Life Insurance and High Cholesterol
Life insurance companies consider your overall health when determining eligibility and setting your premium rates. If you have been diagnosed with high cholesterol, it’s natural to wonder how this might affect your ability to secure a life insurance policy. Let’s explore how high cholesterol can impact your life insurance options and what you can do to prepare.

Understanding Cholesterol and Life Insurance
When you apply for life insurance, the provider will likely require a medical examination, including blood work, to assess your health. This exam helps the insurer identify potential health issues that could influence your risk profile. Cholesterol levels are a key component of this assessment.
Cholesterol, a fat-like substance in your blood, is essential for hormone production, vitamin D synthesis, and cell building. It’s usually divided into two types:
- HDL (high-density lipoprotein) cholesterol: Often called “good cholesterol.”
- LDL (low-density lipoprotein) cholesterol: Often called “bad cholesterol.”
While your body needs both types, an imbalance can lead to health problems. High cholesterol can limit your blood flow, increasing your risk of a heart attack or stroke, which are significant health risks.
Healthy Cholesterol Ranges:
- Total cholesterol: Below 200 mg/dL
- LDL cholesterol: Below 130 mg/dL
- HDL cholesterol: Above 40 mg/dL for men, Above 50 mg/dL for women
Borderline or High Cholesterol:
- Total cholesterol: Over 200 mg/dL
- LDL cholesterol: Over 130 mg/dL
- HDL cholesterol: Below 40 mg/dL for men, Below 50 mg/dL for women
Life insurers evaluate both your total cholesterol and your HDL levels, often looking at the ratio of total cholesterol to HDL. Someone with high total cholesterol but good HDL levels might still qualify for a Standard rate or better.
How High Cholesterol Impacts Your Premiums
Life insurance companies assess the risk of insuring you. High cholesterol is considered a risk factor, as it increases your risk of heart attacks and strokes, leading causes of death in the U.S. If your cholesterol levels are elevated, especially if they are not well-managed with medication or if you have other health issues, you may be charged higher premiums. In some cases, you could be denied coverage.
Lowering Your Premium
If you have a life insurance policy and have made healthy changes that lower your cholesterol levels, you may be able to request a reevaluation from your insurance company. If the results are favorable, your premium could decrease. However, many insurers require the policy to be in force for at least 12 to 24 months before allowing a rate reconsideration. You could also opt for a new policy, undergo another medical exam, and replace your existing policy with a new one that has lower premiums.
Preparing for a Life Insurance Medical Exam
While your insurance provider will give you specific instructions, you can take these steps to prepare:
- Eat nutritious meals: Consume healthy foods in the days and weeks before your exam.
- Stay hydrated: Drink plenty of water a few days before the blood work.
- Exercise: Maintain your healthy habits in the weeks leading up to the exam, but avoid strenuous exercise right before it.
- Fasting: You may need to fast for several hours before the exam, especially if you have to provide a blood sample.
During the exam, the technician will likely draw blood, collect a urine sample, and check your height, weight, blood pressure, and pulse. You will also be asked about your medical history and family health history.
Can You Be Denied Life Insurance for High Cholesterol?
Yes, this is possible. Each life insurance company has its own underwriting guidelines, and if your cholesterol is very high, uncontrolled, or if you have other health issues, you might be denied coverage. If you have high cholesterol and need life insurance, you may pay a higher premium. If possible, working on lowering your cholesterol levels before buying a policy could help you secure a lower rate.
If your application is denied, consider guaranteed issue life insurance. These policies do not require a medical exam and are guaranteed, regardless of your health. However, these policies often have low coverage limits, higher premiums, and graded death benefits.
Frequently Asked Questions
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Can anyone get a guaranteed issue life insurance policy? Anyone who qualifies for a guaranteed issue life insurance policy can usually get one. These policies are generally for people between 50 and 80 years old, but some insurers may offer them to younger applicants. They have lower coverage amounts and higher premiums than traditional policies.
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Is whole or term life insurance better for people with high cholesterol? This depends on your needs. Whole life insurance covers your entire life (as long as you pay the premiums), while term life insurance covers you for a specific period. Whole life is suited for permanent needs, like funeral expenses. Term life is usually cheaper and may be better for larger financial needs, such as paying off a mortgage.
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How much life insurance do I need? How much coverage you need depends on your unique circumstances. You might want enough to cover funeral expenses or to replace your income for your loved ones. Using a life insurance calculator or working with a licensed agent can help you decide.
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What is considered high cholesterol for life insurance? Each company has its own guidelines, but insurers commonly assess your total-cholesterol-to-HDL ratio. Companies want to see that high cholesterol is being treated and that you are following your doctor’s recommendations. Cholesterol thresholds vary by risk class. For example, a Preferred risk class may require a cholesterol/HDL ratio of 5.0 or less, whereas Standard may require 7.0 or less.
Final Thoughts
Managing your health is important, and this includes maintaining healthy cholesterol levels. By understanding how high cholesterol can impact your life insurance and taking the necessary steps to prepare, you can secure the coverage you need to protect your loved ones.