Life Insurance with COPD and Asthma (2026)


People with COPD and asthma can get life insurance, but respiratory conditions affect premiums and policy options. Insurers review several factors, such as condition severity, treatment plans, medication use, and hospitalization history, when determining rates.

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Updated: February 24, 2026

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Key Takeaways
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Mild asthma has less impact on coverage than severe COPD requiring oxygen therapy.

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No-exam policies offer alternatives for advanced conditions, while traditional term and whole life policies work for well-managed cases.

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Quit smoking, manage your condition effectively and apply during stable health periods to improve your chances of approval.

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Ensure you are getting the best rate for your insurance. Compare quotes from the top insurance companies.

Can You Get Life Insurance if You Have COPD or Asthma?

You can get life insurance with COPD and asthma, though coverage options and rates vary based on your health condition and insurer's underwriting guidelines. Mild asthma that's controlled with occasional inhaler use has minimal impact on coverage options. Moderate to severe COPD requires more specialized underwriting, but doesn't eliminate your options.

Traditional policies, including term and whole, work well for well-controlled cases. No-exam life insurance accepts applicants regardless of their health status or medical conditions.

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COPD AND ASTHMA

Chronic Obstructive Pulmonary Disease (COPD): Progressive lung disease that makes breathing difficult, typically caused by smoking or long-term exposure to irritants. Includes chronic bronchitis and emphysema.

Asthma: A chronic respiratory condition causing airway inflammation and narrowing, leading to wheezing, coughing and shortness of breath. Triggers include exercise, allergens and environmental factors.

How COPD and Asthma Affect Life Insurance

Insurance companies assess risk based on your complete medical history. Life insurance underwriting reviews your diagnosis date, current treatment effectiveness and how your condition has progressed. Insurers classify applicants into health categories that determine premiums and eligibility. Someone with mild asthma may qualify for standard rates, while severe COPD typically results in higher premiums.

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    Condition severity determines the biggest portion of your premium calculation. Mild asthma requiring occasional rescue inhaler use gets better rates. Severe COPD with daily oxygen therapy results in higher premiums or coverage limitations.

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    Your diagnosis date matters because insurers prefer seeing stable, established treatment patterns. You get better consideration if you apply five years after diagnosis and consistent management, compared to filing weeks after initial diagnosis.

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    Smoking status has a major impact. Current smokers pay higher premiums than nonsmokers. Former smokers see rate improvements based on how long they've been smoke-free.

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    Hospitalization history indicates condition severity. Multiple emergency room visits or hospital admissions in the past two years suggest poor disease control. Most insurers require at least 12 months without hospitalization before offering better rates.

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    Supplemental oxygen use shows advanced COPD that limits coverage options. Continuous oxygen therapy often disqualifies applicants from standard rate classes. Some insurers decline coverage entirely for oxygen-dependent applicants.

Each insurer has different underwriting guidelines. One company may decline an application that another approves. Compare multiple insurance companies to find the best policy and premiums.

COPD Life Insurance

Pulmonary function tests provide objective data that life insurance underwriters use to evaluate respiratory risk. Insurers review FEV1 (Forced Expiratory Volume in one second, which measures how much air you can exhale in one second), FVC (Forced Vital Capacity, which is the total amount of air you can exhale), and the FEV1/FVC ratio, along with percent predicted values adjusted for age, sex and height. An FEV1/FVC ratio below 70% confirms airflow obstruction. Ratios of 70% or higher indicate normal airflow.

Severity depends mainly on FEV1 percent predicted. An FEV1 below 50% of predicted shows advanced airflow limitation and often leads to higher rate classifications, postponement or possible decline, depending on stability and treatment history.

Chest X-ray or CT findings that show emphysema, fibrosis or structural lung damage support risk assessment. Emergency room visits or hospitalizations within the past 24 to 36 months signal unstable disease and increase underwriting concern.

Asthma Life Insurance

Asthma underwriting depends on severity, control and treatment history. Many insurers consider mild intermittent asthma with rescue inhaler use of less than two days per week for standard rates, given that there are no recent hospitalizations or oral steroid use. Moderate or severe asthma that requires daily controller medication often results in table ratings or higher premiums.

Attack history carries weight. Applicants with no exacerbations, emergency visits or steroid bursts in the past 12 months receive better classifications than those with frequent episodes.

Medication patterns also signal risk. Infrequent albuterol use shows well-controlled asthma. Daily inhaled corticosteroids with long-acting bronchodilators indicate persistent asthma and lead to higher rate classes.

Types of Life Insurance for People with COPD and Asthma

You've got several life insurance policy options, even with breathing issues. Coverage availability depends on the severity of your illness, the management of your condition and the insurer.

Traditional Term Life Insurance

Term life insurance provides coverage for set periods like 10, 20 or 30 years. This policy works best for people with mild to moderate respiratory conditions who can pass medical underwriting.

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Pros
  • Lower premiums than permanent insurance
  • Renewable options available
  • Straightforward coverage
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Cons
  • Medical underwriting required with lung function testing
  • Premiums increase at renewal after the term ends
  • Coverage expires with no return if you outlive the term
  • Advanced COPD may not qualify

Whole Life Insurance

Whole life insurance provides permanent coverage lasting your entire lifetime. Policies build cash value you can borrow against. Premiums stay level throughout your life.

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Pros
  • Guaranteed coverage for life
  • Cash value grows tax-deferred
  • Fixed premiums that never increase
  • Death benefit guaranteed
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Cons
  • Higher premiums than term insurance
  • Medical underwriting
  • Cash value growth takes years
  • Severe respiratory conditions may result in coverage denial

No-Exam Life Insurance

No-exam life insurance includes simplified issue (no exam but with health questions) and guaranteed issue policies (no exam and no health questions). These policies offer options for people with severe COPD or poorly controlled asthma who can't qualify for traditional coverage.

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Pros
  • Approval guaranteed or highly likely
  • No medical exams required
  • Faster application process
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Cons
  • Higher premiums than medically underwritten policies
  • Lower maximum coverage amounts
  • Graded death benefits delay full coverage

Life Insurance Riders for COPD and Asthma Patients

Life insurance riders add benefits beyond the basic death benefit. Depending on the insurer, some riders are automatic add-ons and don't require additional payment.

Rider
Description

Accelerated Death Benefit

Receive a portion of your death benefit while living if diagnosed with a terminal illness, typically with life expectancy of 12-24 months

Terminal Illness

Access benefits when the prognosis is 12-24 months to live

Chronic Illness

Access benefits if you're unable to perform daily living activities because of your illness

Waiver of Premium

Keeps your life insurance policy active even if you stop premium payments because of disability

Getting Life Insurance with COPD and Asthma

Standard life insurance applications require in-person medical exams. A paramedical examiner collects health information, measures vital signs and draws blood samples. Blood tests measure cholesterol levels, blood sugar and liver function. Insurance companies may require breathing tests or pulmonary tests for people buying COPD life insurance or those with asthma. Simplified issue and guaranteed issue policies waive medical exams entirely.

COMMON QUESTIONS INSURERS ASK

Applications ask detailed questions about your respiratory diagnosis and treatment history. Expect questions about:

  • Date when you were first diagnosed
  • How often you use rescue inhalers
  • Frequency of shortness of breath episodes
  • Names and dosages for all prescriptions
  • Dates and reasons for each hospitalization related to respiratory problems
  • Whether you currently smoke
  • Total years of tobacco use

Attending Physician Statement (APS)

Insurers request attending physician statements when applications involve complex medical histories. These statements provide detailed medical records directly from your doctors.

Contact your doctor's office after submitting your application to speed up the process. Inform them that an insurance company will request records.

How to Find the Best Life Insurance Rates with COPD or Asthma

Getting affordable life insurance coverage with respiratory conditions requires strategic planning and comparison shopping. These steps improve your chances of approval at competitive rates.

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    Prove Condition Management

    Keep regular appointments with your pulmonologist to document stable disease management. Follow prescribed treatment plans exactly as directed and maintain records of medication refills. Document symptom frequency in a health journal.

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    Quit Smoking

    Smoking increases premiums for COPD life insurance and people with other respiratory conditions. Most insurers require 12 months of smoke-free living before considering you for nonsmoker rates.

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    Improve Your Overall Health

    Maintain a healthy weight through a balanced diet and regular physical activity suitable for your lung capacity. Control blood pressure and cholesterol through medication and lifestyle changes if needed. Manage other chronic conditions, if you have any.

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    Time Your Application

    Apply during stable health periods when symptoms are well controlled. Avoid applying immediately after hospitalizations or emergency room visits. Wait until your treatment plan is established and effective before submitting applications.

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    Compare Multiple Quotes

    Different insurers have different underwriting standards for respiratory conditions. Some carriers specialize in high-risk applicants. Rate variations can be substantial. Request quotes from at least three companies.

This information is educational and doesn't replace professional medical advice.

Life Insurance for COPD and Asthma Patients: Bottom Line

Life insurance is available to people with COPD and asthma, though coverage options and rates depend on the severity and management of your condition. Mild to moderate respiratory conditions qualify for traditional policies. People with severe conditions should consider no-exam options, which have higher premiums but guarantee acceptance.

To improve your insurability, show stable condition management through regular medical care, medication compliance and lifestyle modifications. Quit smoking to get a rate improvement. Compare quotes from different insurers to find favorable underwriting for respiratory cases.

Compare Insurance Rates

Ensure you are getting the best rate for your insurance. Compare quotes from the top insurance companies.

COPD Life Insurance: FAQ

Can I get life insurance if I'm on oxygen therapy for COPD?
How long after a COPD hospitalization should I wait to apply?
Do all life insurance companies require pulmonary function tests?

About Mark Fitzpatrick


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Mark Fitzpatrick, a Licensed Property and Casualty Insurance Producer, is MoneyGeek's resident Personal Finance Expert. He has analyzed the insurance market for over five years, conducting original research for insurance shoppers. His insights have been featured in CNBC, NBC News and Mashable.

Fitzpatrick holds a master’s degree in economics and international relations from Johns Hopkins University and a bachelor’s degree from Boston College. He's also a five-time Jeopardy champion!

He writes about economics and insurance, breaking down complex topics so people know what they're buying.


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