Insurancy

Life Insurance With Epilepsy - Rates and Approval Guide

You can qualify for life insurance with epilepsy, and you will not be automatically declined. Underwriters price epilepsy on four factors: the type of seizures, how frequent and recent they are, whether the cause is idiopathic or symptomatic of another condition, and how consistently you follow your treatment plan. Applicants who have been seizure-free for two or more years on stable medication can approach Standard rates, while recent or frequent seizures lead to table ratings, and simplified or guaranteed issue policies backstop the harder cases.

Life Insurance With Epilepsy - Rates and Approval Guide
Brian Greenberg

Written by Brian Greenberg

CEO / Founder & Licensed Insurance Agent

Lisa A Koosis

Reviewed by Lisa A Koosis

Medical Claims Specialist

Last updated: July 2026 | 7 min read

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Life insurance with epilepsy at a glance

  • An epilepsy diagnosis does not lead to an automatic life insurance decline at any major carrier.
  • Rates are driven by seizure type, frequency, recency, cause, and documented treatment compliance.
  • Two or more years seizure-free on stable medication supports offers at or near Standard rates at many insurers.
  • Recent, frequent, or uncontrolled seizures typically produce table-rated offers, where each table adds roughly 25 percent to a Standard premium.
  • Skipping medication or missing neurologist follow-ups hurts an application as much as the seizures themselves.
  • Simplified issue and guaranteed issue policies remain available when fully underwritten offers are rated heavily or postponed.

Quick answer

You can qualify for life insurance with epilepsy, and you will not be automatically declined. Underwriters price epilepsy on the type of seizures, how frequent and recent they are, whether the epilepsy is idiopathic or caused by another condition, and how consistently you follow your treatment plan. Applicants seizure-free for two or more years on stable medication can approach Standard rates at many carriers, while recent or frequent seizures lead to table-rated offers. Simplified issue and guaranteed issue policies provide a fallback when traditional underwriting is not favorable.

How Does Epilepsy Affect Life Insurance Rates

If you have epilepsy, you may worry that you won’t be able to apply for life insurance coverage or if you are granted coverage, it will be restrictively expensive. Maybe you’ve found yourself putting off the search for a life insurance plan completely because it’s overwhelming and stressful to sift through all of the information. However, it may be helpful to consider the fact that epilepsy is far from an uncommon condition. In fact, the National Institute of Health reports that about 3 million Americans carry an epilepsy diagnosis, which translates into a statistic of 1 in every 26 people. With epilepsy being the 4th most prevalent neurological disorder, it shouldn’t surprise you to learn that many people with this condition apply for and receive access to life insurance every day.

Depending on the severity and frequency of the episodes, you may be able to qualify for a Standard rating depending on the life insurance company’s underwriting guidelines about epilepsy.

While your hesitation may be justified, your fears may also be completely unfounded. Depending on the severity of your condition as well as your personal habits and overall medical history, you may be able to access a more affordable plan than you expected.

Best Life Insurance Companies For Epilepsy

Type Of PolicyUnderwriting Standards
Fully Underwritten (requires medical exam) Standard rating is best possible option. Subject to medical exam review for final determination.
Simplified IssueDecline if convulsions within the last 12 months
No Exam Term Life InsuranceStandard rating is best possible option. Subject to medical record review for final determination.
Simplified IssueControlled on meds, no seizures for 2 years, no complications - Accept
Guaranteed IssueAccept - Age 50-85 with $25,000 max
Guaranteed IssueAccept - Age 50-80 with $25,000 max

Don’t Hesitate To Start the Process

The more you delay applying for life insurance, the more likely your age will cause your premium to increase; therefore, it’s important to start thinking about getting a plan early. Just having a working knowledge of what insurance companies require and how they deal with cases of epilepsy will help you better navigate and advocate for yourself when you’re looking for the best plan. When you know what insurers are looking for, you can also make slight adjustments in your own life, like committing to an exercise regimen or organizing your medical documents, to make the process simpler and easier for everyone.

Here’s a comprehensive guide to the ins-and-outs of epilepsy and life insurance.

How Insurance Companies Understand Epilepsy

Epilepsy, or seizure disorder, is something of an umbrella term for a condition that varies drastically from person to person. The way that people experience seizures as well as how they take care of themselves between seizures depends on a variety of factors and makes everyone’s experience a little bit different.

What does this mean for life insurance providers? In order to offer you an appropriate plan, your life insurer needs to assess the way that epilepsy manifests in your life. For example, a person who has occasional seizures but has managed them with medication and maintains a health care routine as prescribed by a doctor is going to pose a different level of risk than someone who has frequent seizures or comorbidity (or more than one condition at a time.)

In general, you’ll be able to talk extensively with an underwriter in order to create a more holistic understanding of your condition. Before you sit down with this person, it’s a good idea to get a sense of the questions they will ask and why.

Process of Diagnosis and Treatment Plan

The first thing your underwriter is going to want to know is the medical trajectory of your epilepsy: What was the date of your first seizure? Have you since been formally diagnosed? How long ago was the diagnosis? Was there a specific treatment plan?

Any information that you can provide about these early interactions with a doctor are crucial to beginning the conversation about your epilepsy.

The Type of Seizure

Much of the time, life insurance professionals looks to healthcare field to gather information on conditions like epilepsy. From what they’ve gathered, there are a few distinct types of seizure disorder that may come with different life insurance plans.

While you may be well-versed in your particular diagnosis, it’s also helpful to learn more about other types when you’re going through an application for life insurance:

Petit Mal or Absent Seizures: This very rare type of seizure is characterized by 15 or so seconds of abnormal brain activity. There are generally no warning signs, and looks like a brief moment of non-responsiveness, like daydreaming

Focal Onset Aware Seizures (previously called Simple Partial): This seizure occurs only on one side of the brain in which the person remains conscious, and lasts about 1 or 2 minutes.

Focal Onset Impaired Awareness Seizures (previously called Complex Partial): As the name implies, this type of seizure is similar to the previous one but without the same level of functioning and awareness. They usually last mere seconds to up to 2 minutes.

Gran Mal or Tonic-Clonic Seizures: Significantly more physical than other forms of seizure, this one consists of a phase of full-body muscle tightening and loss of consciousness followed by spasms. The entire seizure may last for 3 to 4 minutes. Note: When laypeople think of epilepsy, this is generally what they imagine. So, it’s important to be able to inform your provider exactly what your seizures look like.

To an insurance company, these differences can be influential in assessing risk. The difference in length of the the seizure, impact on motor functioning, and level of consciousness during and after are all important indicators of Within each of these categories, there is a great deal of variety in functioning. Some people may also experience more than one within a given time period, with one type preceding another. And because of these differences in individual cases, it’s very important to be honest about how seizures manifest in your life.

A few other questions that may come up are the amount of seizures you typically have per year and whether you’ve had any seizures lasting more than thirty minutes.

Idiopathic or Symptomatic

Another key distinction that is important for an underwriter to know is whether your seizures are idiopathic (without a known cause) or symptomatic (due to an identified stressor or substance.) The difference is influential because when seizures are predictable, they may come with a lower risk.

Follow Through of Treatment Plan

In terms of impact on your life insurance plan, the steps that you’ve taken since your diagnosis is probably the most important piece of information. That’s because your life insurance provider wants to know that you’ve taken all available steps to manage your seizures, the most fundamental being keeping up with your doctor’s appointments and following through with your treatment plan.

If your doctor has prescribed medication, you may have a better chance at getting a good life insurance plan if you can prove that you haven’t had any trouble with taking the medication. It is much better to have a more intensive treatment plan that you have followed diligently than a lighter plan that you haven’t followed.

Other Medical History

In addition to your diagnosis for epilepsy, your underwriter will also be interested in the other areas of your medical history. If you exercise regularly while paying attention to nutrition and manage your overall stress or mental well-being, you’re going to have access to a better insurance plan.

Alternatives To Getting An Underwritten Policy

At this point you may be thinking about your own case and worrying that an underwritten policy may not be right for you. Maybe you’ve had a few years that made it difficult to follow your treatment plan, or maybe your seizures are frequent and unpredictable. That doesn’t mean that you have to give up the search for the right life insurance plan. Here are a few options that you can explore:

  • Life Insurance Without an Exam: With this type of policy, you’ll be asked to disclose your medical history but you won’t be required to take an exam. This is a good option for anyone who hasn’t had a seizure in a significant amount of time, about ten years or so, and are otherwise in good health. That said, sometimes these plans can be a bit pricier, although there are more competitive options available all the time.
  • Guaranteed Issue Policy: This is really a last result for people who have been rejected from other plans. Unfortunately, you may only be eligible for coverage of anywhere between $5,000 and $30,000 which is about enough to cover funeral expenses. If you’ve been denied coverage, it’s important to look into these kinds of plans quickly, as some will only offer partial coverage until multiple years into the plan.

Don’t Hesitate To Take The Next Steps

Regardless of the severity of your epilepsy, you deserve to have access to a quality life insurance plan. While this guide was meant to help you understand a little bit more about what kind of coverage you can get and the role that your medical history will play in your options, it’s always best to gather all of the information you can and talk to a provider.

And, always, don’t be afraid to advocate for yourself. By asking questions and knowing the ins-and-outs of your particular case, you can find the life insurance plan that is perfect for you.

Additional Resources:

http://www.hopkinsmedicine.org/neurology_neurosurgery/centers_clinics/epilepsy/seizures/types/tonic-clonic-grand-mal-seizures.html

https://www.epilepsy.com/learn/types-seizures/focal-onset-aware-seizures-aka-simple-partial-seizures

Let Us Help Find You The Best Policy

Let an agent shop for you to find the policy you need, even with a history of epilepsy. We have contacts with underwriters from multiple insurance companies and can send private inquiries to find the best policy. This is a specialized process and an Agent needs to assist you.

Frequently asked questions

Can you get life insurance if you have epilepsy?+

Yes. Epilepsy is a well-understood condition in life insurance underwriting, and a diagnosis does not trigger an automatic decline. Insurers evaluate the seizure type, frequency, time since the last seizure, the underlying cause, and treatment compliance. Well-controlled cases receive offers at or near Standard rates; less-controlled cases receive table-rated offers; and only severe, uncontrolled epilepsy with recent frequent seizures typically gets postponed.

How do insurers decide life insurance rates for epilepsy?+

Four factors dominate: seizure type (absence and focal seizures are generally viewed as lower risk than generalized tonic-clonic seizures), seizure frequency and recency (the longer since the last event, the better), etiology (idiopathic epilepsy prices better than seizures symptomatic of a brain injury or tumor), and treatment compliance (consistent medication and neurologist follow-ups documented in your records). The best combination, years seizure-free on stable treatment, can price at or near Standard.

How long do you need to be seizure-free to get good life insurance rates?+

As a general guide, applicants seizure-free for 2 or more years on stable medication qualify for the most favorable epilepsy offers, often Standard or one table above. Seizure-free periods of 6 to 24 months typically support mild-to-moderate table ratings. Seizures within the past 6 months frequently lead to a postponement until more stability is documented. Exact thresholds vary by carrier, which is why shopping multiple insurers matters.

What epilepsy details will a life insurance underwriter ask about?+

Expect questions about the date of diagnosis, seizure type and frequency, the date of your last seizure, current medications and any recent changes, EEG and imaging results, whether a cause was identified, driving restrictions, hospitalizations, and your neurologist's information for an attending physician statement. Complete, consistent records shorten underwriting; gaps in follow-up care are read as uncontrolled risk.

Does medication compliance really affect epilepsy life insurance offers?+

Yes, heavily. Two applicants with identical seizure histories can receive different offers purely on compliance evidence: one who fills prescriptions on time and keeps neurologist appointments demonstrates a managed condition, while one with lapsed refills and missed follow-ups looks like an unmanaged risk. Underwriters see prescription fill history through pharmacy databases, so compliance is verifiable, not just self-reported.

Can you get no-exam life insurance with epilepsy?+

Often yes. Accelerated underwriting programs will consider epilepsy applicants, especially those with long seizure-free intervals, though complex cases may be referred to full underwriting. Simplified issue policies with limited health questions accept many epilepsy histories outright. Both channels still check prescription databases, so the condition will be part of the decision even without an exam.

When would an epilepsy applicant be declined or postponed?+

Postponements and declines cluster around recent uncontrolled seizures (multiple events in the past 6 to 12 months), a new diagnosis still being stabilized, seizures symptomatic of a serious underlying condition such as a brain tumor, and documented non-compliance with treatment. Even then, a postponement is temporary, and guaranteed issue coverage, which asks no health questions, remains available within its age and face-amount limits.

What is the best policy type for someone with epilepsy?+

For well-controlled epilepsy, fully underwritten term life insurance delivers the most coverage per dollar, and permanent options like guaranteed universal life work for lifetime needs. For applicants still stabilizing or with frequent seizures, a simplified issue policy provides real coverage quickly, and a guaranteed issue policy (typically up to $25,000 with a 2-year graded benefit) guarantees acceptance. Many shoppers take the available policy now and upgrade after two seizure-free years.

Will a childhood epilepsy diagnosis affect life insurance as an adult?+

Usually very little if the epilepsy resolved. Adults who outgrew childhood epilepsy and have been seizure-free without medication for many years are commonly treated as standard applicants, sometimes with a brief questionnaire about the history. Underwriters focus on the recent decade of evidence, so a long symptom-free adult record effectively neutralizes the childhood diagnosis at most carriers.

Should epilepsy applicants use an independent broker?+

It helps meaningfully. Carrier appetite for seizure disorders varies more than most shoppers expect: the same seizure-free-18-months applicant might see Standard at one insurer and Table 4 at another. An independent broker who places impaired-risk cases can pre-shop your history anonymously with multiple underwriting desks before a formal application, protecting you from a decline on your record and usually landing a full health class better than a blind application.

About the authors

Brian Greenberg

Written by

Brian GreenbergCEO / Founder & Licensed Insurance Agent

Brian is the founder and CEO of Insurancy and carries Life, Health, and Property & Casualty licenses in all 50 U.S. states. Since 2013, Brian has been a member of Million Dollar Round Table, a designation for the top 1% of financial advisors worldwide. Brian has been featured in Yahoo! Finance, Money.com, Entrepreneur.com, Life Happens, Forbes, MSN, and Good Financial Cents. Brian’s goal is to show customers the best products, the quickest answers to their questions, and provide expert advice.

Lisa A Koosis

Reviewed by

Lisa A KoosisMedical Claims Specialist

Lisa worked as a medical claims specialist for five years, adjudicating claims, developing appeals training programs and liaising with insurance auditors. As a full-time freelancer, she now completes work that includes writing and fact-checking life and health insurance content for a variety of online publications.

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