Life Insurance for People with Epilepsy


Epilepsy, a neurological condition marked by recurrent seizures, may impact the process of securing life insurance. Due to its unpredictable nature, epilepsy can influence eligibility and rates, often necessitating comprehensive epilepsy life insurance underwriting.

Insurance companies assess the type and frequency of seizures to determine the risk and appropriate policy terms. For individuals with epilepsy, understanding how these factors affect their ability to obtain appropriate and affordable coverage is essential.

Epilepsy and Life Insurance

Epilepsy is a neurological condition characterized by irregular brain activity, which can lead to seizures or episodes of unusual sensations, behaviors and occasionally, a loss of awareness.

When assessing life insurance for epilepsy patients, insurers focus on several key aspects. The frequency of seizures and the degree of control over them with medication are primary factors. Controlled epilepsy, where seizures are infrequent and well-managed with medication, often results in more favorable insurance terms. In contrast, frequent and uncontrolled seizures might lead to higher premiums or even denial of coverage in some cases.

Understanding how life insurance companies evaluate these factors is vital for securing the best life insurance for epilepsy. Insurers may also consider the age at onset of the disease and any related health complications, which can influence the terms offered.

COMMON TYPES OF EPILEPTIC SEIZURES

Here are the common types of seizures and how they may impact life insurance evaluations:

  • Tonic-Clonic Seizures: Previously known as grand mal seizures, these involve violent muscle contractions and loss of consciousness. They are often considered high-risk by insurers due to their severity.
  • Absence Seizures: Often subtle, these involve brief lapses in consciousness without physical convulsions, sometimes going unnoticed. Life insurance companies generally view them as less risky.
  • Myoclonic Seizures: These seizures are characterized by sudden, brief jerks or twitches of muscles or limbs. They are usually considered less severe unless they occur frequently and disrupt daily life.
  • Atonic Seizures: Also known as drop attacks, these involve a sudden loss of muscle strength leading to collapses. These can be risky from an insurance perspective due to the potential for injury.
  • Complex Partial Seizures: These involve a loss of awareness or consciousness accompanied by involuntary movements. They can be particularly concerning for insurers if they occur frequently.

Insurers evaluate these seizure types along with their control measures — such as medication efficacy and lifestyle management — to determine eligibility and rates for life insurance for someone with epilepsy.

Epilepsy Life Insurance Underwriting

The epilepsy life insurance underwriting process involves a detailed analysis of several key factors related to the individual's condition. Insurers look closely at the following aspects during the underwriting process:

  1. Type of Seizures: Different types of seizures present different levels of risk. For example, tonic-clonic seizures may be viewed as higher risk compared to absence seizures because of their severity and potential physical harm.
  2. Frequency of Seizures: How often seizures occur is vital for assessing risk. Frequent seizures might indicate poorly controlled epilepsy, leading to higher premiums or potential exclusions.
  3. Last Occurrence of Seizures: The time since the last seizure event can significantly impact underwriting decisions. Longer periods without seizures often result in more favorable terms, as they suggest better control over the condition.
  4. Control and Management: Controlled epilepsy, where seizures are effectively managed through medication or other therapies, generally results in better insurance terms. This includes consistent medical follow-up and adherence to treatment plans, which demonstrate stability and reduced risk.

Controlled epilepsy often leads to lower premiums and higher chances of approval, whereas uncontrolled epilepsy might increase rates or lead to denial of coverage. Understanding these implications can help individuals with epilepsy navigate the life insurance application process more effectively, ensuring they receive the most accurate rates and terms available.

QUESTIONS YOU'LL BE ASKED ABOUT YOUR EPILEPSY

When applying for life insurance with epilepsy, insurance companies will inquire deeply into your epilepsy history to assess your risk level accurately. Here are some common questions you might encounter:

  • What types of seizures do you experience (e.g., tonic-clonic, absence), and how frequently do they occur?
  • When did you experience your first seizure?
  • When was your most recent seizure?
  • What treatments or medications are you currently using to manage your epilepsy?
  • How consistently do you follow your treatment regimen?
  • How does epilepsy affect your daily life, including work, driving and other activities?
  • When were you first diagnosed with epilepsy?
  • Have you undergone any surgeries or received any implants to control your seizures?
  • Have you ever been hospitalized due to a seizure? If so, how often and what were the circumstances?
  • Have you ever lost consciousness during a seizure?

Types of Life Insurance for Epileptics

For individuals with epilepsy, selecting the right life insurance policy involves understanding the various types available and finding insurers that offer options for high-risk profiles.

  • Term Life Insurance: This type covers a predetermined period, typically 10 to 30 years. For those with epilepsy, term life insurance with epilepsy can be an attractive option due to its lower initial premiums compared to permanent life insurance. It is especially fitting for those whose epilepsy is well-managed through medication, as they may qualify for more competitive rates.
  • Whole Life Insurance: This type of policy offers a death benefit and a cash value component that grows over time. It covers the insured for their entire life, provided premiums are paid. For individuals with epilepsy, whole life insurance offers the stability of predictable premiums and the benefit of accumulating cash value, which can be borrowed against if needed.
  • Universal Life Insurance: Similar to whole life, universal life offers both a death benefit and a savings element, but with greater flexibility in premiums and benefit levels. Policyholders can adjust their premiums and death benefits within certain limits. This can be beneficial for someone with epilepsy, as their financial obligations and health status may change over time.
  • Guaranteed Acceptance Life Insurance: As the name suggests, this insurance is guaranteed regardless of health condition, meaning no medical exams or questions are required. This is often a last resort for those who cannot obtain other types of life insurance due to severe or uncontrolled epilepsy. However, these policies typically come with higher premiums, lower benefits and a graded death benefit during the initial years of the policy.
  • Simplified Issue Life Insurance: This type of policy does not require a medical exam but does involve answering some health questions. It's generally quicker and easier to qualify for than fully underwritten policies, making it a good middle ground for those with mild to moderate epilepsy.
LIFE INSURANCE RIDERS

Life insurance riders are add-ons to a standard policy that provide additional benefits under specific circumstances. For individuals with epilepsy, incorporating riders into their life insurance can significantly bolster their coverage, addressing the financial risks associated with the condition. Riders can offer flexibility in the policy, such as financial assistance in case of a health-related emergency or changes in insurability status due to the condition. By customizing their insurance, individuals with epilepsy can ensure coverage that adapts to their particular health landscape, providing financial security when it matters most.

Getting Life Insurance with Epilepsy

Securing life insurance with epilepsy can be a complex process, requiring careful documentation and adherence to treatment plans. Here's a step-by-step guide to help navigate the application process effectively:

  1. 1

    Initial Consultation

    Start by discussing your condition with a life insurance agent who understands the correlation between life insurance and epilepsy. You’ll need to provide a comprehensive medical history, including details about your epilepsy diagnosis, types of seizures, frequency and any associated conditions.

  2. 2

    Gathering Medical Records

    Collect all relevant medical documentation that corroborates your epilepsy diagnosis. This includes doctor’s reports, a list of medications, treatment plans and any surgical interventions. Accurate and thorough records are critical for underwriting.

  3. 3

    Disclosure of Treatment Adherence

    Demonstrate adherence to prescribed treatments. Insurers will evaluate how well you manage your epilepsy, which can significantly impact the terms of your life insurance policy with epilepsy. Consistency in treatment suggests stability and could lead to more favorable terms.

  4. 4

    Underwriting Process

    During the life insurance underwriting, insurers will assess your epilepsy’s severity and control level. They may request additional medical examinations or an assessment from a specialist.

  5. 5

    Discussing Waiting Periods

    Understand any life insurance waiting periods that might apply. Some insurers impose a waiting period after the last seizure before offering coverage, especially if the epilepsy was recently diagnosed. These waiting periods vary by insurer but are generally between one to two years.

  6. 6

    Finalizing the Policy

    If approved, review the policy details carefully before signing. Ensure that the terms, premiums and coverage meet your needs and that you understand any exclusions or limitations that might affect claims related to epilepsy.

How to Manage Costs and Increase Approvability

Managing the costs of life insurance for people with epilepsy involves several proactive strategies that not only help lower premiums but also increase the likelihood of approval. Here are some methods to consider:

  1. Maintain Good Health: Overall wellness can significantly impact life insurance rates. For individuals with epilepsy, this means adhering to a health regimen that minimizes seizures. Regular exercise, a balanced diet and avoiding triggers like insufficient sleep or stress can help maintain a stable health condition and demonstrate to insurers a lower risk profile.
  2. Regular Medical Check-Ups: Consistent medical oversight is vital. Regular visits to health care providers confirm your commitment to managing your condition and provide documented proof of your health status. These records are invaluable during the life insurance application process, as they show an ongoing, active engagement in health management.
  3. Comprehensive Treatment Plans: Following a treatment plan prescribed by your health care provider not only helps control your epilepsy but also assures life insurance underwriters that you are taking the necessary steps to manage your risk. This includes taking medications on schedule, attending follow-up appointments and possibly engaging in therapeutic interventions such as counseling or biofeedback.
  4. Treatment Compliance: Adherence to prescribed treatments can significantly influence insurance assessments. Insurance providers often view compliant applicants as lower risk, which can lead to more favorable policy terms and premiums. It's essential to document this adherence and have your health care provider corroborate your compliance through medical records.
  5. Lifestyle Changes: Adjusting lifestyle factors that affect epilepsy, such as reducing alcohol consumption, quitting smoking or avoiding activities that could trigger seizures, can further demonstrate to insurers that you are minimizing health risks associated with your condition.

By implementing these strategies, individuals with epilepsy can manage their health effectively and optimize their life insurance options, making it possible to secure coverage that meets their needs at a reasonable cost.

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What to Do If You're Denied Coverage Due to Epilepsy

It's possible to be denied life insurance due to epilepsy, especially if your condition is severe or uncontrolled. Insurers may view uncontrolled epilepsy as a high risk due to the potential for serious health episodes and increased mortality risk.

If you face a denial, here are steps you can take:

  1. Find Specialized Insurers: Some companies specialize in high-risk life insurance, including policies for individuals with conditions like epilepsy. These insurers often have more experience and flexibility in underwriting policies for such conditions.
  2. Consider Other Types of Life Insurance: If traditional coverage is not an option, look for life insurance with no health questions or medical exams. These policies guarantee acceptance, which means your epilepsy will not impact your eligibility. However, they typically come with higher premiums and lower benefits.
  3. Review and Appeal: Check the reasons for denial. You can ask for a review or appeal the decision if you believe there was an error in the assessment or if you have new medical information that could affect their evaluation.
  4. Improve Control and Reapply: If possible, work with your health care provider to improve the control of your epilepsy. Better management of your condition may improve your chances of being approved upon reapplication.

By understanding these options and preparing to address potential challenges, you can better navigate the complexities of obtaining life insurance for someone with epilepsy.

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MONEYGEEK EXPERT TIP

Group life insurance, often offered through employers, can be valuable for those with conditions like epilepsy. It generally doesn't require individual underwriting, so your epilepsy may not impact your eligibility or premiums. This makes it an excellent choice for securing basic coverage, especially if you've faced difficulties obtaining individual life insurance. Additionally, some group plans allow you to buy additional coverage at group rates. It's important to review the terms and understand how much coverage you're getting to ensure it meets your needs.

FAQ About Epilepsy Life Insurance

Navigating epilepsy life insurance involves understanding common questions about the interaction between this medical condition and insurance policies. Here are some frequently asked questions to clarify the process.

Is epilepsy a critical illness?

Can you get life insurance if you have epilepsy?

Does epilepsy affect life insurance?

Can you be denied life insurance for epilepsy?

About Mark Fitzpatrick


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Mark Fitzpatrick is a Licensed Property and Casualty Insurance Producer and MoneyGeek's Head of Insurance. He has analyzed the insurance market for over five years, conducting original research and creating personalized content for every kind of buyer. He has been quoted in several insurance-related publications, including CNBC, NBC News and Mashable.

Fitzpatrick earned a master’s degree in economics and international relations from Johns Hopkins University and a bachelor’s degree from Boston College. He is passionate about using his knowledge of economics and insurance to bring transparency around financial topics and help others feel confident in their money moves.