Life Insurance After Heart Attack Or Heart Disease (The Definitive Guide)

Finding life insurance after a heart attack or heart disease can be both frustrating and time-consuming, and the rates you get quoted can often be insane.

But hear me out:

life insurance after heart attack

What if I told you that we obtain life insurance for people with heart disease on a regular basis and that getting heart disease life insurance doesn’t have to break the bank.

In this guide today, I will go over how life insurance for heart patients will work.

I will also discuss how to qualify for life insurance after heart surgery or a heart attack and how to get an accurate quote and get covered with the best possible offer. 

What Is Heart Disease

Any condition that affects the structure or function of your heart is considered to be heart disease or cardiovascular disease. 

According to WebMD, 1 out of every 3 deaths in the U.S. can be attributed to cardiovascular or heart disease. 

With this simple understanding, it should be easy to see why life insurance companies consider people who have heart disease to be of higher risk.

This doesn’t prevent you from getting covered, it just means you probably want to deal with someone more experienced with heart disease life insurance cases like we are at American Term.

Types of Heart Disease

As I stated above heart disease isn’t just one condition but a list of conditions like the ones below:

  • Heart attack 
  • Pericardial disease 
  • Heart valve disease 
  • Congenital heart disease 
  • Aorta disease and Marfan syndrome 
  • Vascular disease (blood vessel disease)
  • Heart muscle disease (cardiomyopathy) 
  • Abnormal Heart Rhythms, Or Arrhythmias 
  • Coronary Artery Disease (Narrowing Of The Arteries) 

Keep in mind that this isn’t every heart condition but most of the major ones that can contribute to heart disease. 

How You'll Benefit From My Heart Disease

I am all too familiar with getting life insurance for people with heart conditions as I was born with a bicuspid aortic valve.

At the age of 40, I had a valve replacement and an aortic aneurysm repaired, heck I even died for 163 minutes believe it or not. 

Getting life insurance for myself was never an easy task.

heart disease life insurance

But I decided to search really hard and reach out to over 121 insurance companies to find the ones that best fit my situation.

Once I found the companies that would work with me I went through the process of convincing the underwriters that my case was different.

This process allowed me to get the best rate and value and I’ll do the exact thing for you.

Qualifying For Life Insurance After Stent Surgery

I am continually getting questions like, can a 59 year old male get life insurance with a stent? Or is it difficult to get life insurance with a stent? 

The honest answer to both questions would be yes; however, getting life insurance after a stent surgery doesn’t have to be a complicated process.

If you’ve had a one vessel stent with no prior heart attack at around age 50 or older, you could still qualify for term life insurance after stent at Standard or Regular rates with some insurance companies.

Standard rates aren’t always easy to obtain, but we have been able to do it for some of our clients.

Once you’ve had a heart attack and/or more than one stent or bypass, or any coronary artery disease (CAD) event before age 50, most life insurance companies will start “rating” you or charging 50%, 100% or more.

In addition to the “Standard” or Regular life insurance rates, some companies will even decline you if you are trying to get life insurance with stent in heart, whereas others will not.

It can take some work and research on our part, but we can find an insurance company that will offer you insurance regardless of your CAD history.

Don’t assume that the rate you have been given is the best rate available, this isn’t always the case.

We have had the same person declined with one insurance company and then offered a Standard rate with another company.

There have also been situations where clients get rated upwards of 150% - 200% on top of Standard rates with one insurance company and offered Standard to 50% rating with another company.

Overall, if you are looking for life insurance with a heart stent or for life insurance after bypass surgery, then be prepared for a process and don’t give up.

Getting Life Insurance After A Heart Attack

Getting life insurance after a heart attack is possible, but not all heart attacks are underwritten the same, and the rates for which you’ll qualify can vary greatly.

One of the most important things in determining if you’re insurable for “regular insurance” after a heart attack is how much heart damage you sustained from the heart attack.

heart attack insurance

A key indicator in determining your degree of heart damage is your left ventricular ejection fraction (LVEF) which shows how well your heart is pumping blood out to your body.

If your LVEF is 40% or less, then you’ll likely only qualify for a guaranteed issue or guaranteed acceptance life insurance.

If your LVEF is 45% or higher (the higher, the better), then you may be insurable. 

But having an LVEF of 45% or higher is only one “piece of the puzzle” in determining if you’re insurable and best rates and insurance companies for you.

Applying for Insurance After Heart Attack

Your age when you had the heart attack and the severity of your coronary artery disease or atherosclerosis are also significant factors in the rates for which you’ll qualify or if you’ll qualify at all.

The younger you were when you had the heart attack, the tougher it is to get life insurance.  


Having a heart attack in your 30’s makes it much tougher to get a decent life insurance rate/policy compared to if you were in your 40’s, 50’s or 60’s when you had the heart attack.

The extent of your disease based on the cardiac catheterization results showing the percentage of blockage in each of your coronary arteries and the specific arteries that had blockages will have a big determining factor in the rate for which you’ll qualify.

Blockage in the left main and left anterior descending arteries, known as the “widow maker” arteries, can result in a higher rate being offered than if you only had a blockage in your circumflex or right coronary artery.

If you’ve had a 70% or higher blockage in any of your coronary arteries, this could result in a higher rate being offered than if you only had a 50% or 60% blockage.

The reason is that coronary artery disease is a progressive type of disease, so you’re never really cured even if you’ve had bypass surgery or angioplasty and stents.

Over 300,000 people each year have a recurrent heart attack (i.e., second, third, etc.) and heart disease is the leading cause of death in the world!

I happened to have had a cardiac catheterization before having heart surgery.  

I asked the doctor that performed the catheterization how long it can take perfectly clean arteries to develop blockages that are serious enough to require intervention.  

He told me how it could vary significantly from person to person, but he said 10 years was a reasonable estimate.

How To Get The Best Life Insurance Rate After Heart Attack

Make sure you quit smoking and quit using all tobacco for that matter, and if you’re overweight, lose weight.

Get involved in an exercise program even if it’s only regular walking several times per week and change your diet to a heart-healthy diet

All life insurance underwriters want to see that you’ve had a good stress test in previous 12 to 18 months.  

So even if your doctor never recommended having one, ask them to schedule one for you.

This alone has helped us to get a 2 rate classification improvement on some cases.

If your doctor has not prescribed you a blood thinning medication, then taking aspirin or a baby aspirin every day is a right decision.

Make sure to tell any insurance agent and insurance examiner (at time of insurance exam) that you do take aspirin daily.    

Provide as much information as you can regarding your positive lifestyle changes to any agent you’re applying through and ask them to relay this information to the insurance company.  

We do this on every case, and it’s paid off time and time again.

Reason’s You’ll Be Declined for Heart Attack Life Insurance 

Your ejection fraction is less than 45% or if you sustained severe heart damage, you’ll likely be declined.

You continue to smoke cigarettes after a heart attack, or use other nicotine-based products like e-cigarettes, chewing tobacco or even nicotine gum or patch, then you’ll likely be declined.

Having highly abnormal cholesterol levels after a heart attack can get you declined.

If you have ongoing Angina or chest pain or if you use nitroglycerine after a heart attack, then you’ll likely be declined.

You’ve had a heart attack and other cardiac problems, like a more severe type of irregular heartbeats, then you could be declined.

You had a heart attack and other health issues like prior stroke or diabetes that is not very well controlled, then you could be declined.

Not getting regular cardiac checkups or if you have not seen a cardiologist in more than 2 years, then you could be declined/postponed until you have a more recent check up

If you’ve had a heart attack within the last 6 months, you’ll be postponed and not able to qualify for life insurance until 6 months have passed and all follow-up check ups have been good since the heart attack.

What You Can Expect To Pay After Heart Attack

This is not an easy question to answer since there are many variables involved in determining the best rate and insurance company. 

It's also going to depend on your exact heart attack history and your overall health and lifestyle.

According to life insurance industry guidelines, the severity of your heart disease will be determined and classified by the amount of heart muscle that would be in jeopardy, if the coronary artery obstructs at the site of an atherosclerotic plaque lesion.

So, without seeing your cardiac catheterization report, follow up EKG and echocardiogram, in addition to knowing nothing about your specific overall health, it is impossible for any life insurance agent or website to quote you an even semi-accurate rate.

While we have gotten unbeatable offers on past heart attack cases, below are some monthly cost estimates of what you could expect to pay for life insurance at various ages after having a heart attack. 

We’re showing 2 rates in each category below as a range of the cost.  

These estimates below are for a 20 Year $250,000 guaranteed level premium insurance policy.

We are assuming a left ventricular ejection fraction of 50% or higher and that their overall health checks out as fairly good.  

The actual rate for which you qualify could be lower or higher than these monthly rates below:




35 Years Old

$56 – $69

$48 – $54

40 Years Old

$65 – $77 

$54​​​​​​​​ – $64 

45 Years Old

$86 – $106


$65 – $80


50 Years Old

$98 – $128


$73 – $95


55 Years Old

$152 – $294


$106 – $140


60 Years Old

$252 – $294


$176 – $205


65 Years Old

$447 – $521


$315 – $367 

70 Years Old

$611 – $782

$443 – $555

Your Ejection Fraction Matters

If your ejection fraction is over 45% to 50%, you’re doing everything you should be doing like:

  • not smoking
  • exercising
  • eating well
  • seeing your cardiologist regularly

And if your overall health is good, then you should qualify for a decent life insurance policy with a great insurance company.

If your ejection fraction is less than 45%, and you:

  • still smoke or use other tobacco/nicotine products
  • you don’t exercise
  • don’t eat well
  • don’t see a cardiologist regularly,

Then you’ll likely be declined with all of the competitive insurance companies.  

There are still insurance companies that may insure you, but it could be for overpriced and inferior coverage.

How To Apply For Heart Disease Life Insurance

No matter what your cardiac issue may be, we can help you, whether it was a:

  • heart attack
  • blockage in coronary arteries without a heart attack
  • irregular heartbeat
  • a heart valve issue

Below is the process that has enabled us to get thousands of heart disease patients the absolute best offer possible and this is the ONLY way for you to get the best offer:


Get detailed cardiac and other health/avocation information from you.


Review database of rates from over 121 quality insurance companies to see all of top insurance companies available to you.


Make inquiries to underwriters at numerous insurance companies to better narrow down the best for you based on information you provide to us.

None of your personal or identifying info is ever provided to anyone else during these inquiries.


Based on feedback from the underwriters, we'd then show you most probable rates for all products available to you (term and permanent insurance).

If you decide to proceed, we'd have you apply to 1 or more companies for best rate/product that fits your needs, whether it's Term Life, Universal Life or Whole Life.


Expedite underwriting by getting weekly updates from case managers or case underwriters and by contacting doctor's offices to make sure medical reports are sent in a reasonable time frame.

We do our best to expedite, but some things are out of our control.


If something turns up in underwriting which results in you qualifying for higher rates than we were expecting, we'll negotiate on your behalf to improve the offer.

Then we'll shop your medical records to other insurance companies to get better offers if necessary.

We can use the results of any one insurance exam for any life insurance companies later, and we'll have access to your medical records so we can easily get offers from other insurance companies.

This process will be hassle free for you.


After we get approvals and verify the exact rates for which you qualify, you can make a final decision on the exact plan and amount of life insurance that you want.


After we get you best offer, we'll send you policy with detailed letter of policy explanation and complete instructions on how to place the policy in force.

If you are satisfied with the policy and the rate, you can accept the policy and make first payment.


We will periodically review your policy to see if a better rate/product may be available in the future as rates/products are constantly changing.

Since 1969, we have been able to get approx 70% of existing clients a better rate or policy after their initial purchase.

Best No Exam Life Insurance For Heart Patients

No Exam insurance is available to people with many heart conditions, but you will usually pay a much more to avoid the exam. 

We shop with numerous insurance companies daily, including the best "no exam" companies, to find the best offers for our clients with all types of heart conditions.

Below are "exam" and "no exam" monthly rates for a $250,000, 20 year term policy for a 50-year-old male non-smoker in the different rate categories:














Table 2





​Table 4




Table 6



While we would have to "shop" your case since all heart conditions are underwritten differently, you could be looking at the below situation.

If you can qualify for a rate of $76 per month that requires an exam, you may only qualify for a no-exam rate of $120 or more per month.  

That's almost a 40% increase in cost...

However, "no exam" coverage is probably available to you if you don't mind paying more.

Case Studies On Life Insurance For Heart Patients 

Case Study 1 - 69 Year Old Male - 2 Stents & Heart Attack

We had a 69 year old male who had 2 stents and a heart attack a year and a half ago.

The customer had already been approved for a $350,000 15 Year Term Policy (through another agent) for $1,392.00 per month.

This rate was much higher than he was expecting, but his agent told him this was the best rate he was going to get.

He found our website and based on the information he provided, we knew we could get him a better rate.

While we knew about the heart attack and 2 stents placed for this 69 year old gentleman, we didn't know about his cardiac arrest.

His medical records showed that while he was in the hospital, after the heart attack and 2 stents, the EKG in hospital witnessed cardiac arrest which converted with 1 DC cardioversion shock.”

After the underwriting process was completed, we were able to get the customer approved for $933.00.

However, we weren’t satisfied with the outcome, so we went back to this underwriter, emphasized to her how the cardiac arrest was likely a fluke and how this gentleman recently had an excellent stress test.

We pleaded for her to bump this gentleman up to a better rate class, which she did!

She re-approved him for a $350,000 15 Year Term policy for $817 per month.

Total Savings = $575.00 Per Month or $6,900 per year.

Case Study 2 - 62 Year Old Male - No Stents, No Bypass

We just did a case with an exciting result for a 62-year-old male who had a “mild” heart attack at age 49.   

He was treated with medication only (no stents, no bypass) and all follow-up cardiac test results had been great including a good stress test within the last 12 months. 

He had applied through another agency and was offered a table 6 rating and each table rating reflects a 25% additional cost over the “standard” rates. 

The table 6 policy was going to cost him $4,972 per year even though he was the poster child for great health after a heart attack!

He happened to have his cardiac medical records, and his first cardiac catheterization showed no evidence of blockage in any of his major coronary arteries.

It also mentioned that the mild heart attack must have been caused by plaque rupture of the obtuse marginal branch of the circumflex artery.

He had no heart damage caused by the mild heart attack, with a current ejection fraction of 55%.

We were completely confident that we could get him a better offer than table 6 offer he was previously given.

We submitted applications to two of the most likely insurance companies for him since we never want to have all of our eggs in one basket. 

The first offer for this gentleman came back at a table 3 rating, which was a much better price than the original table 6 offer.

We still thought we could get him a better rate, so waited for the second offer before doing any negotiating.

The second offer came back at a Standard rate with no additional rating.

He was able save $2,340.45 per year or $35,107 over 15 years, compared to what he would have paid for his offer from the other agency.

Total Savings = $195.00 Per Month or $2,340.45 per year.

Taking Action

We can offer you life insurance after heart attack from more life insurance companies than any agents, websites or brokers.  

Just use the quoting tool to the right to view instant quotes from some of the insurance companies we can offer you.

You can also click on the "get accurate heart disease quote" link above if you want to get an accurate quote. 

Our experience and relationship's with the best insurance companies for cardiac issues allows us to get the best offer possible and will pay off big time for you!! 

Rates, products and underwriting guidelines are always changing, and we're constantly on the lookout for new products and guidelines that will help us to get you a better offer.

So we can insure almost everyone!

Call us at 1-800-380-3533, request an accurate quote using the link directly above or CLICK HERE to email us for more information and we will start the process of getting you the best life insurance rate possible.


Gordon provided outstanding service in dealing with a tricky case and identifying attractive options for insurance. Would highly recommend.

Alex October 30, 2017

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