If you have HIV — a virus that attacks the body’s immune system and which, when untreated, can lead to acquired immunodeficiency syndrome, or AIDS — [1] it’s possible to get life insurance coverage. However, because insurers consider having HIV a high insurance risk, you can expect to pay some of the highest rates on the market.
While several major life insurance companies don’t offer traditional life insurance coverage to people with HIV, you still have coverage options. You could get a smaller policy through your employer, or apply for a policy that doesn’t have medical requirements for approval, such as final expense or guaranteed issue life insurance. Working with an independent broker can help you compare options from multiple insurers.
How does HIV affect life insurance eligibility?
When you apply for a life insurance policy, the insurer evaluates your age, gender, health, and other lifestyle factors to determine how risky you are to insure — a process called underwriting.
Though you can live a long life with an HIV diagnosis, insurance companies are generally cautious about the long-term health of people with HIV, since it’s a virus that attacks the body’s immune system. People living with HIV can be at greater risk for other health conditions, including heart disease, kidney disease, or diabetes. Without treatment, HIV can also progress into AIDS. [2]
While a few life insurance companies offer policies to HIV-positive applicants, they usually won’t offer you a policy until at least one year after your initial HIV diagnosis, and will want to see at least six months of stable health and treatment before extending you coverage.
You’ll likely have to fill out additional paperwork with details of your treatment when you apply. If you’re living with HIV, insurers will want to know more details about your condition and health profile, such as:
How long it’s been since your first diagnosis.
If you’re following antiretroviral therapy (ART) and for how long. Doing so will increase your approval odds.
What your viral load is — if it’s been undetectable for over a year, this will also increase your chances to get coverage.
Your CD4 cell count, which is used to understand the progression of HIV — [3] higher is better, as it can be proof of a healthier immune system. Some companies will want to see a CD4 cell count of 499 or higher in order to consider you for traditional life insurance coverage.
If you have any additional chronic conditions.
If you’re taking any additional medications.
Maintaining a healthy lifestyle, avoiding smoking or risky habits, and following any treatment plan prescribed by your doctor can also help you get approved at an affordable rate.
Stricter insurers will deny coverage unless you can show five years of stable health history and meet additional health and testing criteria.
What types of life insurance are available to people with HIV?
Term life insurance
Term life insurance is the best option for people looking to protect their income and provide their family a financial safety net to cover any debts, such as a mortgage or a child’s education. Term life is cheap and doesn’t come with any complex tax restrictions or regulations.
Traditional term life insurance policies can be difficult to qualify for if you’re living with HIV, but some insurance companies have more flexible guidelines than others. You’ll also pay more for coverage than someone without the health condition if you’re approved.
If you aren’t sure whether you’ll qualify for term life insurance with a health condition, working with an independent broker can help you compare options from top insurers in one place.
Guaranteed issue life insurance
Guaranteed issue whole life insurance is a type of final expense insurance policy that doesn’t expire, offers smaller coverage amounts — usually up to $25,000 — and doesn’t require a medical exam to apply. Guaranteed issue life insurance is best for people seeking a small death benefit to help cover any final expenses, such as the cost of a funeral.
Guaranteed issue life insurance policies are a good option for people who may not qualify for traditional life insurance due to health reasons. Coverage is also generally restricted to people age 45 or older. Still, acceptance is nearly guaranteed, so it may be your best option if you’re over 45 and can’t find a policy elsewhere.
Group life insurance
If you’re too young to qualify for a final expense policy and need coverage now, see if your employer offers group life insurance. You can typically get group life insurance regardless of health status, and your employer may even cover some or all of your premiums.
Most group life insurance plans have a coverage amount limit — usually around $50,000 or two times your salary — and you can rarely take your plan with you if you lose or change your job. Regardless, group life is an affordable option while you wait to qualify for a more robust policy or a final expense plan.
While guaranteed issue and group life insurance may not offer as much life insurance as you need, having some coverage is better than none. As insurers continue to adjust their underwriting guidelines, you may qualify for a traditional policy in time.
Best life insurance companies for people living with HIV
Methodology
Why you can trust our picks
Our recommendations are based on internal and external expert analysis, as well as our Policygenius Life Insurance Price Index, which uses real-time data from leading life insurance companies to determine pricing trends. When reviewing a life insurance company, our editorial team uses a proprietary scoring rubric with five factors — price, policy details, financial strength, transparency, and customer experience — to assign an unbiased rating between one and five stars. These ratings are also taken into consideration as part of our company recommendations. We don’t get paid for our reviews.
Our reviews and recommendations can help you find a reliable insurer for your family’s financial protection, but the best life insurance company for you depends on multiple factors. A licensed agent at Policygenius can support you during the application process to ensure you get the right coverage for your circumstances at the most competitive price.
Best term life insurance for people with HIV: Pacific Life
2024 Policygenius award winner
Pacific Life
4.8
All 50 states
No-medical-exam option
Why we chose it
Pacific Life offers some of the lowest rates for term life insurance across age brackets. It also has the most competitive rates for many health conditions and builds.
Pros and cons
Pros
Extremely affordable across age brackets
Affordable guaranteed universal life insurance option for people who need lifetime coverage
Favorable underwriting for many health conditions
Cons
Traditional term life not available in NY
There are better carriers for active duty military, people who have a history of alcohol abuse, and people who have been through bankruptcy
While other insurance companies may not consider people living with HIV for term life insurance policies, Pacific Life offers more flexible guidelines. It can help your approval odds if:
You’ve seen a physician and have been on antiretroviral treatment for over one year.
You’ve had an undetectable viral load for over one year.
You’re negative for Hepatitis B.
Hepatitis C is in sustained viral remission.
Your CD4 cell count is greater than 499 cells/microliter.
Runner-up: Prudential
2024 Policygenius award winner
Prudential
4.1
No-medical-exam option
Why we chose it
With nearly four million policyholders and 150 years to its name, Prudential offers competitive coverage options for seniors, as well as people with some of the most common medical conditions, including asthma, depression, and fibromyalgia.
Pros and cons
Pros
Good for people over 60
More flexible income requirements than some other insurers
Considers applicants with a variety of immigration statuses (visas and green cards)
Cons
Younger applicants will likely find better prices elsewhere
Prudential will also consider term life insurance applications from people who are HIV positive, though you’ll pay more in premiums than you would with Pacific Life. Prudential could be a good option if you’ve received treatment and you are:
Between age 30 and 60
Seeking a 10-year or 15-year term life insurance policy
Runner-up: Lincoln Financial
2024 Policygenius award winner
Lincoln Financial
4.8
No-medical-exam option
Why we chose it
Lincoln Financial offers a diverse array of life insurance policies, including competitive no-med and high-net-worth options.
Pros and cons
Pros
Affordable rates
Good for many existing health conditions, including depression, stroke, and heart conditions
Good for marijuana users, including daily users
Cons
Term life not available in New York
Lincoln Financial can be a good term life insurance option if you:
Are between age 30 and 60
Have had an undetectable viral load for over one year
Are looking for a coverage amount of up to $2 million
Lincoln Financial will request an attending physician statement (APS) to get a comprehensive understanding of your health and will want to see your current and historic CD4 T-cell counts in order to get a clear picture of your condition.
Best guaranteed issue life insurance: Mutual of Omaha
Mutual of Omaha
4.5
No-medical-exam option
Why we chose it
Mutual of Omaha is a reputable company that offers a variety of life insurance products — including a no-medical-exam option — so that you can select the type of life insurance that best suits your needs.
Pros and cons
Pros
No-medical-exam options for older applicants
Strong financial and customer ratings
Cons
Policies are more expensive than average
Slow turnaround time
Mutual of Omaha offers final expense insurance options, including guaranteed issue life insurance, at lower rates than other insurers. You can apply for up to $25,000 in coverage without a medical exam. Similar to other guaranteed issue policy options, this policy is available to people age 45 and over.
Comparing the best life insurance companies for people with HIV
Insurer | Policygenius rating | Best for | AM Best | |
4.8/5 ★ | Term life | A+ | ||
4.8/5 ★ | Term life | A | ||
4.5/5 ★ | Guaranteed issue | A+ | ||
4.1/5 ★ | Term life | A+ |
How to apply for life insurance if you’ve been diagnosed with HIV
Compare quotes. It’s important to shop the market for life insurance in general, and especially for people who are living with a health condition like HIV. Working with an independent broker like Policygenius can help you get life insurance quotes from multiple insurers and compare options to find out which type of policy will be best for you.
Fill out your application with a licensed agent. A Policygenius expert will ask you questions about your health history and treatment plan, and help you fill out your application details. It’ll be helpful for you to disclose any other health conditions or medications you’re managing during your initial call. Depending on the insurer you’re applying with, you may have to fill out an additional form providing specific details about your HIV history — if this is your case, your agent will let you know and send you the form. If you’re applying for a guaranteed issue policy, you won’t need to provide as many health details.
Schedule a medical exam. Most people applying for traditional life insurance will need to take a medical exam. The exam is similar to a routine doctor’s visit and paid for by the insurance company. If you’re applying for a guaranteed issue policy, you won’t need to take an exam.
The insurance company will review your application. During underwriting, the insurance company may request additional information to determine if they’re able to offer you coverage. Underwriting can take five to six weeks on average for a traditional life policy, but it’s much quicker for guaranteed issue policies.
Sign your policy. Once the insurance company comes back with a decision, you’re able to sign your policy documents and pay your first premium to activate coverage.
Can your life insurance be canceled if you’re diagnosed with HIV?
No, if you’re diagnosed with HIV after you have an active life insurance policy, you get to keep your insurance. Your policy can’t be canceled as long as you continue to pay the premiums (barring any instances of insurance fraud).
Other health concerns that can affect your life insurance
Certain pre-existing conditions and other health-related concerns can affect your life insurance options or costs. A Policygenius expert can help you find the right policy for your needs.
Mental health issues such as depression or anxiety
