Getting life insurance is a big decision. A key part of this process is the medical exam. This guide breaks down each step so you know what to expect. This guide simplifies the life insurance medical exam. I’d like you to please learn what happens at each stage.
Table Of Contents:
- Why Do Life Insurance Companies Require Medical Exams?
- Understanding Life Insurance Medical Exams: Step by Step Process
- How to Pass a Life Insurance Medical Exam
- Conclusion
- FAQs about Understanding Life Insurance Medical Exams: Step by Step Process
- How to pass an insurance medical exam?
- What medical conditions disqualify you from life insurance?
- What does blood work for a life insurance test for?
- What does a life insurance urine test look for?
- How long does it take to get life insurance medical exam results?
- When will I need an EKG or electrocardiogram during my life insurance medical exam?
- What options do I have if my medical exam results aren’t favorable?
Why Do Life Insurance Companies Require Medical Exams?

Life insurance companies use medical exams to evaluate your overall health status for your insurance policies. This helps determine your premiums and eligibility. The exam gives insurers a clearer view of your health, lifestyle, and habits, such as smoking.
Healthier individuals are often less risky to insure. This typically results in lower premiums.
The medical exam helps categorize your risk. It’s a crucial part of the underwriting process but not the sole factor. Insurance companies use many factors when assessing your insurability.
What Happens During the Exam?
The exam has two parts. The first is a questionnaire about your personal medical history and your family’s medical history review.
It covers current conditions, recent doctor visits, surgeries, and medications (both prescription and over-the-counter). The life insurance basics of your current medications may even be reviewed.
The second part is a physical exam. The examiner records your height, weight, blood pressure, and pulse. They collect blood and urine samples.
An electrocardiogram (EKG) might also be performed. A paramedical professional, hired by the insurance company, typically conducts the exam at your home or workplace.
Understanding Life Insurance Medical Exams: Step by Step Process

Here’s a detailed guide to the process for understanding life insurance medical exams. Term life insurance is one option for you to choose from. Your medical records play an important part in your approval.
- Application: You apply for life insurance, providing personal and health information.
- Scheduling: If a medical exam is necessary, the insurer will contact you to schedule it with a paramedical examiner. This is all part of getting your term life insurance set up.
- The Exam: Review health questions, undergo basic checks (weight, blood pressure), and provide blood and urine samples. You will need a term life insurance policy if you have a family.
- Review: Underwriters review your exam results and application. The underwriting process takes a detailed look at many different factors related to your insurability. Term life is often the easiest insurance type to obtain.
- Policy Offer: The life insurance company issues a decision. They inform you whether you qualify for coverage, need a higher-rated policy (more expensive), or are ineligible with them. You will need a term life to help your family financially.
How to Prepare for the Exam
A few steps can ensure accurate results. They may even give you a more favorable premium. Some life insurance companies have better reputations than others. This can influence the likelihood that your family will receive their death benefit in a timely fashion after your passing. Having good credit also may positively affect your rates.
| Days Before Exam | What To Do |
|---|---|
| 7-14 days prior | Prioritize good rest, reduce salty and sugary foods, and limit drinks that can impact health. Improve your diet for accurate test results. Term life can help provide your family a large lump sum in the event of your death. You should add this to your retirement plan to make sure you’re fully prepared. |
| 24 hours prior | Avoid intense exercise to prevent skewed results (e.g., high cholesterol). Stay hydrated. Stop non-essential over-the-counter medications, especially if they affect heart health, blood pressure, or cholesterol. |
| Morning of | Maximize sleep for accurate assessment. Avoid coffee to prevent elevated readings. Drink plenty of fluids for easier sample collection and proper analysis. If you have many credit cards you may be viewed as higher risk. |
How to Pass a Life Insurance Medical Exam
While you cannot dramatically alter your health overnight, some actions ensure accurate results. This could possibly lead to better rates. Life insurance companies look at this to offer you the most appropriate insurance term length. The life insurance exam process can seem daunting to some. You should obtain multiple life insurance quotes from various life insurance companies and pick which best fits your specific needs. Depending on your state you will be able to utilize your insurance policy against any outstanding debt balances and pay it off immediately which provides your family even more security when dealing with estates and creditors.
Honesty about your medical conditions allows underwriters to properly assess your application and calculate rates. Providing an accurate snapshot of your everyday health status is more effective than striving for perfection. A term life policy can be converted to a whole life insurance policy down the road.
Medical Conditions and Life Insurance

Many people with pre-existing conditions qualify for coverage. Disclosing serious health concerns helps determine policy costs or reveals the need for medically underwritten plans. Here are some steps to better help with insurance plans.
For more on this topic, see our detailed life insurance guide. Life insurance is essential for protecting your loved ones’ financial future. Gerber life insurance can be a good fit for families who have young children or small business owners. You could also check York Life for their various insurance policies. You should review the medical exam process for both term and universal life policies before proceeding further. Be sure to keep sufficient amounts of money in your savings accounts as that will affect how life insurance companies underwrite your policies. Also look at life insurance basics before purchasing.
Conclusion
Understanding life insurance medical exams simplifies the application process. The exam helps protect families. It informs applicants about their health before applying, avoiding surprises with policy requirements or premium increases. Many applicants try to incorporate universal life and term life into their estate planning.
Several factors influence your premium and acceptance by companies. Options usually exist to find a suitable plan or a no-exam policy for those with health concerns. You should talk with an estate planning attorney or other financial advisor to best assess what type and length of insurance term is the right fit for your family, for example, some applicants choose to buy a guaranteed life insurance plan versus a traditional term policy, with varying durations. There are other options that could benefit you as well.
FAQs about Understanding Life Insurance Medical Exams: Step by Step Process
How to pass an insurance medical exam?
Passing a medical exam isn’t about studying. It’s about accurately representing your health. Be truthful in the questionnaire and follow the preparation steps outlined earlier. Many individuals are interested in learning about insurance basics.
What medical conditions disqualify you from life insurance?
Few conditions lead to automatic disqualification. Even serious conditions (e.g., cancer, diabetes) are often insurable, though rates may be adjusted. It is part of their review for life insurance. A1C levels above 5.7 percent could be problematic.
The life insurance company might modify your premium. Consider a universal life insurance policy for lifetime coverage. Be sure to set up beneficiaries for your death benefits on all your policies and accounts.
What does blood work for a life insurance test for?
Blood work assesses several factors, including cholesterol, glucose, and signs of infection or viruses. Universal life insurance can provide good flexibility in payments for individuals who work in industries with variable compensation, especially if there are concerns about maintaining payments of policy premiums in low-earning years.
What does a life insurance urine test look for?
Urine tests evaluate various factors. They primarily assess kidney function and detect drug use. Many applicants prefer to purchase guaranteed life insurance to lock in low monthly premium rates while they are young and in good health.
How long does it take to get life insurance medical exam results?
After you complete your life insurance medical exam, the timeline for receiving results and a final decision from the insurance company typically ranges from a few days to several weeks, with most applicants hearing back within 30 to 60 days from the time of their exam. The exact timeframe depends on several factors including the complexity of your health history, whether the underwriters need any additional information, how quickly the lab processes your blood and urine samples, and the specific insurance company’s underwriting procedures. In straightforward cases where your health is good and your application matches your exam results, you might receive your exam results from the lab within 5 to 7 business days, and a final decision from the insurance company within 2 to 3 weeks. However, if you have pre-existing conditions, take multiple medications, or if the underwriters discover something in your medical records that requires further investigation, the process can take considerably longer, sometimes extending to 2 to 3 months in complex cases. Some insurance companies will contact you during this time if they need additional medical records from your doctors, require clarification about something on your application, or need you to undergo additional testing such as a stress test or specialist consultation. The lab that processes your blood and urine samples typically sends results directly to the insurance company’s underwriters rather than to you personally, though many insurers will provide you with a copy of your lab results upon request once they receive them. If you want to know the status of your application during this waiting period, you can always contact your insurance agent or the insurance company directly to check on the progress, and they should be able to tell you whether the results have been received and where your application is in the underwriting queue. It’s worth noting that some modern insurance companies offer accelerated underwriting for healthy applicants with straightforward applications, which can dramatically speed up the process and sometimes provide a decision within just a few days without requiring a medical exam at all. If you’re concerned about the timeline, you can ask your insurance agent upfront about the company’s typical processing time and whether they offer any expedited underwriting options, and you should also make sure to respond promptly to any requests for additional information to avoid unnecessary delays in getting your policy approved and issued.
When will I need an EKG or electrocardiogram during my life insurance medical exam?
Whether you need an electrocardiogram during your life insurance medical exam depends primarily on your age and the amount of coverage you’re applying for, though your specific health history may also factor into this requirement. Insurance companies typically require an EKG for applicants who are age 50 or older when applying for higher coverage amounts, usually policies of one million dollars or more, as these tests help underwriters assess your heart’s electrical activity and identify potential cardiovascular issues that could affect your insurability or premium rates. For example, if you’re 55 years old and applying for a two million dollar term life insurance policy, you can expect that an EKG will be part of your paramedical exam, whereas a 35-year-old applying for the same coverage amount would likely not need one. Some insurance companies may also request an EKG for younger applicants if they have disclosed a history of heart conditions, high blood pressure, diabetes, or other risk factors that could indicate cardiovascular concerns, regardless of the coverage amount being sought. Additionally, applicants over age 70 may be required to undergo not only an EKG but also a cognitive assessment to evaluate mental acuity and memory function, particularly when applying for substantial death benefits. During the EKG portion of your exam, the paramedical examiner will place electrodes on your chest to record your heart’s electrical signals over a brief period, typically just a few minutes, and this procedure is completely painless though it may feel slightly uncomfortable when the adhesive electrodes are removed. For very large coverage amounts exceeding three or four million dollars, some insurers may require a treadmill stress test or exercise EKG in addition to or instead of a resting EKG, especially for older applicants or those with known cardiovascular risk factors, though these more intensive tests are usually conducted at a medical facility rather than during an in-home paramedical exam. The specific age thresholds and coverage amounts that trigger EKG requirements vary significantly between insurance companies, with some carriers starting EKG requirements at age 45 for policies over 500 thousand dollars, while others may not require them until age 60 for similar coverage amounts. When you’re shopping for life insurance, your agent or the insurance company will inform you upfront whether an EKG will be part of your exam based on your age and desired coverage, allowing you to prepare accordingly and understand what to expect during the paramedical examination process.
What options do I have if my medical exam results aren’t favorable?
If your life insurance medical exam results aren’t favorable and you receive higher premium rates than expected or are denied coverage altogether, you have several viable options to still secure life insurance protection for your family, though each alternative comes with its own advantages and considerations. First, you may want to consider applying with a different insurance carrier, as each company has its own underwriting guidelines and may evaluate your health conditions differently, meaning what one insurer considers high risk might be viewed more favorably by another carrier that specializes in your particular health situation. For instance, some insurance companies are more lenient with applicants who have well-controlled diabetes, while others may offer better rates for individuals with a history of high blood pressure or cholesterol. Another immediate option is to request a re-examination after taking steps to improve your health markers, which might include losing weight, getting your blood pressure or cholesterol under control through medication or lifestyle changes, or addressing any temporary health issues that may have skewed your initial results, though be aware that not all insurance companies allow re-testing within a short timeframe. You could also explore no-medical-exam life insurance policies, which include simplified issue policies that only require you to answer health questions without undergoing a physical exam, guaranteed issue policies that accept all applicants regardless of health status though with lower coverage limits and higher premiums, or accelerated underwriting programs that use data analytics to assess risk without requiring a traditional medical exam for healthier applicants. Simplified issue life insurance typically provides coverage decisions within 48 hours based on your answers to five to ten health questions, with coverage amounts ranging from 25 thousand to 500 thousand dollars, making it a good middle-ground option if you have minor health issues that might affect traditional underwriting. Guaranteed issue life insurance, while more expensive and usually limited to coverage amounts around 25 thousand dollars, guarantees acceptance without any health questions or medical exams, though most policies include a two to three year waiting period where only premiums are refunded if you die from natural causes during that time, making this option best suited for final expense and funeral cost coverage. If you already have some life insurance through your employer, you might consider supplementing it with a no-exam policy rather than pursuing traditional fully underwritten coverage, or you could investigate whether your employer offers voluntary supplemental life insurance options that typically have guaranteed issue provisions during open enrollment periods. Group life insurance through professional associations, alumni groups, or membership organizations often provides coverage without medical exams up to certain limits, usually one to two times your annual income, and can serve as an affordable way to obtain at least some coverage while you work on improving your health for future applications. Additionally, consider term life insurance with a shorter duration, such as a 10-year term instead of a 30-year term, as insurers sometimes offer better rates on shorter term policies since they’re taking on less long-term risk, and you can always apply for new coverage in the future when your health improves. Finally, working with an experienced independent insurance agent who represents multiple carriers can be invaluable in this situation, as they can shop your application to insurers who are most likely to view your health profile favorably, explain which carriers specialize in certain medical conditions, and guide you toward the most cost-effective options for your specific circumstances. Remember that even if your medical exam results aren’t ideal, having some life insurance coverage is almost always better than having none, so don’t let less-than-perfect results discourage you from securing at least basic protection for your loved ones while you explore your options and work toward qualifying for more comprehensive coverage in the future.