Life Insurance for Asthma
Jason Stolz CLTC, CRPC
Life insurance with asthma is very achievable, and in many cases, it can still be affordable—especially when your asthma is well-controlled and your overall health profile is strong. At Diversified Insurance Brokers, we help clients with respiratory histories get approved by shopping your case across our network of 100+ top-rated carriers. The big difference isn’t just “who has the lowest quote” today—it’s which carrier is most likely to underwrite your asthma fairly, classify you correctly, and avoid unnecessary table ratings that drive premiums up for years.
Asthma is one of those conditions that can look “minor” to the person living with it, but still trigger extra scrutiny from life insurance underwriters if the medical records show frequent inhaler use, ER visits, steroid bursts, or any overlap with sleep apnea, obesity, smoking history, or chronic bronchitis. The good news is that many carriers are very reasonable when asthma is stable, properly treated, and not causing ongoing complications. And when it’s not stable, we can still often build a workable solution by selecting the right product type, using the right underwriting approach, and documenting your situation in a way that supports approval.
Many of our clients come to us after being quoted at a high table rating or being told “you’ll never qualify.” In reality, the outcome often changes when the case is positioned correctly—especially when asthma is the primary concern and there aren’t multiple uncontrolled risk factors. Because we regularly help clients with life insurance with pre-existing conditions (including asthma, autoimmune issues, cardiac histories, and other chronic conditions), we know how to spot the red flags underwriters look for, and we know how to avoid the carriers that typically overreact to moderate asthma histories.
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We’ll compare carriers, review your asthma history, and find the best path to approval—without wasting time on the wrong companies.
Request InformationBefore you start comparing quotes, it helps to understand a key truth about underwriting: asthma is not automatically “good” or “bad” in life insurance. What matters is the pattern. Underwriters are measuring stability, severity, and probability of future complications. If your asthma is controlled and you haven’t had scary flare-ups, you may be treated similarly to someone without asthma—or at least close to it. If your records show recurring steroid packs, ER visits, hospital admissions, or ongoing shortness of breath that interferes with daily life, the carrier is going to price the risk differently.
This page will walk you through how insurers review asthma, what details matter most, what coverage types tend to work best, and how to position your case so you don’t overpay. And if you want a shortcut, you can request a quote and we’ll run it through the carriers most likely to give you a fair offer based on your exact profile.
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Can You Get Life Insurance If You Have Asthma?
Yes—most people with asthma can still qualify for life insurance. In fact, mild asthma is often treated as a manageable condition, not a dealbreaker. The key is showing underwriters that your asthma is stable, that flare-ups are rare or predictable, and that you’re not having severe complications that point to a higher chance of hospitalization or long-term respiratory damage.
When insurers review an application with asthma, they’re not just asking, “Does this person have asthma?” They’re asking, “What kind of asthma is it, how active is it, and what does it tell us about future medical risk?” Someone who occasionally uses an inhaler during seasonal allergies can be completely different from someone who has frequent nighttime symptoms, relies on daily steroids, or has repeated ER visits. Those are different underwriting cases, even though the diagnosis name is the same.
If you’ve been declined for life insurance with asthma before, that does not automatically mean you’re out of options. Sometimes the decline happens because the carrier has strict internal guidelines, the application was submitted too soon after a recent flare-up, or the file included a secondary issue (like smoking, sleep apnea, or weight) that pushed the profile into a more difficult category. A different carrier—or a different product type—can change the result.
What Counts as “Mild,” “Moderate,” or “Severe” Asthma in Underwriting?
Asthma severity is often described clinically using terms like intermittent, mild persistent, moderate persistent, and severe persistent. Life insurance underwriting doesn’t always follow the exact medical definitions—but the concepts overlap. Underwriters care most about frequency, intensity, and escalation. The fewer symptoms you have, the fewer rescue inhaler uses you report, and the fewer urgent-care visits show up in your records, the more favorable your case tends to be.
Mild asthma in underwriting usually looks like occasional symptoms, minimal medication, few or no steroid packs, and no hospitalizations. Moderate asthma often includes daily maintenance medication, occasional flares, and more frequent inhaler use. Severe asthma usually includes frequent symptoms, repeated steroid use, hospital or ER history, or signs that asthma is interfering with sleep, activity, or work.
That said, “severe” asthma isn’t automatically a decline. We’ve seen people with severe asthma qualify for meaningful term coverage when the condition is stable and the file shows responsible care. Underwriting is ultimately a risk decision, not a label-based decision.
What Asthma Details Matter Most to Life Insurance Companies?
In most asthma cases, carriers will zero in on a predictable set of questions. These details often determine the difference between a standard rate, a table rating, or a postponement. And this is exactly where working with an experienced independent agency matters—because we help you gather the right info and avoid vague answers that make the carrier assume the worst.
First, insurers care about how often you experience symptoms. If your asthma is mostly quiet, underwriters want to see that reflected in your records. If symptoms are frequent, they want to see a plan and stable treatment. Underwriters also pay attention to how often you use your rescue inhaler, because frequent rescue use can signal uncontrolled asthma even if you “feel fine” day-to-day.
Second, they look at your medication routine. Daily controller medications can be a positive sign if they keep asthma stable, because stability is the goal. The issue isn’t always “you’re on medication.” The issue is what type of medication and what it suggests about severity. Occasional rescue inhaler use is usually easier than repeated oral steroids or complex biologic treatments. The pattern matters.
Third, they review your history of urgent care, ER visits, or hospitalizations. A past hospitalization doesn’t automatically block coverage, but recent or repeated hospital care tends to raise pricing. Most carriers weigh recent history heavily. If your last ER visit was many years ago and you’ve been stable ever since, that is often viewed more favorably than a flare-up last month.
Fourth, carriers evaluate smoking and vaping. This is a major factor. Smoking and asthma together often create a significantly higher-risk profile. If you’ve quit, document it clearly, and understand that nicotine history can affect classification. If you currently smoke, it doesn’t always mean you can’t get coverage, but it often raises the cost substantially and narrows carrier choices. If tobacco is part of your story, our life insurance for smokers guide can help you understand how different carriers treat it.
Fifth, they look at your build, sleep quality, and overall health profile. Asthma often overlaps with conditions that increase underwriting concern, including chronic inflammation, sleep apnea, weight-related breathing issues, or cardiovascular risk. Even when asthma itself is stable, those related factors can change the underwriting outcome if they’re not controlled.
How Life Insurance Medical Exams and Records Affect Asthma Cases
Depending on your age, coverage amount, and carrier, you may have a standard underwriting process that includes a paramedical exam, basic vitals, and labs. In asthma cases, the carrier may also request a physician statement if your medical file shows more severe patterns or if you report recent changes in medication.
The medical exam itself usually isn’t a problem for most asthma applicants. The bigger issue is what appears in your medical record history. Underwriters rely on medical records to validate stability. If your records show frequent complaints of shortness of breath, multiple steroid prescriptions, or repeated urgent care visits, the carrier will treat the risk as active—even if you feel stable right now.
If you’re wondering how the exam process works or what insurers test, you can read our guide to what a life insurance exam is. In asthma cases, we often recommend being proactive about documentation so the carrier doesn’t have to guess. Clear documentation prevents unnecessary delays and can help avoid a conservative rating.
Why Different Carriers Treat Asthma Differently
One of the most frustrating parts of buying life insurance with asthma is that the carrier results can vary dramatically. You might qualify for standard pricing with one company and get a table rating with another, even though you gave the same answers. This happens because carriers use different underwriting manuals, different actuarial assumptions, and different internal philosophies. Some carriers are stricter on respiratory histories. Others are more flexible, especially when asthma is controlled and the overall profile is strong.
This is exactly why “just go online and pick the cheapest quote” can backfire for asthma applicants. Online quoting engines rarely account for underwriting nuance. They show a base price assuming best-case underwriting. But asthma can trigger follow-up questions, which can move the policy into a different class. That’s why our strategy is to identify which carriers tend to be fair with asthma histories, and then build a clean application that supports the best classification possible.
Asthma also interacts with other medical categories. For example, if there is a history of respiratory infections, allergies, sinus issues, or chronic bronchitis, carriers may interpret the file differently. If there is any overlap with more serious pulmonary diagnoses, we may approach the case with additional caution and carrier selection. The better we match your profile to the carrier, the more consistent your outcome is likely to be.
Best Types of Life Insurance for People with Asthma
In most asthma cases, the best policy type depends on your health stability, your goals, and how long you need coverage. The great news is that asthma doesn’t automatically force you into “last resort” policies. Many people still qualify for traditional term life, and term life is often the best value for protecting your family during working years.
Term life insurance is often the first choice because it offers large amounts of coverage for a defined period (10, 15, 20, 25, 30 years). This is ideal for income replacement, mortgage protection, and ensuring your family has stability if something happens. If your asthma is mild to moderate and you’re a non-smoker with stable records, term is frequently very achievable.
Permanent life insurance options like whole life or universal life can be a fit if you want coverage that lasts your entire life, particularly if your focus is estate planning, final expenses, or leaving a guaranteed legacy. These policies can be more expensive, but they can also be more predictable long-term. If you’re trying to balance permanent coverage with budget, we may discuss smaller permanent policies as a foundation and layer term coverage above it.
Simplified-issue life insurance can sometimes be a smart middle-ground if you want to avoid an exam or if your asthma is more complicated. These policies often ask fewer questions, but the pricing may be higher and the maximum coverage amount may be lower. They can be a good fit when the goal is “get approved quickly” instead of “optimize the lowest price.”
Guaranteed-issue life insurance is usually the last-resort option. Most asthma clients don’t need this category unless there are multiple severe health issues. If you do need an easier approval path, you can also explore final expense options through our burial insurance calculator, which can help you compare smaller policies designed for simpler underwriting.
How Asthma Can Affect Your Rate Class (Preferred vs Standard vs Table Ratings)
Most people care about one thing after they ask, “Can I qualify?” They want to know what the pricing will look like. Life insurance pricing is driven by underwriting class. Every carrier has its own naming, but the general structure includes preferred, standard, and rated (table) classes. Asthma can impact which class you receive, but it is not always a major penalty.
Many carriers treat mild asthma almost like a non-issue when there’s no smoking, no recent severe attacks, no hospital history, and minimal medication use. That’s the profile that has the best chance at standard or better. Moderate asthma may still qualify for standard or a small table rating depending on frequency and medication type. Severe asthma may qualify at higher table ratings, but the key is stability and time since the last severe event.
If you’ve ever been shocked by a table rating, it often comes down to two things: either the carrier is conservative with asthma histories, or the medical record shows recent instability that you didn’t realize would matter. Our job is to identify both before you apply so you don’t waste time or lock in the wrong pricing.
What If You’ve Been Declined for Life Insurance with Asthma?
A decline is frustrating, but it’s not a life sentence. Declines happen for a variety of reasons, and asthma declines typically fall into a few categories. The most common issue is applying too soon after a flare-up, hospitalization, or steroid burst. Another common issue is that the carrier interpreted the case as “uncontrolled asthma” due to frequent rescue inhaler use or repeated urgent care visits. Sometimes the decline is driven by overlap conditions like smoking, obesity, sleep apnea, or other respiratory diagnoses.
When someone is declined, we take a more strategic approach. We identify what triggered the decline, determine whether time or documentation can improve the case, and then choose a carrier that is more realistic for the profile. Sometimes we recommend waiting a specific period to show stability. Other times we recommend using a simplified-issue or graded approach as temporary protection while working toward a stronger fully underwritten application later.
If you’ve been declined due to asthma plus other health history, you may also want to explore broader high-risk planning topics like our resource on life insurance for epilepsy and seizures, because the underwriting approach is similar: carriers care about stability, compliance, and recent history. Even when the diagnosis differs, the strategy often overlaps.
Common Asthma-Related “Red Flags” Underwriters React To
Underwriters don’t just look at a diagnosis—they look at patterns that suggest elevated risk. In asthma underwriting, a few issues tend to trigger higher premiums. One is frequent oral steroid use. Steroid packs often signal asthma that isn’t fully controlled. Another is repeated ER or urgent care visits. Even if those visits were “just to be safe,” the carrier may interpret them as severe flares.
Another common red flag is asthma combined with smoking or vaping. This combination usually pushes pricing much higher. Underwriters also become cautious when asthma is connected to chronic bronchitis, COPD, or a history of pneumonia. Even if the asthma itself is stable, overlapping respiratory diagnoses can shift underwriting assumptions.
Finally, underwriters pay attention to compliance. Consistent follow-ups, stable medication routines, and physician notes reflecting improvement can support better offers. When the records look inconsistent, underwriters often choose the conservative rating path.
How We Help You “Position” an Asthma Case for Better Life Insurance Offers
Most consumers assume that “positioning” means spinning the story. That’s not what we do. What we do is present a clear, complete, accurate underwriting file that highlights stability and avoids vague language that triggers conservative underwriting. Asthma cases are often misunderstood because the application answers don’t match the medical records, or because the carrier is left to interpret incomplete information.
Our approach is simple: we build a clean timeline, clarify severity, confirm stability, and select the carrier most likely to underwrite asthma fairly. This reduces back-and-forth, lowers the chance of a bad surprise during underwriting, and often helps clients avoid a higher rating than they should have received.
We also know how to blend asthma underwriting with the reality of modern health profiles. Many people have asthma plus additional conditions like mild hypertension, elevated cholesterol, or controlled anxiety. The carrier choice matters because some companies stack risk factors more aggressively than others. When the file is built correctly, asthma doesn’t have to dominate the outcome.
Realistic Example Scenarios (What Asthma Cases Often Look Like)
Mild asthma, stable for years. A non-smoker with occasional inhaler use during spring allergies typically has the strongest chance at favorable pricing. These are the cases where a carrier may treat asthma as a minor rating factor or not rate it at all.
Moderate asthma with controller meds. A person using a daily inhaler with good control and no ER visits may still qualify for standard pricing with the right carrier. The underwriting decision often depends on rescue inhaler frequency and whether steroids have been needed recently.
Severe asthma with past hospital history. If there has been hospitalization or frequent steroid use, coverage is still possible, but pricing may include a table rating. The strongest factor is often how long it has been since the last severe event and whether the medical records show stability now.
Why Diversified Insurance Brokers Is Different for Asthma Cases
Asthma cases are not “rare,” but they are often mishandled. A lot of applicants get sent into the wrong carrier funnel, end up with a rating they didn’t expect, and then assume that’s the best outcome available. At Diversified Insurance Brokers, asthma and chronic-condition cases are a routine part of what we do, and we approach them with an underwriting-first strategy.
Because we work across many carriers, we’re not trying to force your application into a single company’s guidelines. We’re trying to find the company that fits your real medical profile. That carrier match is the difference between a frustrating experience and a clean approval with realistic pricing.
We also help clients who have broader underwriting concerns beyond asthma. If your case includes other pre-existing conditions, you may benefit from reviewing our broader guide on life insurance for pre-existing conditions so you understand how multiple issues interact in underwriting and why carrier choice matters even more.
Next Steps: Compare Rates and Choose the Right Underwriting Path
If you want to compare pricing immediately, use the term quote tool above to see a baseline. Then the next step is to tailor carrier selection to your asthma history and overall health profile. That’s where we add real value—because a baseline quote is not the same as an approved offer. Underwriting decides the final premium.
If you want us to run a full comparison and match you with the right carriers for asthma, you can submit a request through the quote form. We’ll review your details, identify the best underwriting approach, and give you realistic options based on what carriers actually do with asthma—not what people assume they do.
Related Life Insurance Pages
Explore these next if you’re comparing underwriting options or planning around other health factors.
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FAQs: Life Insurance for Asthma
Can I get life insurance if I have asthma?
Yes. Many people with asthma qualify for life insurance, especially when the condition is mild or well-controlled. Insurance companies focus on how stable your asthma is, how often you have symptoms, and whether you’ve had serious flare-ups that required emergency care.
What asthma factors do life insurance companies look at?
Underwriters usually review the type and severity of your asthma, how often you need a rescue inhaler, whether you’ve had ER visits or hospitalizations, what medications you use, whether you smoke or vape, and whether you have related conditions like COPD or sleep apnea.
Does mild or exercise-induced asthma qualify for better rates?
In many cases, yes. Mild asthma that is infrequent, requires minimal medication, and has no history of hospitalizations is often viewed more favorably and may qualify for standard or better pricing with the right carrier.
Will I need a life insurance medical exam if I have asthma?
Sometimes. Many term life policies still require an exam depending on your age and coverage amount. The exam may include basic vitals and a medical history review. Some simplified-issue policies skip the exam but may cost more and have lower coverage limits.
Can you get approved if your asthma is severe?
Yes, it’s still possible. Severe asthma can lead to higher premiums, especially if you’ve had recent hospitalizations, frequent attacks, steroid use, or breathing complications. The key is matching your profile with carriers that are more flexible with respiratory histories.
How does smoking affect life insurance with asthma?
Smoking or vaping significantly increases the risk profile for asthma and usually results in much higher premiums. In many cases, non-smokers with asthma still qualify for competitive rates, but smokers with asthma are often heavily rated.
What can I do to improve my approval odds?
Strong medical documentation helps. Carriers like to see stable follow-up care, controlled symptoms, minimal or no ER visits, a consistent medication routine, and overall good health factors like healthy build, controlled blood pressure, and no tobacco use.
Why does working with a broker matter for asthma cases?
Asthma underwriting varies widely by carrier. A broker who shops multiple companies can match you with the best fit, help you avoid unnecessary declines, and position your medical history in a clear, accurate way that supports better pricing when possible.
About the Author:
Jason Stolz, CLTC, CRPC and Chief Underwriter at Diversified Insurance Brokers, is a senior insurance and retirement professional with more than two decades of real-world experience helping individuals, families, and business owners protect their income, assets, and long-term financial stability. As a long-time partner of the nationally licensed independent agency Diversified Insurance Brokers, Jason provides trusted guidance across multiple specialties—including fixed and indexed annuities, long-term care planning, personal and business disability insurance, life insurance solutions, and short-term health coverage. Diversified Insurance Brokers maintains active contracts with over 100 highly rated insurance carriers, ensuring clients have access to a broad and competitive marketplace.
His practical, education-first approach has earned recognition in publications such as VoyageATL, highlighting his commitment to financial clarity and client-focused planning. Drawing on deep product knowledge and years of hands-on field experience, Jason helps clients evaluate carriers, compare strategies, and build retirement and protection plans that are both secure and cost-efficient.
