema and was worried about declaring multiple conditions. My adviser said these are among the most commonly insured conditions in the UK. Got £300k of cover at standard rates, £13/month at age 36. No loading at all.
I have Crohn's disease and had been quoted astronomical premiums going direct. The specialist broker I was matched with knew exactly which insurer to approach. Ended up with £200k cover for £19/month with a small loading. Totally manageable.
I have Type 2 diabetes and high cholesterol, both well managed with medication. My adviser approached three insurers and the best quote came back at £21/month for £250k. One insurer wanted £35/month for the same cover. Comparing saved me over £4,000 over the term.
Related Guides
Dive deeper into the topics that matter for life insurance with health conditions.
Pre-Existing Conditions Guide
Full UK guide by condition
How Much Cover Do I Need?
Calculate the right amount
How Much Does It Cost?
UK pricing breakdown
Life Insurance & Critical Illness
Combined cover options
Life Insurance Over 50
Options for older applicants
Whole of Life Insurance
Lifetime cover explained
Pre-Existing Conditions: Frequently Asked Questions
Your Condition Doesn't Define Your Cover
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