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Life insurance with pre-existing conditions, your options
Life insurance with pre-existing conditions can still be possible: MoneyHelper says a medical condition shouldn't prevent you getting life cover, though in many cases it'll cost more and might be harder to find (MoneyHelper ↗).
Insurers assess each case.
This page covers what counts, what they ask and what can happen.
Every claim here is our summary of a named external source, linked beside it. Sources change: check the wording at the link before you rely on it.
Life insurance with pre-existing conditions, the key facts
The points that matter most, each linked to the guide or law it comes from.
At a glance
- A medical condition shouldn't stop you getting life cover, though it may cost more (MoneyHelper ↗)
- A lot of medical conditions will still allow you to get life insurance, Legal & General says (Legal & General ↗)
- Outcomes include higher premiums, an exclusion, a delayed decision or no offer (Aviva ↗)
- Criteria and approaches can vary significantly between insurers (MoneyHelper ↗)
- Your duty is to take reasonable care not to misrepresent anything (legislation.gov.uk ↗)
- A policy you already hold doesn't need to hear about a new condition unless it asks (MoneyHelper ↗)
ABI figure, all individual protection; check at the link: (ABI ↗)
Can you get life insurance with a pre-existing condition?
In many cases, yes: Legal & General says there are a lot of medical conditions that will still allow you to get life insurance, but every individual is different (Legal & General ↗).
Pick your condition for what the charity or insurer says, and our guide.
Choose a condition
After or with cancer
Macmillan says it can be difficult, and might depend on the type of cancer or its stage and grade (Macmillan ↗).
After a heart attack
The British Heart Foundation says it depends on you and your condition, and insurers may charge more or not offer cover (BHF ↗).
Type 1 or type 2
Diabetes UK says you can still get life insurance with type 1 or type 2 diabetes, though it may cost more (Diabetes UK ↗).
Anxiety and mental health
Overweight or a high BMI
Legal & General says it's possible with a high BMI, but cover is unlikely at a BMI of 40 or above (Legal & General ↗).
Smoking and vaping
Aviva says you can get cover if you smoke, but will pay more, and that vaping counts as smoking (Aviva ↗).
Summaries of each source. Check the wording at the links.
How pre-existing conditions affect your application
Aviva describes a pre-existing condition as having had symptoms, medication, advice, treatment or diagnostic tests for a disease, illness or injury before taking out a policy (Aviva ↗).
Possible outcomes Aviva describes
- Higher premiums, if you have a serious, chronic medical condition (Aviva ↗)
- An exclusion, so the policy may not pay out on a claim linked to the condition (Aviva ↗)
- An application that isn't accepted straight away (Aviva ↗)
- No offer: sometimes an insurer is unable to offer cover for medical reasons (Aviva ↗)
Critical illness cover, in Legal & General’s words
- Some pre-existing conditions mean it cannot offer critical illness cover (Legal & General ↗)
- Others may mean an extra premium, or excluding the condition (Legal & General ↗)
How to apply for life insurance with a pre-existing condition
Mind suggests having a doctor's report ready before you apply (Mind ↗).
Legal & General lists what it asks about, and how a GP report works.
What Legal & General asks about
- Your age and occupation (Legal & General ↗)
- Whether you smoke (Legal & General ↗)
- Your height and weight (Legal & General ↗)
- Your medical history (Legal & General ↗)
- Alcohol, travel and residency (Legal & General ↗)
- Hobbies, such as hazardous activities (Legal & General ↗)
If it asks your GP for a report
- It needs your consent first (Legal & General ↗)
- You will be told, and have 21 days to arrange to see it (Legal & General ↗)
- That right comes from the Access to Medical Reports Act 1988 (legislation.gov.uk ↗)
Tips for getting the best cover
MoneyHelper says it's important to shop around, because criteria and approaches can vary significantly between insurers, and suggests a specialist broker (MoneyHelper ↗).
It also points to charities for specific conditions, such as Macmillan Cancer Support (MoneyHelper ↗).
Prepare
Know your medical history
Diagnoses, dates, treatment and medication, in order.
Evidence
Have a doctor’s report ready
It can support your application.
Help
Read your charity’s guidance
Many condition charities publish insurance guides.
Compare
Shop around, or use a broker
Insurers’ criteria differ.
Answer
Answer every question fully
Full answers protect a future claim.
Full answers protect your claim
MoneyHelper says an insurer can't reject your claim if you took reasonable care to answer its questions honestly (MoneyHelper ↗).
Aviva says to answer medical and all application questions truthfully and correctly, because incorrect information could invalidate the policy (Aviva ↗).
If your health changes between applying and being accepted, Vitality says to let the insurer know straight away (Vitality ↗).
If an answer turns out to be wrong
No remedy against a careful answer
The law asks you to take reasonable care not to make a misrepresentation to the insurer (legislation.gov.uk ↗). The insurer's remedies apply where the consumer breached that duty (legislation.gov.uk ↗).
It depends on what the insurer would have done
If it would not have offered cover at all, it may cancel the policy and refuse all claims, but must return the premiums (legislation.gov.uk ↗).
If it would have offered different terms, such as an exclusion, the policy can be treated as if it had those terms. If it would have charged more, it may reduce a claim in proportion (legislation.gov.uk ↗).
The policy can be cancelled
The insurer may avoid the contract and refuse all claims, and need not return the premiums, except where it would be unfair to keep them (legislation.gov.uk ↗).
Our summary of the Consumer Insurance (Disclosure and Representations) Act 2012, section 2 and Schedule 1. Read the Act at the links; it is the authority.
Specialist brokers and your rights
MoneyHelper says it is important to shop around, because criteria and approaches can vary significantly between insurers, and that a specialist broker can research the market for you (MoneyHelper ↗).
If you think an insurer's risk assessment isn't based on a reliable or relevant source of information, MoneyHelper says you can challenge it under the Equality Act (MoneyHelper ↗).
Complain to the insurer first.
We do not recommend brokers or insurers.
Before you buy, the FCA tells consumers to check the firm on its Firm Checker (FCA ↗).
- Your rights
Mind: your insurance rights
Mind explains the Equality Act 2010 and how to complain to the Financial Ombudsman Service (Mind ↗).
Open Mind: your insurance rights ↗ - Free guidance
MoneyHelper
Its guide to buying insurance if you're ill or disabled covers disclosure, brokers and your rights (MoneyHelper ↗).
Open MoneyHelper ↗ - Brokers
Find a specialist broker
MoneyHelper points to the British Insurance Brokers' Association website to find a specialist broker (MoneyHelper ↗).
Open Find a specialist broker ↗ - Complaints
Financial Ombudsman Service
After the insurer's final response, or eight weeks, you can take a complaint to the ombudsman (MoneyHelper ↗).
Open Financial Ombudsman Service ↗
Run a business? Key person cover asks too
If your company insures you as a key person, the company applies, owns the plan and pays for it, and any payout goes to the business (Royal London ↗) (Legal & General ↗).
You are the person insured, so a pre-existing condition is part of the application: Legal & General's adviser guide says the key person gives their own personal and medical details (Legal & General ↗).
If Aviva can't decide on a case straight away, it gives free life cover while it looks into it (Aviva ↗).
The business must also be able to show it would lose profits in your absence (Legal & General ↗).
Applicant
The company applies
The business owns the policy and pays for it. You are the person insured.
Your answers
You answer the health questions
The same care applies as for a personal policy: answer every question fully.
Underwriting
The insurer assesses the case
It may ask for more evidence before it decides, as with any application.
Sizing
The cover is sized on the business
How much cover the business can take is based on what it would lose.
Check it for yourself
Every claim on this page is our summary of one of the documents listed here.
We last checked them against the live sources on 28 September 2026.
The documents are the authority, not this page.
Insurers and HMRC update them, so validate any figure or condition at its link before you rely on it.
- MoneyHelper: buying insurance if you’re ill or disabled ↗Disclosure, specialist brokers, shopping around and the Equality Act
- MoneyHelper: what is life insurance? ↗What affects the cost, terminal illness benefit, honest answers
- MoneyHelper: if your insurance claim is rejected ↗Reasonable care, and complaints to the Financial Ombudsman
- Aviva: life insurance with a pre-existing condition ↗What counts, and the possible outcomes of an application
- Legal & General: life insurance with pre-existing medical conditions ↗What counts, what it asks, and GP reports
- Legal & General: how insurers obtain your medical information ↗Consent, GP reports and medical examinations
- Access to Medical Reports Act 1988, section 4 ↗Your right to see a GP report before it is sent
- Mind: getting the right insurance ↗Mental health questions, cover and a doctor’s report
- Mind: your insurance rights ↗The Equality Act, honest answers and complaints
- Macmillan Cancer Support: types of insurance ↗Life insurance after cancer, and terminal illness benefit
- Diabetes UK: life insurance for people with diabetes ↗What insurers ask for, HbA1c and cost, specialist brokers
- British Heart Foundation: life insurance with a heart or circulatory condition ↗Why it can be harder, and how each case is decided
- Aviva: can mental health conditions affect life insurance? ↗Mental health questions and possible outcomes
- Legal & General: life insurance with a high BMI ↗The BMI levels it names, and waist size
- Aviva: life insurance for smokers ↗Who counts as a smoker, its price example, quitting
- Consumer Insurance (Disclosure and Representations) Act 2012, section 2 ↗The consumer’s duty of reasonable care
- Consumer Insurance (Disclosure and Representations) Act 2012, Schedule 1 ↗What an insurer may do after a careless, deliberate or reckless misrepresentation
- Vitality: life insurance with a heart condition ↗What insurers look at after a heart attack
- Legal & General: Key Person Protection technical guide ↗The key person completes the medical details and signs as the life insured
- ABI: protection claims paid in 2024 ↗Share of claims paid, and why claims were declined
- Royal London: key person protection ↗The company applies and owns the plan
- Legal & General: key person insurance ↗Owned and paid for by the business, and the loss of profits it must show
- Aviva for advisers: business life insurance options ↗Free life cover while it looks into a case
- FCA: check a firm ↗Use the Firm Checker before buying insurance
Pre-existing conditions, answered
Not financial advice. This page is general information. Before buying insurance, the FCA tells consumers to check the firm on its Firm Checker (FCA ↗). For free guidance, see MoneyHelper.