🎯 Bottom Line Up Front
From a life insurance underwriting perspective, bipolar disorder represents moderate to high risk depending on multiple factors. The condition’s association with impaired judgment during manic episodes, suicide risk during depressive episodes, and potential for functional impairment creates significant actuarial concerns. However, many individuals with bipolar disorder achieve excellent stability with proper treatment, maintain successful careers, and live full lives.
This guide explains how insurance companies evaluate bipolar disorder, what documentation is essential for approval, which factors most significantly impact rates, and strategies to secure the best possible coverage despite this diagnosis.
U.S. adults with bipolar disorder annually
Possible rating for very stable cases
Optimal stability period before applying
Lifetime suicide attempt rate
Understanding How Insurers Evaluate Bipolar Disorder
Key insight: Life insurance underwriters focus primarily on stability, treatment adherence, functional capacity, and suicide risk rather than the diagnosis itself.
Bipolar disorder underwriting is complex because the condition encompasses a wide spectrum from well-controlled, highly functional individuals to those with severe, treatment-resistant illness. Insurers must assess both current stability and likelihood of future episodes.
Key Underwriting Considerations
When evaluating bipolar disorder applications, underwriters systematically analyze multiple risk factors:
- Stability duration: Length of time since last manic, hypomanic, or major depressive episode
- Episode severity and frequency: How often episodes occur and how severe they are when they happen
- Hospitalization history: Psychiatric admissions, length of stays, circumstances
- Suicide risk: Past attempts, current ideation, self-harm history, protective factors
- Treatment compliance: Consistent medication adherence and therapy attendance
- Medication effectiveness: Current regimen achieving symptom control
- Functional capacity: Employment stability, relationships, independent living
- Substance use: Alcohol or drug abuse often complicating bipolar disorder
- Psychotic features: Presence of delusions or hallucinations during episodes
- Rapid cycling: Four or more mood episodes per year indicating more severe disease
- Comorbid conditions: Anxiety disorders, personality disorders, medical conditions
Favorable Underwriting Profile
- Bipolar II (less severe)
- 5+ years stable, no episodes
- No hospitalizations in 5+ years
- Consistent medication compliance
- Stable employment full-time
- No suicide attempts ever
- No substance abuse
- Regular psychiatric follow-up
Expected Outcome: Standard to Table 4
Moderate Underwriting Profile
- Bipolar I or II
- 2-4 years stable
- Remote hospitalization (3-5 years ago)
- Good medication compliance
- Working regularly
- No recent suicide attempts (5+ years)
- Controlled substance use history
- Mild functional impairment
Expected Outcome: Table 4-8
Unfavorable Underwriting Profile
- Recent episodes (within 2 years)
- Recent hospitalization
- Medication non-compliance
- Suicide attempt within 5 years
- Active substance abuse
- Unemployed/disabled due to illness
- Rapid cycling pattern
- Psychotic features
Expected Outcome: Postponement or decline
Professional Insight
“Bipolar disorder underwriting is highly individualized and depends more on functional stability than the diagnosis itself. We’ve successfully placed clients with Bipolar I at standard rates when they demonstrated 7-10 years of complete stability with maintained employment and no hospitalizations. Conversely, even Bipolar II cases with recent episodes or medication changes typically face postponement. The key conversation we have with clients is about timing—applying too soon after diagnosis or a recent episode almost guarantees postponement, while patience to demonstrate sustained stability can mean the difference between decline and standard rates.”
– InsuranceBrokers USA – Management Team
For more insights on how various medical conditions affect coverage decisions, see our comprehensive guide on Life Insurance Approvals with Pre-Existing Medical Conditions.
Bipolar I vs. Bipolar II: Critical Underwriting Differences
Key insight: While both types of bipolar disorder can be insurable, Bipolar II generally receives more favorable underwriting than Bipolar I due to less severe manic episodes and lower hospitalization rates.
The distinction between Bipolar I and Bipolar II significantly influences how underwriters assess risk and assign rate classifications.
Bipolar I Disorder
Bipolar I Characteristics and Underwriting
Clinical Features:
- Defined by at least one manic episode lasting 7+ days or requiring hospitalization
- Manic episodes involve elevated or irritable mood, increased energy, decreased need for sleep
- Severe impairment in social or occupational functioning during episodes
- May include psychotic features (delusions, hallucinations) during severe mania
- Usually also involves major depressive episodes, though not required for diagnosis
- Higher rate of psychiatric hospitalization compared to Bipolar II
- Greater risk of dangerous behavior during manic episodes (spending sprees, risky sexual behavior, substance use)
Underwriting Implications:
- Generally viewed as more severe than Bipolar II
- Requires longer stability period (typically 3-5 years minimum)
- Hospitalization history scrutinized carefully
- Best case scenario: Table 2-6 with excellent long-term stability
- Typical scenario: Table 4-10 depending on stability and functional capacity
- Recent episode or hospitalization: Postponement for 2-5 years
- Psychotic features or rapid cycling: Often uninsurable or very high ratings
Critical Success Factors:
- Minimum 3-5 years without manic episodes
- No hospitalizations in past 5 years
- Consistent medication adherence (mood stabilizers, antipsychotics)
- Regular psychiatric care with documented stability
- Maintained full-time employment or equivalent functioning
- No substance abuse
- Strong social support system
Bipolar II Disorder
Bipolar II Characteristics and Underwriting
Clinical Features:
- Defined by at least one hypomanic episode and one major depressive episode
- Hypomania is less severe than full mania—elevated mood and increased energy but not severe enough to cause marked impairment or require hospitalization
- Depressive episodes may be more prolonged and severe than in Bipolar I
- No full manic episodes or psychotic features (by definition)
- Lower hospitalization rates than Bipolar I
- Individuals often maintain better functioning between episodes
- May be underdiagnosed as depression if hypomanic episodes not recognized
Underwriting Implications:
- Generally viewed more favorably than Bipolar I
- May qualify for standard rates with excellent long-term stability (5+ years)
- Shorter required stability period (2-4 years often acceptable)
- Best case scenario: Standard to Table 2 with 5+ years stability
- Typical scenario: Table 2-6 depending on stability and episode frequency
- Recent episode: Postponement for 12-24 months
- Rapid cycling or treatment resistance: Table 6-10 or postponement
Critical Success Factors:
- Minimum 2-3 years without hypomanic or depressive episodes
- No psychiatric hospitalizations (or very remote)
- Effective medication regimen (mood stabilizers, sometimes antidepressants)
- Regular therapy and psychiatric monitoring
- Stable employment and social functioning
- No suicide attempts
- Early diagnosis and consistent treatment
Comparative Underwriting Table
| Factor | Bipolar I | Bipolar II |
|---|---|---|
| Episode Severity | Full mania (severe) | Hypomania (moderate) |
| Hospitalization Rate | Higher | Lower |
| Psychotic Features | May occur | Not part of diagnosis |
| Functional Impairment | Often severe during episodes | Generally less severe |
| Best Possible Rate | Table 2-4 (rare) | Standard to Table 2 |
| Typical Rate (stable) | Table 4-8 | Table 2-6 |
| Required Stability Period | 3-5 years | 2-4 years |
| Suicide Risk | High (especially mixed episodes) | High (especially depressive episodes) |
⚠️ Important Note on Suicide Risk
Despite Bipolar II being less severe in terms of mania, the suicide risk is comparable to or potentially higher than Bipolar I due to the severity and duration of depressive episodes. Underwriters carefully evaluate suicide attempt history and current risk factors regardless of bipolar type. Any suicide attempt within the past 5-10 years significantly impacts insurability across both types.
Stability Factors and Their Impact on Rates
Key insight: The length and quality of stability period is the single most important factor in bipolar disorder underwriting—longer stability with maintained functioning dramatically improves approval chances and rate classifications.
Stability is not simply the absence of hospitalization—it encompasses mood episode frequency, medication compliance, functional capacity, and overall life stability.
Defining Stability for Underwriting Purposes
Underwriters evaluate multiple dimensions of stability:
| Stability Dimension | What Underwriters Look For | Documentation Needed |
|---|---|---|
| Mood Episode Frequency | No manic, hypomanic, or major depressive episodes for extended period | Psychiatric notes documenting euthymic (stable) mood over time |
| Medication Adherence | Consistent taking of prescribed medications without interruption | Prescription refill records, provider notes on compliance |
| Treatment Engagement | Regular psychiatric and therapy appointments as recommended | Attendance records, session notes from providers |
| Functional Stability | Maintained employment, relationships, living situation | Employment records, provider assessment of functioning |
| Absence of Crisis | No ER visits, hospitalizations, suicide attempts | Hospital records, crisis intervention documentation |
| Substance Abstinence | No alcohol or drug abuse complicating bipolar management | Treatment notes, toxicology if relevant, substance abuse treatment records |
Stability Duration and Rate Classifications
The length of documented stability directly correlates with underwriting outcomes:
Less Than 2 Years Stable
Underwriting Outcome:
- Typically postponed for traditional coverage
- Too soon to establish pattern of stability
- High risk of near-term relapse
- Consider guaranteed issue products only
Action: Wait to apply; focus on maintaining stability
2-3 Years Stable
Underwriting Outcome:
- May qualify for Table 4-8 with Bipolar II
- Bipolar I typically still postponed or Table 8-10
- Requires excellent documentation
- Functional capacity heavily weighted
Best For: Bipolar II with very good stability markers
3-5 Years Stable
Underwriting Outcome:
- Bipolar II: Standard to Table 4 possible
- Bipolar I: Table 4-8 typical
- Strong consideration from multiple carriers
- Functional capacity and employment critical
Best For: Most applicants seeking traditional coverage
5+ Years Stable
Underwriting Outcome:
- Bipolar II: Standard rates possible
- Bipolar I: Table 2-6 achievable
- Long track record provides confidence
- Optimal outcomes with all other factors favorable
Best For: Applicants with excellent long-term stability
Employment and Functional Capacity
Work history serves as an objective measure of functional stability and is heavily weighted in underwriting decisions:
✓ Favorable Employment Patterns
- Full-time employment maintained: Consistent work history at same or similar positions
- Career progression: Promotions, increased responsibilities demonstrate high functioning
- Minimal absences: No extended medical leaves or disability claims for mental health
- Professional achievement: Advanced degrees, certifications, or professional recognition
- Self-employment success: If self-employed, demonstrated business stability and income
- Military or public service: Ability to maintain security clearances or meet performance standards
⚠️ Employment Red Flags
- Disability status: Currently on disability for bipolar disorder indicates poor functional capacity
- Frequent job changes: Multiple short-term positions suggesting instability
- Terminations related to illness: Job losses due to mood episodes or behavior during episodes
- Extended unemployment: Long gaps in work history without clear explanation
- Inability to work full-time: Part-time work only due to illness management
- Downward career trajectory: Moving to less demanding positions due to symptoms
Medication Stability
Consistent medication regimen without frequent changes indicates good disease control:
- Stable regimen: Same medications at same doses for 12+ months ideal
- Effective control: Current medications preventing mood episodes successfully
- Appropriate monitoring: Regular blood work for medications requiring it (lithium, valproate)
- Minimal side effects: Tolerating medications well without significant adverse effects
- No recent trials: Frequent medication changes suggest inadequate control or tolerability issues
The Underwriting Process for Mental Health Conditions
Key insight: Bipolar disorder underwriting involves comprehensive review of psychiatric records, treatment history, functional assessments, and often requires completion of detailed mental health questionnaires.
Mental health underwriting has evolved significantly, with insurers using sophisticated approaches to evaluate psychiatric conditions beyond simple diagnosis.
Application Questions About Bipolar Disorder
Life insurance applications include extensive mental health sections:
- Date of bipolar disorder diagnosis and diagnosing provider
- Specific diagnosis (Bipolar I, Bipolar II, or other specified bipolar disorder)
- Date and details of last mood episode (manic, hypomanic, or depressive)
- Frequency of episodes over lifetime and in past 5 years
- History of psychiatric hospitalizations (dates, lengths of stay, circumstances)
- Emergency room visits for mental health reasons
- Suicide attempts or self-harm incidents (dates and methods)
- Current suicidal thoughts or plans
- Current medications (names, doses, duration)
- Treatment providers (psychiatrist, therapist, frequency of visits)
- Substance use history (alcohol, drugs, tobacco)
- Current employment status and work history
- Living situation and social support
- Disability claims or applications related to mental health
Medical Records Underwriters Review
| Record Source | Information Extracted | Underwriting Weight |
|---|---|---|
| Psychiatrist Notes | Diagnosis confirmation, episode history, current symptoms, medication management, suicide risk assessment | Very High – primary clinical documentation |
| Therapist/Counselor Notes | Functional status, coping skills, treatment compliance, life stressors, support system | High – functional assessment and stability indicators |
| Hospital Records | Admission circumstances, severity of episodes, treatment intensity, discharge planning | Very High – indicates episode severity |
| Emergency Records | Crisis presentations, suicide risk, acute intervention needs | High – indicates destabilization events |
| Primary Care Records | Overall health, medication refills, physical health impacts, provider perspective on stability | Moderate – contextual information |
| Prescription Records | Medication adherence via refill patterns, dose changes, medication trials | High – objective adherence measure |
| Disability Records | Functional impairment level, work capacity assessment | Very High – objective functioning measure |
Mental Health Questionnaires
Many insurers require completion of detailed mental health supplements:
Typical Mental Health Questionnaire Topics
- Symptom inventory: Current presence and severity of manic and depressive symptoms
- Episode chronology: Timeline of all significant mood episodes
- Treatment timeline: When treatments started, medication trials, therapy duration
- Hospitalization details: Complete history with admission reasons and outcomes
- Suicide assessment: Detailed questioning about attempts, ideation, plans, means
- Functional assessment: Work, relationships, self-care, independent living
- Substance use: Alcohol and drug use patterns, treatment for substance disorders
- Medication compliance: Adherence patterns, reasons for non-compliance if applicable
- Support system: Family involvement, social connections, treatment team
⚠️ Common Application Mistakes
- Minimizing episode severity: Downplaying hospitalizations or suicide attempts discovered in records
- Omitting substance use: Failing to disclose alcohol or drug problems that complicate bipolar disorder
- Incorrect dates: Inaccurate timelines about last episodes or hospitalizations
- Hiding medication non-compliance: Claiming perfect adherence when records show gaps
- Overstating stability: Claiming years of stability contradicted by recent treatment notes
- Not disclosing all hospitalizations: Omitting ER visits or brief admissions
- Applying too soon: Submitting application shortly after episode or hospitalization
High-Risk Factors That Affect Insurability
Key insight: Certain bipolar disorder complications—particularly suicide attempts, rapid cycling, psychotic features, and comorbid substance abuse—dramatically worsen insurability and often result in postponement or decline.
While stable bipolar disorder can be insurable, specific high-risk features create significant underwriting challenges.
Suicide Attempts and Self-Harm
⚠️ Suicide Risk Underwriting Impact
Any Suicide Attempt History:
- Within 2 years: Virtually all carriers decline or postpone
- 2-5 years ago: Most carriers postpone; a few may offer Table 10+ with exceptional current stability
- 5-10 years ago: Table 6-10 typical, depends heavily on current stability and number of attempts
- 10+ years ago: May qualify for Table 4-8 if only one attempt and excellent long-term stability
- Multiple attempts: Significantly worse prognosis; often uninsurable regardless of time
Self-Harm Without Suicidal Intent:
- Still concerning to underwriters as indicates poor coping and impulse control
- Evaluated based on recency, frequency, and current risk management
- Typically adds 2-4 table ratings to base bipolar assessment
Current Suicidal Ideation:
- Active thoughts of suicide result in immediate decline
- Must achieve extended period (12-24 months minimum) without ideation before reconsidering
Rapid Cycling
Rapid cycling (four or more mood episodes per year) indicates more severe, treatment-resistant bipolar disorder:
- Underwriting view: Highly unfavorable; suggests poor medication response and unstable course
- Typical outcome: Postponement or Table 10+ even with current treatment
- Required for consideration: Stabilization of cycling pattern for 2-3 years minimum
- Best case: If rapid cycling resolved years ago and maintained stability since, Table 6-10 possible
Psychotic Features
Presence of delusions or hallucinations during mood episodes significantly worsens prognosis:
Psychotic Features Impact
- Schizoaffective disorder: Bipolar type with psychotic features between mood episodes; very difficult to insure, often declined
- Psychotic mania: Delusions or hallucinations during manic episodes; requires higher medication doses, longer to stabilize
- Psychotic depression: Psychosis during depressive episodes; higher suicide risk
- Typical rating: Table 8-10+ if insurable at all
- Required stability: 3-5 years minimum without psychotic symptoms
- Medication requirements: Usually requires antipsychotic medication long-term
Comorbid Substance Use Disorders
Substance abuse is extremely common with bipolar disorder and significantly complicates underwriting:
| Substance Use Pattern | Underwriting Impact | Typical Approach |
|---|---|---|
| Active substance abuse | Very high – dual diagnosis | Decline until sustained sobriety achieved (12-24 months) |
| Recent sobriety (1-2 years) | High – relapse risk | Postpone or Table 10+ with exceptional stability |
| Sustained sobriety (3-5 years) | Moderate – improved prognosis | Table 4-8 depending on bipolar stability |
| Remote history (5+ years sober) | Low to moderate | Table 2-6 with good bipolar control |
| Social drinking (moderate) | Low if truly moderate | Acceptable if not impacting bipolar management |
Other Comorbid Conditions
Additional psychiatric or medical conditions compound underwriting complexity:
- Anxiety disorders: Very common with bipolar; adds Table 0-2 if well-controlled
- ADHD: Common comorbidity; minimal additional impact if treated
- Personality disorders: Borderline or other personality disorders significantly worsen prognosis; often uninsurable
- PTSD: Adds complexity; Table 2-4 additional rating typically
- Eating disorders: Complicates management; adds Table 2-6
- Medical conditions: Obesity, diabetes, hypertension common with bipolar medications; each evaluated separately
Essential Medical and Functional Documentation
Key insight: Comprehensive documentation demonstrating sustained stability, treatment compliance, maintained functioning, and low suicide risk is essential for any chance of approval at reasonable rates.
Quality and completeness of documentation often determine whether an application is approved at Table 4 versus Table 10, or approved versus postponed.
Required Documentation Checklist
Core Psychiatric Records
- Psychiatrist treatment notes: Complete records from diagnosis through present (minimum 2-3 years)
- Medication history: All psychiatric medications tried, current regimen with doses and start dates
- Therapy notes: Psychologist or counselor records showing attendance and progress
- Hospital discharge summaries: All psychiatric hospitalizations with admission/discharge dates and diagnoses
- Emergency department records: Any ER visits for mental health reasons
- Suicide risk assessments: Documentation of current low risk status from providers
- Functional assessments: Provider evaluations of work, social, and self-care functioning
Functional Capacity Documentation
- Employment verification: Letter from employer or pay stubs showing stable work history
- Educational achievements: Degrees, certifications, training completed during or after diagnosis
- Performance reviews: If available, work evaluations showing good performance
- Volunteer work or activities: Evidence of meaningful life engagement
- Living situation documentation: Independent living, homeownership, family stability
Treatment Compliance Documentation
- Prescription refill records: Pharmacy printout showing consistent medication refills
- Appointment attendance: Records showing regular psychiatric and therapy appointments
- Blood work results: If on lithium or valproate, therapeutic drug monitoring results
- Treatment plan adherence: Documentation of following provider recommendations
Optimal Documentation Timeline
📋 At Diagnosis
- Initial psychiatric evaluation and diagnosis
- Baseline symptom assessment
- Treatment plan initiation
- Psychoeducation about illness
Stabilization Phase (First 6-12 Months):
- Medication trials and adjustments
- Intensive therapy initiation
- Crisis management planning
- Early functional assessments
Maintenance Phase (1-3 Years):
- Stable medication regimen established
- Regular maintenance appointments
- Return to work or school
- No major mood episodes
Optimal Application Window (3-5+ Years Post-Diagnosis):
- Extended documented stability (no episodes)
- Consistent medication adherence proven
- Stable employment and functioning
- Strong provider letter supporting stability and low risk
- No hospitalizations in minimum 3-5 years
✓ Documentation Best Practices
- Obtain provider letter: Ask psychiatrist for detailed letter addressing diagnosis, treatment, stability, functioning, and prognosis
- Demonstrate consistency: Show regular appointments without gaps suggesting loss to follow-up
- Quantify stability: Clearly document length of time since last episode, hospitalization, or crisis
- Highlight achievements: Emphasize work promotions, educational completion, life milestones during stable period
- Address past crises honestly: If hospitalization or suicide attempt in history, provide context and demonstrate recovery
- Show medication compliance: Pharmacy records are objective proof of adherence
- Include support system: Family involvement, support groups, crisis resources demonstrate protective factors
Best Carriers for Bipolar Disorder Applicants
Key insight: Very few insurance carriers will consider bipolar disorder applications, making broker expertise in identifying the limited companies with mental health appetite absolutely critical.
Bipolar disorder is one of the most challenging conditions for life insurance placement. Most carriers have conservative approaches, but several specialize in psychiatric conditions.
Carriers with Mental Health Underwriting Expertise
| Insurance Carrier | Bipolar Disorder Underwriting Approach | Best For |
|---|---|---|
| Legal & General America | Most lenient on mental health; sophisticated psychiatric underwriting team | Bipolar II with 3+ years stability; even Bipolar I with excellent long-term stability |
| Prudential | Risk-stratified approach; considers full clinical picture and functional capacity | Well-documented stability with maintained employment |
| Lincoln Financial | Willing to evaluate stable psychiatric conditions; functional assessment heavily weighted | Long stability period (5+ years) with professional employment |
| Pacific Life | Case-by-case evaluation; considers exceptional stability profiles | Bipolar II with remote diagnosis and exceptional stability |
| American General (AIG) | Substandard risk specialists; willing to table-rate mental health conditions | Moderate stability cases willing to accept Table 6-10 |
Our Top 10 Best Life Insurance Companies in the U.S. (2025): Expert Broker Rankings can help identify carriers most likely to provide favorable consideration for mental health conditions.
Alternative Coverage Options
For recent diagnosis, recent episodes, or other high-risk features, traditional coverage may not be available:
Simplified Issue Policies
Features:
- No medical exam required
- Limited health questions
- Faster approval (2-4 weeks)
- Coverage up to $250,000-$500,000
- Higher premiums than fully underwritten
Best For: Bipolar disorder with some stability but not enough for traditional coverage
Guaranteed Issue Policies
Features:
- No health questions asked
- Immediate approval
- Graded death benefit (2-3 years)
- Coverage typically $5,000-$25,000
- Highest premiums per dollar
Best For: Recent episodes, hospitalizations, or suicide attempts making traditional coverage impossible
Group Life Insurance
Features:
- Guaranteed issue through employer
- Base amount with no underwriting
- Immediate coverage
- Limited portability
- Ends with employment
Best For: Immediate coverage while working toward traditional policy qualification
Professional Insight
“Bipolar disorder is one of the most carrier-specific conditions we handle. Of the major carriers, only 4-5 will even consider bipolar applications, and their underwriting philosophies vary dramatically. We’ve seen identical Bipolar II profiles with 4 years stability receive Standard Table 2 from one carrier and outright decline from another. Our strategy involves extensive pre-screening to identify the 1-2 carriers most likely to approve before formal application. For clients with less than 3 years stability or Bipolar I, we typically recommend postponement and interim guaranteed issue coverage rather than risking declines that remain on the MIB database. The key is honest assessment of whether stability is sufficient for traditional coverage or whether alternative products are more appropriate.”
– InsuranceBrokers USA – Management Team
Frequently Asked Questions
Will life insurance companies even consider my application if I have bipolar disorder?
Yes, but only if you meet specific stability criteria. The days of automatic decline for any mental health diagnosis are largely past, but bipolar disorder remains one of the more challenging conditions to insure. The key is timing—applying too soon after diagnosis or a recent episode almost guarantees postponement or decline, while applying after demonstrating 3-5 years of stability significantly improves your chances. Most carriers require at minimum: no mood episodes for 2-3 years, no psychiatric hospitalizations for 3-5 years, consistent medication adherence, maintained employment or similar functioning, and no suicide attempts in 5-10 years. If you meet these criteria, several carriers will consider your application, though you should expect table ratings rather than standard rates in most cases. If you don’t meet these criteria yet, focus on maintaining stability and consider guaranteed issue products for immediate coverage needs while working toward traditional coverage qualification.
How long do I need to wait after a hospitalization before applying for life insurance?
Psychiatric hospitalization requires substantial waiting periods before most carriers will consider your application. The minimum is typically 12-24 months since discharge, but 3-5 years is often more realistic for approval at reasonable rates. The specific timeline depends on: the reason for hospitalization (manic episode, suicidal crisis, medication management, etc.), length of stay (brief crisis stabilization versus extended treatment), number of lifetime hospitalizations (first hospitalization versus multiple admissions), and your stability since discharge. A single brief hospitalization 5+ years ago with excellent stability since may add only Table 2-4 to your base rating. Multiple hospitalizations or a hospitalization within the past 2 years typically results in postponement. If hospitalization involved suicide attempt, wait times extend to 5-10 years minimum. The best strategy is using the post-hospitalization period to build the strongest possible stability record—consistent treatment, maintained employment, no subsequent crises—before applying.
Can I get standard rates if my bipolar disorder is well-controlled?
Standard rates for bipolar disorder are possible but rare, typically requiring an exceptional stability profile that few applicants meet. The requirements generally include: Bipolar II diagnosis (not Bipolar I), minimum 5-7 years completely stable without any mood episodes, no psychiatric hospitalizations ever or only very remotely (10+ years ago), no suicide attempts ever, excellent medication compliance with stable regimen, maintained full-time professional employment throughout stable period, regular psychiatric care demonstrating ongoing management, no comorbid substance abuse or other psychiatric conditions, and comprehensive documentation from treating providers. Even meeting all these criteria, many carriers will still apply Table 2-4 ratings due to the underlying diagnosis. Bipolar I disorder rarely achieves better than Table 2-4 even with excellent long-term stability. The reality is that most approved bipolar applications fall in the Table 4-10 range, which still provides meaningful coverage albeit at higher premiums. Focus on securing coverage at any reasonable table rating rather than pursuing standard rates that may not be achievable.
What if I had a suicide attempt many years ago but have been stable since?
Suicide attempt history significantly impacts insurability but doesn’t necessarily make you permanently uninsurable. The critical factors are time elapsed, number of attempts, severity of attempts, and demonstrated stability since. Generally: attempts within 2-5 years result in decline or postponement at most carriers; attempts 5-10 years ago may qualify for Table 8-10 with otherwise excellent stability; attempts 10+ years ago with excellent subsequent stability may qualify for Table 4-8; multiple attempts are viewed much more seriously than a single attempt; near-lethal methods indicate higher severity than less lethal means. The context matters—an impulsive attempt during acute mania followed by years of stable treatment and no subsequent ideation is viewed more favorably than multiple planned attempts suggesting persistent suicidal thinking. You’ll need comprehensive documentation showing: no suicidal ideation for years, strong protective factors (family, employment, treatment engagement), excellent treatment compliance, no subsequent psychiatric hospitalizations, and strong provider letter explicitly addressing low current risk. Be completely honest about attempt history in your application—hiding it will be discovered in medical records and result in policy rescission or claim denial.
Does having Bipolar II give me better chances than Bipolar I?
Yes, significantly better chances in most cases. Bipolar II is generally viewed more favorably because hypomanic episodes are less severe than full manic episodes, hospitalization rates are lower, psychotic features don’t occur (by definition), and functional impairment is typically less severe between episodes. With Bipolar II and excellent stability (4-5+ years), standard to Table 4 rates are possible, whereas Bipolar I typically requires 5-7 years stability for Table 4-8 ratings. However, suicide risk is comparable or potentially higher with Bipolar II due to severe depressive episodes, so any suicide attempt history will impact both diagnoses similarly. The distinction matters most for applicants with good stability and no major complications—Bipolar II profiles are more likely to receive favorable consideration from a broader range of carriers. That said, Bipolar I with truly exceptional long-term stability (7-10+ years) can still achieve reasonable rates (Table 4-8) from specialized carriers. The diagnosis is important but ultimately stability, functioning, and complications matter more than the specific bipolar subtype.
Will my premiums increase if I have a mood episode after getting the policy?
No—your life insurance premiums are locked in at the rate determined when your policy was issued and cannot increase due to changes in your health, including future mood episodes, hospitalizations, or other bipolar-related events. This is a fundamental principle of life insurance underwriting. Once you’re approved at a specific rate class, that rate remains fixed for the policy duration whether term or permanent coverage. The only exceptions are: if you selected a renewable term policy and choose to renew at the end of the term (renewal rates are based on age but very expensive), or if you apply for additional new coverage in the future (new applications are underwritten based on current health). This makes securing coverage during stable periods particularly valuable—you lock in rates even if your bipolar disorder worsens or you experience future episodes. It also explains why carriers are so careful in initial underwriting, requiring extensive stability documentation before approval. They’re accepting risk that could worsen over decades without ability to adjust your premiums.
Should I disclose my bipolar diagnosis if I haven’t had symptoms in years and am no longer being treated?
Yes, you absolutely must disclose your bipolar disorder diagnosis regardless of how long you’ve been stable or whether you’re currently in treatment. Life insurance applications specifically ask about mental health diagnoses, and bipolar disorder qualifies regardless of current status. Failing to disclose constitutes material misrepresentation and will result in claim denial or policy rescission when discovered—and it will be discovered through medical records. Here’s the important perspective: long-term stability OFF medication (if genuinely achieved with provider agreement rather than non-compliance) is actually viewed favorably by some underwriters as it suggests your bipolar disorder may have been less severe or has remitted. However, most bipolar disorder experts advise against discontinuing medication even after long stability periods due to high relapse risk. If you independently stopped medication without provider agreement, this is viewed as non-compliance and creates concern about future management. The reality is that staying on maintenance medication as prescribed and demonstrating stability is the path to best insurance outcomes. Always disclose fully and let your long-term stability record speak for itself rather than hiding your diagnosis.
Can I get coverage if I’m currently on disability for bipolar disorder?
Being on disability for bipolar disorder makes traditional life insurance extremely difficult and often impossible to obtain. Disability status indicates significant functional impairment and inability to work, which suggests poor disease control and high risk from an underwriting perspective. Most carriers will decline applications from individuals currently on disability for psychiatric reasons. Your options in this situation are limited to: guaranteed issue policies that don’t ask health questions (coverage typically $5,000-$25,000 with graded death benefits); group life insurance if available through a previous employer or association (may have conversion options); waiting until you’re off disability and have demonstrated return to functioning before applying for traditional coverage. If you’re receiving disability benefits but believe your functioning has improved significantly, consider attempting return to work (even part-time initially) and building a track record of stability off disability before applying for life insurance. The transition from disability back to employment, sustained for 12-24 months, can potentially open doors to traditional coverage that wouldn’t be available while on disability. Work with your treatment team on optimizing your stability and functioning to improve your long-term insurance prospects.
Ready to Explore Life Insurance Options with Bipolar Disorder?
Don’t let mental health concerns prevent you from protecting your family’s financial future. Our specialized team understands bipolar disorder underwriting and works with the limited carriers willing to consider psychiatric conditions. Get a free, confidential consultation to discover your coverage options.
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Life insurance companies in our network
I have a bipolar diagnosis and need to continue my term life insurance which expires in December. I am seeking quotes. I am in good health and my disease is well-managed.
Laura,
Depending on your existing term life insurance policy, it may be possible to extend your current coverage utilizing a “guaranteed renewable” feature, which would be a good thing!
We should note that the new price that your insurance company will set is likely to be much higher than what you are currently paying now (and will likely change each year you continue to maintain your existing life insurance policy).
For this reason, our suggestion to you would be to give us a call here at IBUSA to see what kind of new policies you might be able to qualify for, which you can then compare with what your existing life insurance company can do for you.
We would also encourage you to start this process right away so that if you choose to apply for a new life insurance company, that approval can be in place before your existing policy expires.
Thanks,
InsuranceBrokersUSA.
I was diagnosed as bi-polar (manic depressive) at an approximate age of 12. I am now 48, and on SSD. The primary reason is that I am blind and secondary reason is the bi-polar. I have received information that just being on SSDI disqualifies me. Living with these two medical issues is challenging enough, where should I look to find life insurance coverage?
Thank You!!!
Katie,
Based on the information that you have provided, it does sound like qualifying for a traditional life insurance policy will be difficult (if not impossible).
However, we would like to speak with you directly before we made this assumption.
Now, if it does turn out that you won’t qualify for a traditional life insurance policy. You still may be able to qualify for a guaranteed issue life insurance policy, which will provide up to $25,000 in coverage.
Most of these “types” of life insurance policies will require an applicant to be at least 50 years old; however, a few carriers are willing to insure those below this cut-off age. The question will then become whether or not you live in a state where one of these carriers operate.
Another option you may also want to consider is purchasing an accidental death policy as a way of “supplementing” your insurance since it seems like you don’t suffer from any “life-threatening” medical conditions at this time.
Unfortunately, accidental death policies don’t cover natural causes of death; however, they would provide protection against injury-related causes of death such as motor vehicle accidents, slip and falls, or natural disaster.
Thanks,
InsuranceBrokersUSA.
Hi there:
Apologies in advance for long message! I was diagnosed with major depressive disorder and anxiety 20 years ago and was hospitalized with suicidal thoughts. I had been treated successfully until 15 years ago when I experienced severe postpartum depression that was hard to treat. I didn’t experience full relief with high doses of anti-depressant and anti-anxiety meds so doctor put me on Lamictal and Risperdal to see if I responded. I did, so they changed my diagnosis to Bipolar 2. I have never had mania or hypomania—my highs are experienced as high anxiety. I have been on the same meds for approximately 14 years. Same full-time job for 7 years. Same relationship for 10 years. 100% medication compliance and therapy. No hospitalizations for 20 years. No suicidal thoughts for 15 years. No suicidal attempts ever. No depressive episode for 9 years. 6 months ago, my doctor reduced my Effexor XR by 15% (now at 375mg/day) because I was diagnosed with ADHD and my doc feels many of my depression/anxiety symptoms are actually ADHD symptoms. Yes, I am on a lot of meds (5), but it is a cocktail that works and I’ve been steady/stable for at least 8 years. I am 55, no other health problems but I am 5’4” and weigh 170. Do you think I can get accepted and if so, could I meet the “standard” category criteria or is that wishful thinking?
Thanks in advance!
Andrea,
Thank you for your detailed not, unfortunatly what you didn’t mention was what type of life insurance policy you are looking for? Don’t worry though, we’ll have an agent reach out to you via email so that you can let them know specifically what you are looking for and hopefully they will be able to help you out.
Thanks,
InsuranceBrokersUSA.