Life Insurance with Hypertrophic Cardiomyopathy

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Is Life Insurance with hypertrophic cardiomyopathy available?

Securing life insurance with hypertrophic cardiomyopathy can sometimes be difficult, but not impossible. This article will give you the best way to find the most affordable coverage with this cardiovascular disorder.

Hypertrophic cardiomyopathy is a disorder of the muscle cells of the heart, producing overly thick areas in the chamber walls. The most commonly affected areas of the heart are the apex of the heart and the central column of muscle (called the septum) with or without thickening of the posterior wall of the left ventricle.

Other names commonly used for hypertrophic cardiomyopathy include asymmetric sepatal hypertrophy (ASH) or idiopathic subaortic stenosis (IHSS).

Life insurance underwriters when evaluating prospects for life insurance with hypertophic cardiomyopathy are concerned with the symptoms one may have experienced along with the thickness of the chamber walls of the heart.

Persons with HCM can appear outwardly healthy, active, and fit. Nothing may be visible on physical examination other than perhaps a soft heart murmur. If symptoms are present at all, they are usually mild-such as shortness of breath, mild chest pain, and palpitations.

EKG abnormalities are sometimes seen. The best test for HCM is the echocardiogram. The test provides a more exact evaluation of chamber wall thickness, ventricular function and pressure, and valve status.

One of the measurements taken from the echocardiogram can determine if HCM is present. This measurement ratio divides the septal thickness and the left ventricular posterior wall thickness to give a ratio.  If the ratio is over 1.3 then HCM is likely present.

Often times a cardiologist may recommend a pacemaker or defibrillator be place if heart rhythms are abnormal or irregular.

In regards to the underwriting of life insurance with hypertrophic cardiomyopathy it is most important to work with an expert agent who has a history and knowledge of special risk life insurance.

With nearly 1,000 life insurance companies operating in the United States it can sometimes be difficult for those with pre-exisitng medical conditions to know what company specializing in their particular situation.

Just like you wouldn’t go to your personal physician to do brain surgery, you also wouldn’t want to go to a life insurance company that only underwrites preferred best risks.

There are companies out there that specialize or simply do a better job underwriting life insurance with hypertrophic cardiomyopathy. In fact, most typical life insurance agents have no knowledge or experience in knowing who these companies are or how to find them. You must seek out and find an independent life agent who knows this marketplace.

Fortunately, you have landed on this page. We are experts in the special risk life insurance marketplace. You see, all life insurance companies evaluate health and lifestyle differently. Where one company may decline for hypertrophic cardiomyopathy, another may make a reasonable offer for protection.

But, it is important to know there are only a handful of these carriers specializing in the best underwriting for hypertrophic cardiomyopathy.

It is important for an individual to not hurt their chances of a viable offer for coverage by applying to the wrong companies.

Here’s what I mean. Life insurance companies all use the medical information bureau to crosscheck applications. This provides the carrier with information on previous applications applied for.

If an individual uses an inexperienced agent with no background in dealing with hypertrophic cardiomyopathy cases, then that agent might suggest to the insured to apply to multiple companies and hope one sticks or gives an offer. But what if 4 or 5 carriers then decline your application? Not only has the insured wasted their time applying to multiple carriers, but now the MIB report has 5 declination’s on it.

This can hurt your chances for coverage even with a company that specializes in life insurance with hypertrophic cardiomyopathy. Why? Because now they are now concerned that you are just applying all over town with different carriers and this lowers this chances of any coverage being placed with this particular carrier.

You see an insurance company spends money underwriting a policy. They have to pay someone to review the application, someone has to pay for the medical exam, blood tests, EKG, order doctor reports. This all costs money. And unless the company feels like they have a pretty good chance of getting the business, they may simply refuse to make an offer for coverage.

This is why it is so important to work with an agent that knows how to get the best offer the first time. An agent that knows how to present a case to several different underwriting insurance companies without putting your name in the MIB file.

We do this by something called an informal application. This is simply a way of getting as much medical information upfront and contacting different insurance companies by phone and having a conversation about your situation. You see, most agents don’t know how to do this.

Either they don’t have the medical background to discuss competently with the underwriter or they simply don’t want to take the time to do it the right way.

This informal process saves the customer time and eventually money. No use filling out an application or completing medical exams if the company offering is too high or perhaps an outright decline. We get the tentative offers up front before formally applying for coverage. This is the only way to handle for someone with pre-exisitng medical conditions.

The Underwriting of Life Insurance with Hypertrophic Cardiomyopathy

For those carriers that specialize in underwriting life insurance with hypertrophic cardiomyopathy below are some of the typical risk classifications found:

Absent any other significant impairments such as mitral valve reguritation, no anti-hypertensive medication, no symptoms such as fainting, heart rhythms, congestive heart failure and a ratio under 1.7:

AGES 30-39 rating 150% above the standard rates for the carrier.

AGES 40-49 rating 125% above the standard rates for the carrier.

AGES 50-50 rating 100% above the standard rates for the carrier.

AGES 60 and over rating 75% above the standard rates for the carriers.

Insureds that would typically be declined for life insurance with hypertrophic cardiomyopathy:

AGE Under 30

Surgical treatment of HCM with pacemaker or defibrillator

Any history of arrhythmia or syncope of taking anti-arrhythmia drugs

Septal or Posterior Wall ratio over 2.1 cm

Any history of congestive heart failure

Mitral valve regurgitation greater than mile

It is important to remember that each person is underwritten individually and the above is a standard guideline and not meant to be a complete profile. If an insured is declined for coverage other options may be available thru a guaranteed issue carrier or graded death benefit policy.

Questions for underwriting life insurance with hypertrophic cardiomyopathy

The following are some of the questions that your agent will need in order to properly evaluate and discuss your situation with various companies:

  • Date of Birth
  • Male or Female
  • Date of diagnosis
  • Any of the following symptoms? I.E. Fainting or dizziness, palpitations, shortness of breath, chest pain?
  • Had an echocardiogram?
  • Current medications?
  • Have pacemaker, defibrillator or had heart surgery?
  • Used tobacco products in last 5 years?
  • Any other major health problems?

The answer to these questions will help your agent locate and find the right life insurance carrier for your particular situation. It is also important for your agent to know the plan of coverage desired (term or permanent) and the amount of protection needed.


Life insurance with hypertrophic cardiomyopathy is possible if you know where to look for coverage. An expert agent is vital in finding the right company.

We are experts in the special risk life insurance marketplace. If you would like for us to evaluate your situation, please contact us at 1-888-393-9003. You will speak to the owner of the agency. You will quickly find out what offers are available in the life insurance marketplace. You can also reach me by email at 

Thanks for reading this blog.


We work with individuals across the nation to secure the best life insurance rates.

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1 Comment

Jeff Cornwell

Mike. I am writing to enquire about life insurance for myself. I am 59, male, fit, general good health. I have HCM and a defibrillator. I was diagnosed Dec 2009 from a routine physical, as I have shown no negative symptoms. I take Lipitor for cholesterol and Metoprolol for the defibrillator. Never smoked nor alcohol. I have coverage at work, but interested in changing jobs. Can you help? Jeff 760.505.5471

May 17, 2018 at 8:09 pm
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