Quick Overview

While heart patients can get term insurance, their eligibility depends heavily on the condition. Controlled hypertension and dyslipidemia is usually insurable with higher premiums, while severe cardiac conditions like heart attacks, angioplasty, arrhythmias, rheumatic heart disease, or heart failure are almost always declined.

Applying for term insurance after a heart-related diagnosis can feel intimidating. At Ditto, we’ve helped hundreds of applicants with cardiac histories navigate underwriting by reviewing medical reports, insurer questionnaires, and final decisions. In this guide, we’ll break down:

    • Which heart conditions are typically insurable
    • Which ones are usually declined
    • How insurers assess risk
    • What you can do to maximise your approval odds

Are Heart Patients Eligible for Term Insurance?

Yes, heart patients may be eligible for term insurance, but approval isn’t automatic. It depends on the type of heart condition, its severity, and how well it’s managed today. Insurers first look at the nature of the disease, clearly separating lifestyle-managed conditions from structural or ischemic heart problems.

They also review your medical history closely. This includes when the condition was diagnosed, any hospitalizations or procedures, current treatment, and how regularly you follow up with your doctor. Age at diagnosis matters too. Heart disease that starts early is seen as higher risk, while late-onset, well-controlled conditions are viewed more favourably.

How Insurers Treat Common Heart Conditions in India

India has a high burden of cardiovascular disease. Here’s how most term insurers actually underwrite these conditions, based on real decisions we’ve tracked.

  1. Coronary Artery Disease (CAD)/ Ischemic Heart Disease/ Atherosclerosis

    Outcome:
    The application is almost always declined

    Even if the event was many years ago, you’re currently asymptomatic, or reports look stable.

    Includes history of heart attack (MI), angioplasty/stent placement, and bypass surgery (CABG).
  2. Hypertension (High Blood Pressure)
    This is the most commonly accepted cardiac condition, often insurable if stable and controlled.
Blood Pressure CategoryLikely Outcome
Normal (<= 120/80)Standard premiums and eligibility
Elevated (120-129/80)Mild loading charges (25-50%)
Stage 1 (130-139/80-89)Loading charges and issuance depend on underwriting (50-100%)
Stage 2 (>=140/90)The application is almost always declined

Other factors that influence the decision include duration of hypertension, number of medications, associated conditions (diabetes, obesity, high cholesterol, and evidence of organ damage. 

For normal blood pressure, consider opting for our recommended term insurance plans, such as HDFC Life’s Click2Protect Supreme or Axis Max Life’s Smart Term Plan Plus. 

Note: Even high cholesterol/dyslipidemia is insurable if it is under control and you haven’t had a heart-related diagnosis/event.

CTA
  1. Arrhythmias (Irregular Heartbeats)/ Rheumatic Heart Disease (RHD)/ Heart Failure

    Outcome:
    The application is usually declined.

    This category includes atrial fibrillation, ventricular arrhythmias, and conduction disorders that require ongoing monitoring or medical therapy. In addition, rheumatic heart disease (RHD) frequently results in permanent valvular damage. 

    Even when surgically corrected, such cases are typically declined because of underlying structural heart disease and the potential for future complications. 

    Regardless of current stability or apparent severity, these conditions indicate reduced cardiac reserve and a significantly increased risk of mortality.

Factors to Consider Before Purchasing Term Insurance for Heart Patients

  1. Tests to be Taken
    If you have a history of heart disease, insurers usually require recent medical investigations along with records of past procedures to assess your current health status. This commonly includes blood and urine tests, blood pressure readings, ECG, and, in some cases, a treadmill stress test or imaging, depending on your profile. A standard evaluation also covers lipid profile, HbA1c, and kidney and liver function tests. 
  2. Counter-Offers
    If you receive a counteroffer with higher premiums or reduced benefits, there’s almost no scope for negotiation. In most cases, it’s better to accept the base cover if it's reasonable, or to reapply elsewhere (but only with expert guidance).
  3. Timing
    Recent diagnoses, medication changes, or hospitalisations often lead to postponement instead of approval. Insurers like to see stability over time. It’s better to wait till your health improves.

Ditto's Tip

Having these reports ready, especially key cardiac documents, can significantly speed up the approval process.

How to Get Term Insurance for Heart Patients

  1. Set Expectations Clearly
    Some heart conditions are simply uninsurable under standard term plans. Knowing this early prevents wasted applications.
  2. Consider a Lower Sum Assured
    If you apply for a modest sum assured of ₹25-50 lakhs, it reduces the insurer’s risk exposure. This can also help you get your foot in the door sometimes. You can also consider opting for a standard saral jeevan bima policy to assess the insurer’s willingness to take on the risk. 
  3. Apply with Full Disclosure
    It’s crucial never to hide a heart condition, as non-disclosure almost always leads to claim rejections or policy cancellations later.

Ditto's Note

This should be done carefully, as multiple fragmented covers in a short while can raise red flags.   

Why Choose Ditto for Term Insurance?

At Ditto, we’ve assisted over 8,00,000 customers with choosing the right insurance policy. Why customers like Aaron below love us:

Term Insurance for Heart Patients Explained
    • No-Spam & No Salesmen
    • Rated 4.9/5 on Google Reviews by 15,000+ happy customers
    • Backed by Zerodha
    • 100% Free Consultation

You can book a FREE consultation. Slots are running out, so make sure you book a call now!

Conclusion

Getting term insurance with a heart condition is challenging, but not always impossible. Try getting health insurance first, as you may have a better chance there. For more details, you can also check out our detailed guide on health insurance for heart patients.

Frequently Asked Questions

Can a heart patient get term insurance?

Yes, a heart patient may be eligible for term insurance, but approval depends on the exact condition, its severity, and how well it is currently managed. 

Will term insurance cover death due to a heart attack?

Yes. If the policy is issued and active, term insurance generally pays on death due to illness (subject to the policy’s exclusions and correct disclosure at purchase).

Are there waiting periods in term insurance like health insurance?

Typically, there is no “disease waiting period” like health insurance. The main gating item is underwriting before issuance (or postponement).

Can you get term life insurance if you had a heart attack?

In most cases, applicants with a history of a heart attack are not eligible for standard term life insurance.

Which disease is not covered in term insurance?

Term insurance does not exclude specific diseases. Instead, it bases eligibility on the applicant's age at the time of application. Conditions such as coronary artery disease, prior heart attacks, arrhythmias, rheumatic heart disease, and heart failure often lead to outright rejection, meaning no policy is issued.

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