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Can You Qualify for Life Insurance with Congenital Heart Disease?

When applying for life insurance protection, it may be easier for some to qualify that it is for others. This is because, in some cases, an individual may have certain health conditions that can make it difficult to pass through the underwriting standards that are set by the life insurance carrier.
The reason behind this is that life insurance companies do not want to accept an applicant for coverage and then soon afterwards have to turn around and pay out a large monetary claim. Therefore, people who have certain types of health issues can appear to be risky for an insurer. This can often be the case with an applicant who has congenital heart disease.

What is Congenital Heart Disease and How Can It Affect Your Life Insurance Application?

life insurance with congenital heart disease
Congenital heart disease is a term that can describe a wide range of different birth defects that can affect the normal workings of a person’s heart. The term “congenital” refers to the fact that the condition is present at the time of a person’s birth. The condition of congenital heart disease is a very common type of birth defect.

In some cases, the person may have a small hole in his or her heart. In other instances, the issue may be much more severe. Other examples of congenital heart disease may include:

  • Issues with the muscle in the heart. This may, in turn, lead to heart failure.
  • Problems with the “walls” of the heart. The walls of the heart can include those that are between the atria and the ventricles, known as the chambers. In this instance, passageways or holes that exist between the right and left side of the heart could cause blood to mix together, when it, in fact, should not.
  • Defects of the heart valve. A heart valve could be too narrow, or it may even close completely so that blood has a more difficult time in getting through (or it cannot get through at all). In this instance, the blood may even leak backwards, which can also be quite dangerous.
  • Incorrect connections of the blood vessels. This is particularly dangerous with babies, as it could allow blood that should be going to the lungs to go into other areas of the body instead. This, too, could lead to heart failure.
  • Oftentimes, congenital heart disease can be treated with surgery. It is believed that congenital heart disease is genetic. Some of the issues that can also make this condition more likely to occur in a child may include the following:
  • If the mother drinks alcohol and / or takes certain types of medication while she is pregnant
  • Issues with chromosomes or problems with genes in the child, such as Downs Syndrome
  • A viral infection in the mother while she is pregnant with the child

Perhaps you’re concerned because you are needing life insurance after a heart attack; we can help.

What the Life Insurer Will Want to Know About You and Your Condition

When applying for life insurance with congenital heart disease, there are several steps in the process. First, as with most other types of life insurance purchases, it will be necessary to completely fill out an application for coverage. Here, the life insurer will want to know general information such as your:

  • Gender
  • Age
  • Height / Weight (i.e., weight as it pertains to your height)
  • Smoking status (though do not worry, we do work with some of the best companies that offer smokers life insurance coverage)
  • Amount of alcohol consumed regularly
  • Occupation and income (if applicable)
  • Marital status
  • Health history / Family health history
  • Foreign travel frequency
  • Hobbies (i.e., risky hobbies such as skydiving, rock climbing, scuba diving, etc.)
  • Any other life insurance – and the amount – that is currently in place

A paramedical exam will also typically be required as a part of the underwriting procedure. This will entail meeting with a paramedical professional who will take a pulse, heart rate, and blood pressure reading. It is also usually required that you submit a blood and urine sample. These samples will be tested by the life insurance company for certain health-related risks.

Due to your congenital heart disease, the life insurance underwriters will also want to know more condition-specific information before they can make a decision on your coverage. Because of this, there are more specific questions that you will likely be asked. These may include some or all of the following:

  • When were you initially diagnosed with congenital heart disease?
  • Exactly what did your diagnosis entail?
  • What steps are you taking to help manage or control your condition?
  • Do you have any additional adverse health or medical conditions due to your congenital heart disease?
  • Do you take any prescription medication due to your congenital heart disease, and if so, what medication do you take, and what is the dosage of it?
  • Do you use any other manner of controlling your condition such as diet and / or exercise?
  • Have you had any type of relevant lab testing performed over the past six months such as x-rays?

In many cases, it is likely that the life insurance underwriters will want to review records from your primary care physician and / or from any type of the specialists that you may see for your congenital heart condition.

Once all of your information has been received by the life insurance carrier, the underwriters will be better able to review the data, and they can then move forward with making their decision regarding your coverage – as well as an appropriate premium price.

How Much Will Your Life Insurance Policy Cost?

In many cases, young – and otherwise healthy – individuals who have congenital heart conditions can typically purchase life insurance without much difficulty. The premium price, however, may be higher than that of an average policyholder.

If you are in exceptionally good health other than from your congenital heart condition, you may be able to obtain a Standard policy classification. This means that you would be placed into the class with other average policyholders who are of your same age and gender.

Otherwise, if you are offered coverage from the insurer, you will likely be placed into a substandard class. This means that if you are offered coverage, the premium will be higher than the average policy holder due to the increased risk that the insurer is taking on.

It is important to understand, though, that not all life insurance companies will underwrite their applicants for coverage in the very same manner. This means that the same individual could apply for coverage with two different insurance companies, and they could be offered two different types of policy classifications.  In the case of congenital heart disease, you could be classified as a policy for heart patients, or get a standard policy. Therefore, it makes sense when you are shopping for insurance coverage to look at more than just one insurer prior to making your final purchase decision. It also means that you should not give up if you are denied for coverage by just one life insurer.

How to Find the Best Life Insurance with Congenital Heart Disease

If you are seeking life insurance coverage and you have congenital heart disease, the best way to move forward is to work with a company or an agency that has access to more than just one life insurance carrier. This is because when doing so, you will be able to more directly compare multiple insurers’ policies, benefits, and premium prices – and from there, you can determine which one will be the best for you and your specific needs.

When you are ready to start looking for the life insurance protection that you need to ensure that your loved ones are secure financially in case of the unexpected, we can help. We work with many of the top rated life insurance carriers that are in the marketplace today – and we can assist you with obtaining all of the important details that you need for making a well-informed purchase decision, even if you have an adverse health condition. If you’re ready to begin, use the form on this page.

Should you find that you still have any questions along the way regarding how you can secure life insurance with congenital heart disease – or even if you just have a question about life insurance, in general, we have experts that can help. We understand that securing life insurance coverage may seem a bit overwhelming – so we can answer the concerns that you may have, such as what the right type of coverage may be, how much may be enough, and which of the many carriers in the industry may be the best one for you. We can be reached via phone, toll-free, by dialing 888-229-7522.

Even if you’ve been turned down for life insurance coverage in the past, working with a company that has access to many insurers could change that, and provide you with a very different result. We’ve done the shopping for you – and we can point you in the right direction. So, contact us today – we’re here to help.

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