How Does Guaranteed Life Insurance Work?

Often referred to as “guaranteed acceptance”, guaranteed life insurance policies have no underwriting of any kind, so you cannot be denied due to pre-existing conditions. All guaranteed issue policies have a mandatory waiting period of 2-3 years.

Any non-accidental death during the waiting period will only result in a refund of your premiums, plus interest (typically 10%). After the waiting period, the total life insurance benefit would pay out at any point.

Some life insurance companies will refer to the waiting period as a “graded death benefit” or “modified benefit.” All guaranteed life plans are whole life insurance. No company offers a guaranteed acceptance term life policy or a guaranteed acceptance universal life policy.

 

How Much Does Guaranteed Acceptance Life Insurance Cost?

Guaranteed acceptance policies can cost as little as $10 per month or as much as $500 per month. All final expense life insurance prices are based on your exact age, gender, and the amount of coverage you buy.

Ordinarily, life insurance rates would also be determined by your health. However, since guaranteed life insurance plans don’t ask about your health history, prior medical conditions will not affect the price. The table below has some sample monthly prices.

Age$10,000$20,000$25,000
45$28$55$68
50$30$60$75
55$38$74$92
60$43$84$105
65$50$99$124
70$64$127$158
75$89$176$220
80$127$253$316
85$158$314$393
Source for monthly prices: Choice Mutual quote calculator. Rates are for Mutual of Omaha guaranteed acceptance coverage, rounded to the nearest dollar, and are valid as of 07/22/2025.
Age$10,000$20,000$25,000
45$36$72$90
50$40$79$99
55$45$90$112
60$57$113$141
65$69$136$170
70$87$172$215
75$113$226$282
80$157$313$391
85$193$384$480
Source for monthly prices: Choice Mutual quote calculator. Rates are for Mutual of Omaha guaranteed acceptance coverage, rounded to the nearest dollar, and are valid as of 07/22/2025.

 

Do You Need A Guaranteed Issue Life Insurance Policy?

All too often, seniors mistakenly assume that guaranteed life insurance is their only option. However, most applicants with prior health issues (such as diabetes, high blood pressure, COPD, previous heart attacks, and much more) can absolutely qualify for a final expense life insurance policy with medical questions.

That would mean your coverage would have no waiting period and undoubtedly cost much less than a guaranteed acceptance policy. You should only resort to a guaranteed issue plan after you’ve exhausted trying to qualify for policies that do have underwriting.

 

Health Issues Where Guaranteed Acceptance Is The Only Way To Obtain A New Life Insurance Policy

Some health conditions have such a low life expectancy that guaranteed acceptance coverage is your only option. You need a guaranteed life policy if you have any of the following medical issues:

  • AIDS or HIV
  • Alzheimer’s or dementia
  • Currently in a hospital, nursing home, long-term care or skilled nursing facility
  • Actively have or are being treated for cancer (excluding basal or squamous cell and certain stage 0-1 cancers)
  • Hospice care
  • Mental incapacity
  • Home health care
  • Alcohol or drug abuse (or treatment for either) within the last 24 months
  • Terminal illness
  • Wheelchair usage due to an illness or disease

If you don’t have any of the above conditions, there is a very high chance that you can qualify for coverage with underwriting (lower rates and immediate coverage).

 

Best Guaranteed Issue Life Insurance Policies

1.5/5
Overall Score

Choice Mutual’s ratings are determined by a review formula that weights the following four factors to determine a score between 0 and 5:

Factor Score Value
Price of Coverage
40%
No-Waiting-Period CoverageNo Waiting Period
20%
Financial Strength
20%
NAIC Complaint Index
20%
Overall Maximum
100%

Our ratings are tested with scoring model 1.1, a review formula that ensures consistency and accuracy in our assessments.

1.5/5
  • $10K Policy Cost $55.00/month*
  • New Applicant Ages 45-85
  • Death Benefit Options $3,000-$25,000
  • 2-Year Waiting Period Yes
4.75/5
Overall Score

Choice Mutual’s ratings are determined by a review formula that weights the following four factors to determine a score between 0 and 5:

Factor Score Value
Price of Coverage
40%
No-Waiting-Period CoverageNo Waiting Period
20%
Financial Strength
20%
NAIC Complaint Index
20%
Overall Maximum
100%

Our ratings are tested with scoring model 1.1, a review formula that ensures consistency and accuracy in our assessments.

4.75/5
  • $10K Policy Cost $41.01/month*
  • New Applicant Ages 45-85 (50-75 in NY)
  • Death Benefit Options $2,000-$25,000
  • 2-Year Waiting Period Yes
2.75/5
Overall Score

Choice Mutual’s ratings are determined by a review formula that weights the following four factors to determine a score between 0 and 5:

Factor Score Value
Price of Coverage
40%
No-Waiting-Period CoverageNo Waiting Period
20%
Financial Strength
20%
NAIC Complaint Index
20%
Overall Maximum
100%

Our ratings are tested with scoring model 1.1, a review formula that ensures consistency and accuracy in our assessments.

2.75/5
  • $10K Policy Cost $48.00/month*
  • New Applicant Ages 45-85 (varies by state)
  • Death Benefit Options $3,000-$20,000
  • 2-Year Waiting Period Yes

 

Is There Guaranteed Issue Life Insurance With No Waiting Period?

There are no companies with life insurance products with no health questions and no waiting period. All guaranteed issue plans also have a minimum of a two-year waiting period.

Additionally, no company offers a 6, 12, or 18-month waiting period. Waiting periods are always 24 months or more.

 

Guaranteed Acceptance Vs. Simplified Issue (Aka “No-Exam”)

It’s essential to understand the difference between the terms “no medical exam life insurance” and “no health questions life insurance.” They are not the same.

A no-exam life insurance policy (also known as simplified issue) will have health questions but does not require a medical exam. If approved, there would be no waiting period.

On the other hand, a policy without health or lifestyle questions means it’s a guaranteed issue whole life policy with a two-year waiting period.

If you see a life insurance advertisement that only says “no medical exam,” that means there are still health questions that you must answer.

 

a chart comparing guaranteed issue vs simplified issue insurance policies

 

How To Get Life Insurance With No Waiting Period

To qualify for life insurance with no waiting period (you’re immediately covered for natural or accidental causes of death), you must apply for a policy that asks about your health history. In most cases, you won’t have to take a medical exam, but you will have to answer health questions.

 

Medical Conditions Eligibility

The table below lists various health issues and indicates whether they are eligible for a no-waiting period policy. Please note that your age, residence state, and the entirety of your health history may result in a different outcome.

Health ConditionEligibility
AIDS or HIVWaiting period
Alcohol or drug abuse<2 Yrs: Waiting period
>2 Yrs: Immediate
Alzheimer’s diseaseWaiting period
Amputation due
to disease
Immediate
Angina (chest pains)Immediate
AnxietyImmediate
ArthritisImmediate
Assistance with activities
of daily living (ADL’s)
Immediate
AsthmaImmediate
Atrial fibrillation (Afib)Immediate
Bipolar disorderImmediate
BlindnessImmediate
Blood clotsImmediate
Blood
thinners
Immediate
Bone marrow
transplant
<5 Yrs: Waiting period
>5 Yrs: Immediate
CancerMany variables to consider
Chronic bronchitisImmediate
Chronic kidney
disease
Immediate
Circulatory/heart surgeryImmediate
CirrhosisImmediate
Congestive heart
failure (CHF)
Immediate
COPDImmediate
CovidImmediate
Crohn’s diseaseImmediate
Cystic fibrosisImmediate
DefibrillatorImmediate
DementiaWaiting period
DepressionImmediate
Diabetes (Type 1)Immediate
Diabetes (Type 2)Immediate
Diabetic comaImmediate
Diabetic nephropathyImmediate
DialysisImmediate
EmphysemaImmediate
Enlarged prostateImmediate
EpilepsyImmediate
FibromyalgiaImmediate
Graves diseaseImmediate
Heart attackImmediate
Hepatitis AImmediate
Hepatitis BImmediate
Hepatitis CImmediate
High blood pressureImmediate
High cholesterolImmediate
Home health careWaiting period
Hospice careWaiting period
Insulin shockImmediate
Insulin usageImmediate
LupusImmediate
Mini stroke (TIA)Immediate
Multiple sclerosisImmediate
NephropathyImmediate
NeuropathyImmediate
ObesityImmediate
Organ transplant<5 Yrs: Waiting period
>5 Yrs: Immediate
Oxygen equipmentImmediate
PacemakerImmediate
PancreatitisImmediate
Parkinson’s diseaseImmediate
RetinopathyImmediate
Rheumatoid arthritisImmediate
SchizophreniaImmediate
Seizure issuesImmediate
Sickle cell anemiaAge 0-49: Waiting Period
Age 50+: Immediate
Sickle traitImmediate
Sleep apneaImmediate
StrokeImmediate
Systemic lupusImmediate
Terminal illnessWaiting period
Transient ischemic attack (TIA)Immediate
Tumors (cancerous)Many variables to consider
Tumors (noncancerous)Immediate
Ulcerative colitisImmediate
Wheelchair due to an illness or diseaseWaiting period

 

Frequently Asked Questions

Most guaranteed issue life insurance companies offer a maximum coverage of $25,000. That said, the AARP life insurance program offers a guaranteed issue policy with coverage up to $30,000. Additionally, you can purchase multiple policies from different companies to stack coverage.

No company offers guaranteed issue term life insurance.  At present, whole life insurance is the only option if you’re looking for guaranteed acceptance coverage.

Guaranteed universal life (GUL) is not the same as guaranteed issue life insurance. A GUL policy is a type of permanent life insurance with a fixed rate and death benefit. All guaranteed universal life plans require underwriting, so you must answer health questions and possibly take a medical exam.

Anthony Martin
Anthony Martin
Choice Mutual CEO
Author
  • Nationally licensed life insurance agent with over 15 years of experience
  • Personal annual production that puts him in the top .001% out of all life insurance agents in the nation.

Anthony Martin is a nationally licensed insurance expert with over 15 years of experience and has personally served over 10,000 clients with their life insurance needs. He frequently authors entrepreneurial and life insurance content for Forbes, Inc.com, Newsweek, Kiplinger, and Entreprenuer.com. Anthony has been consulted as an expert life insurance source for dozens of high-profile websites such as Forbes, Bankrate, Reuters, Fox Business, CNBC, Investopedia, Insurance.com, Yahoo Finance, and many more.

Jeff Root
Jeff Root
Life Insurance Expert
Editor
  • Nationally licensed life insurance agent with over 19 years of experience
  • Best selling Amazon author.

Jeff Root is a nationally licensed life insurance expert with over 19 years of experience. He has personally helped over 3000 clients with their life insurance needs. Jeff is a best-selling Amazon author and the managing partner of a highly successful insurance brokerage that manages over 2,500 licensed insurance agents across the USA. He has been a featured life insurance source for prestigious websites such as Forbes, Bloomberg, MarketWatch, Nerdwallet, and many more.

David Duford
David Duford
Life Insurance Expert
Editor
  • Nationally licensed life insurance agent with over 14 years of experience
  • Best selling Amazon author of five insurance sales books.

David Duford is a nationally licensed insurance expert with over 14 years of experience. He has personally helped more than 15,000 clients buy life insurance. David has been featured as an expert source for highly authoritative publications such as A.M. Best and Insurancenewsnet. He also runs one of the largest Youtube channels to help aspiring insurance agents serve their clients better.

Jeff Root
Jeff Root
Life Insurance Expert
Editor
  • Nationally licensed life insurance agent with over 19 years of experience
  • Best selling Amazon author.

Jeff Root is a nationally licensed life insurance expert with over 19 years of experience. He has personally helped over 3000 clients with their life insurance needs. Jeff is a best-selling Amazon author and the managing partner of a highly successful insurance brokerage that manages over 2,500 licensed insurance agents across the USA. He has been a featured life insurance source for prestigious websites such as Forbes, Bloomberg, MarketWatch, Nerdwallet, and many more.

David Duford
David Duford
Life Insurance Expert
Editor
  • Nationally licensed life insurance agent with over 14 years of experience
  • Best selling Amazon author of five insurance sales books.

David Duford is a nationally licensed insurance expert with over 14 years of experience. He has personally helped more than 15,000 clients buy life insurance. David has been featured as an expert source for highly authoritative publications such as A.M. Best and Insurancenewsnet. He also runs one of the largest Youtube channels to help aspiring insurance agents serve their clients better.

Choice Mutual often cites third-party websites to provide context and verification for specific claims made in our work. We only link to authoritative websites that provide accurate information. You can learn more about our editorial standards, which guide our mission of delivering factual and impartial content.

  1. Guaranteed universal life. https://www.policygenius.com/life-insurance/guaranteed-universal-life-insurance/
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