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Your Medical History Can Affect Your Health Insurance Premium

Written by Linda Rey on September 20, 2011 in Insurance  |   5 comments

Life insurance and auto insurance are very different. People are used to buying both a car and the insurance for that car on the same day in order to drive out of the lot. With life insurance, put your seatbelt on. It’s a different transaction…

Life insurance and auto insurance are very different. People are used to buying both a car and the insurance for that car on the same day in order to drive out of the lot. With life insurance, put your seatbelt on. It’s a different transaction altogether.

It can be hard for some people to understand that life insurance is a selfless investment that is dependent on one’s own mortality. It can be even more difficult for some to realize that their lifestyle choices can directly affect their policy’s premium and terms. But when you decide that life insurance is an important consideration, and superstition or procrastination fade, you are left to face genetics and indulgences.

You can’t hide your medical history

A medical exam is a requirement when purchasing any sizable life insurance policy, with very infrequent exceptions to the rule. Medical records are usually secured from your doctor as well. But even if you don’t have a doctor or can’t remember when you last saw your doctor, blood work and other information acquired from the medical exam can provide amazing insight to your health. In other words, it’s hard to not disclose health issues or concerns, and they likely will be detected one way or another.

Insurance companies hire underwriters, usually with medical backgrounds, to be able to ascertain how certain ailments affect short and long-term health. Insurance companies also hire actuaries to calculate statistics on who dies when and why. This means that insurance companies are fully aware that your involvement in hazardous activities, which could include skydiving, rock climbing, or motorcycling racing, may compromise your life expectancy. These activities can therefore influence the potential health status for which you could qualify.

Avoid a sub-standard rating

The carriers have various tiers associated with different health conditions, and the premium varies between these tiers. Carriers place clients in tiers that range from ultra-preferred and preferred to standard plus and standard, followed by various levels of sub-standard. This is known as being rated.

The healthier you are, the longer you are likely to live and the less expensive your policy is going to be. If you have certain diagnoses or take certain medications, however, the carriers will start penalizing you. For example, if you were a 45-year-old female in preferred health, your premium could potentially be $1,100 annually. However, if the underwriters found any inconsistencies in blood work or medical records, they may only approve you at the standard tier. In that case, your premium could jump anywhere from $1,700 to $1,800. And if you smoke? Your premium may double.

Take inventory of your life and see where you could make improvement to your health and wellness. On top of everything else, it really will save you money!

Insurance Quotes: Insurance Brokers vs. Online Quotes
Auto, Property Insurance: Buying First Insurance Plans
Health Insurance for the Self-Employed

Linda Rey is a licensed insurance agent at Rey Insurance with a broad spectrum of expertise in life, accident, health, property, and casualty insurance, as well as retirement planning and college funding strategies. Follow her on Twitter: @ReyInsurance

The information contained in this blog post is designed to generally educate and inform visitors to the Equifax Finance Blog. The blog posts do not give, and should not be assumed to provide, personalized tax, investment, real estate, legal, retirement, credit, personal financial, or other professional advice. Before making any financial decision, you should always consult with the appropriate professionals who can explain your options, rights, and legal responsibilities, and advise you on any tax, legal, credit, or business implications that may result from those decisions. The views and opinions expressed by the authors of blog posts are their own views and may not be the views or opinions of Equifax, Inc. and/or its affiliates.


  1. Carol Flammer says:

    Our premiums went up 100%, so we left Aetna and went to an HSA.

  2. Russell Pope, Georgia says:

    WE have Aetna. When we purchased our policy the coverage was $5,000.00 deductible with $5,000,000.00 lifetime benefit. The next year our premium went up over 15% and our coverage was reduced from $5,000,000.00 to $1,000,000.00. By this time I had gone to the doctor for a heart concern (nothing was wrong just a concern) and my wife had been hospitalized for asthma. We could no move to another company at that time due to the then “pre-existing” conditions. Our premiums have continued to increase and the coverage is becoming more exclusionary (no name brand prescriptions are covered even when there is no generic substitute available. Some of the asthma prescriptions are over $200.00 each. Currently spending nearly $1,000.00 per month just on her medications). Within the last three years our lifetime family coverage has been reduced by 80% and our premiums have increased by nearly 40%.

  3. Duncan Sinclair, California says:

    I applied for Blue Cross earlier this year, and they bumped up the premium 25% just because I was having a monthly chiropractor appointment – simple maintenance appointments that keep me in good health!

    Kaiser once refused my application completely, because I had been to a doctor more than twice in the past year. One of those was just a regular check up, and most people who know me tell me I’m the healthiest person they know. I will never apply for Kaiser again – it was a slap in the face.

  4. Pingback: Buying Life Insurance for Your Kids | Equifax Finance Blog

  5. Pingback: Homeowners Insurance: What To Do If Someone Gets Hurt On Your Property | Equifax Finance Blog

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