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Life Insurance

What happens during a life insurance medical exam?

Truscott Team
June 26, 2026
5 min read

Most traditional life insurance policies require a medical exam before coverage is approved. The exam helps the insurer assess your health, set your risk classification, and determine your premium. Understanding what is involved—and how to prepare—can make the process smoother and help you get the best possible rate.

What the exam includes

A life insurance medical exam is typically conducted by a licensed paramedical professional at your home, office, or a local exam center. The appointment usually takes 20 to 30 minutes and covers several components:

  • Vital signs: Height, weight, blood pressure, and pulse rate.
  • Blood draw: Tests for cholesterol, blood glucose, liver and kidney function, and certain diseases including HIV.
  • Urine sample: Screens for protein, glucose, nicotine, and drug use.
  • Health questionnaire: Questions about your personal and family medical history, medications, surgeries, and lifestyle habits like smoking and alcohol use.
  • EKG (sometimes): For larger coverage amounts or older applicants, a resting electrocardiogram may be required.

How the results affect your policy

Insurers use exam results to place you in a risk category—commonly Preferred Plus, Preferred, Standard Plus, or Standard. The better your health profile, the lower your premium. Elevated blood pressure, high cholesterol, or a high body mass index can move you into a higher-cost category. Serious findings may result in a rated policy, a policy exclusion, or in some cases a decline. If you are declined, other options like simplified issue or guaranteed issue policies may still be available.

How to prepare for the exam

A few simple steps in the days before the exam can improve your results. Avoid alcohol for at least 24 hours beforehand, and fast for 8 to 12 hours if your exam is in the morning. Drink plenty of water so the blood draw and urine sample go smoothly. Skip heavy exercise the day before, as it can temporarily elevate certain lab values. Get a full night of sleep, and schedule the exam in the morning when blood pressure readings tend to be lowest. Bring a list of your current medications and dosages.

Can you skip the exam?

Yes, but there are trade-offs. No-exam policies—also called simplified issue or accelerated underwriting—skip the physical exam but typically offer lower coverage limits, higher premiums, or both. Some carriers use data sources like prescription history and motor vehicle records in place of an exam. For healthy applicants seeking large coverage amounts, completing the medical exam usually leads to better rates than skipping it.

What Truscott recommends

The medical exam is one of the most important factors in determining what you pay for life insurance, and preparing for it correctly can make a real difference. A Truscott coverage review helps you understand which carriers offer the best rates for your health profile—whether you take the exam or prefer a no-exam option. Reach out before you apply so we can point you in the right direction.

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