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Get life insurance coverage without a medical exam — but understand what you're paying for.
No medical life insurance allows Canadians to obtain life insurance coverage without undergoing a traditional medical exam. It's designed for people who have been declined for standard coverage, have serious health conditions, or want a faster, simpler application process. But this convenience comes at a cost — premiums are significantly higher, and coverage limits are lower.
Simplified issue policies require you to answer a short health questionnaire (typically 3–15 questions) but no medical exam. You can be declined based on your answers. Questions typically ask about:
If you answer no to all questions, you're approved. Coverage is typically available up to $500,000–$1,000,000 depending on the insurer, and premiums are 20–50% higher than fully underwritten policies.
Guaranteed issue policies ask no health questions and cannot decline any applicant. Everyone who applies is approved. However:
| Feature | Fully Underwritten | Simplified Issue | Guaranteed Issue |
|---|---|---|---|
| Medical exam | Yes | No | No |
| Health questions | Detailed | Short | None |
| Can be declined | Yes | Yes | No |
| Max coverage | $1M+ | Up to $1M | $10K–$50K |
| Premiums | Lowest | Moderate | Highest |
| Waiting period | None | None (usually) | 2 years |
Many major insurers now offer accelerated underwriting for healthy applicants — no medical exam, but using data sources, health questionnaires, and algorithms to approve coverage up to $1M–$3M for qualifying applicants. This is different from simplified issue and can offer rates close to fully underwritten policies. Worth asking about before defaulting to simplified issue.
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