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What Life Insurance Policy Does Not Require a Physical Exam

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No-Exam Life Insurance Policies

Simplified issue and guaranteed issue life insurance policies typically do not require a physical exam. Instead, insurers rely on a health questionnaire to assess risk. These options appeal to people who want coverage quickly or who have medical conditions that make traditional underwriting difficult.

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How Simplified Issue Policies Work

Simplified issue policies ask detailed health questions but usually skip the paramedical exam. The insurer checks prescription history, medical records, and sometimes a medical information bureau report. Approval is often same-day or within days, and coverage amounts tend to be lower than fully underwritten plans.

Typical health questions

  • Height, weight, and BMI
  • Tobacco and nicotine use
  • Existing diagnoses and medications
  • Hospitalizations in the past five years
  • Family history of heart disease or cancer

Guaranteed Issue: The Most Accessible Option

Guaranteed issue policies accept nearly all applicants regardless of health, but they come with significant trade-offs. Premiums are higher, coverage is capped, and many include a graded death benefit that pays only a partial sum if the insured dies within the first two to three years.

Who Benefits Most

Older adults, people with chronic illnesses, and those needing final expenses often turn to no-exam policies. They also suit anyone who needs a small death benefit quickly to cover funeral costs, outstanding debts, or final medical bills.

Cost and Coverage Trade-Offs

Because no-exam policies skip the exam, the insurer takes on more risk, which shows up in higher premiums. A healthy 40-year-old can expect to pay two to five times more for a no-exam policy than for a fully underwritten term policy with the same face amount.

Policy TypeExam RequiredTypical CoverageApproval Timeline
Fully Underwritten TermYes$100K–$2M+2–6 weeks
Simplified IssueNo$5K–$100KSame day to 2 weeks
Guaranteed IssueNo$5K–$25KImmediate

Bottom Line

No-exam policies provide a practical path to coverage when time or health is a barrier. Weigh the higher cost and lower benefit against the speed and accessibility of simplified or guaranteed issue life insurance.

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