Having diabetes and smoking does not automatically make you uninsurable. It can make life insurance more expensive and the application process more complicated, but several coverage options may still be available. The key is knowing what insurers look for and comparing quotes instead of assuming you will be declined.
Can Smokers With Diabetes Get Life Insurance?
Yes. People who smoke and have diabetes can qualify for life insurance, although approval and pricing depend heavily on their individual health profile.
Diabetes is a significant health issue in the United States. The CDC estimates that 40.1 million Americans had diagnosed or undiagnosed diabetes in 2023, representing about 12% of the population. Smoking remains another major underwriting concern. The CDC reported that approximately 28.8 million U.S. adults were current cigarette smokers in 2022, equal to 11.6% of adults.
When both conditions are present, insurers generally look more closely at the applicant's overall risk.
What Do Life Insurance Companies Consider?
Your diabetes diagnosis alone does not tell an insurer everything it needs to know. Underwriters may consider:
- Whether you have Type 1 or Type 2 diabetes
- Your A1C and blood glucose control
- Your age when diabetes was diagnosed
- Medications and treatment
- Diabetes-related complications
- Blood pressure and cholesterol
- Kidney, heart, and cardiovascular health
- How much and how often you smoke
- Whether you use cigarettes, cigars, vaping products, or other tobacco
- Your height, weight, and overall medical history
Good diabetes management can work in your favor. Likewise, quitting tobacco may eventually improve your eligibility for better rates, although insurers have different rules for determining when someone qualifies as a nonsmoker.
What Life Insurance Options Are Available?
Traditional term life insurance can provide substantial protection for a specified period and may be appropriate for protecting a mortgage, replacing income, or supporting children and other dependents.
No-exam or simplified-issue life insurance can be attractive if you want a faster application without a traditional medical examination. However, coverage amounts, eligibility, and premiums vary by insurer.
Guaranteed-acceptance life insurance may be another option for applicants with significant health or tobacco-related concerns. These policies generally ask fewer health questions and may not require an exam, but they often have lower coverage limits and may include a graded death benefit.
Permanent life insurance can provide lifetime coverage and, depending on the policy, accumulate cash value.
A Realistic Example
Consider a 50-year-old who smokes cigarettes and has Type 2 diabetes controlled with medication. His A1C is reasonably stable, he has no significant kidney complications, and his overall health is good. One insurer might offer coverage at a higher smoker rate, while another could offer a more competitive policy based on its underwriting guidelines.
That is why shopping around matters.
Life insurance can provide valuable financial protection for your spouse, children, mortgage, final expenses, and other obligations—even when you have health conditions that make coverage more difficult.
Don't assume that smoking and diabetes mean you cannot qualify. Request a free life insurance quote today and compare available options based on your age, health, tobacco use, coverage needs, and budget.