Table of Contents
1. Can You Get Life Insurance with Cirrhosis?
Traditional term and whole life insurance approval rates for individuals with cirrhosis are extremely low, typically under 5% for standard policies, regardless of the stage or underlying cause.
Traditional insurance challenges include:
- Automatic decline policies at most major insurers
- Even mild cases without any symptoms still face significant barriers
- The cause of cirrhosis (alcohol, hepatitis, NAFLD) doesn’t significantly impact approval odds
Alternative options that may work include:
- Guaranteed issue life insurance as your primary foundation
- Accidental death and dismemberment policies are layered for additional coverage
- Group life insurance through employers (if available)
Bottom Line
Guaranteed issue life insurance is the most accessible and reliable option for cirrhosis. It cannot reject you (if you meet minimum age and residency requirements), it requires no health questions, and it provides meaningful protection.
Why Guaranteed Issue Stands Out
“Unlike final expense or other products that still ask health questions, guaranteed issue cannot decline you for any reason (other than age or residency). For cirrhosis specifically, this certainty is invaluable. You know you’ll likely be approved, and your family will have protection.”
2. Why Traditional Insurance Is Challenging
Insurance companies base their decisions on actuarial data showing reduced life expectancy and increased risk of complications associated with cirrhosis, regardless of current symptom management.
Medical factors that concern insurers:
- Progressive liver scarring that typically worsens over time
- Potential for serious complications (ascites, bleeding, liver failure)
- Reduced life expectancy statistics (5-20 years depending on stage)
- Risk of requiring liver transplantation
Underwriting considerations include:
- MELD (Model for End-Stage Liver Disease) scores
- Child-Pugh classification system ratings
- History of complications or hospitalizations
- Underlying cause and timeline of development
Bottom Line
Even well-managed, compensated cirrhosis represents significant long-term risk from an insurance underwriter’s perspective, which is why traditional insurance declines are universal. Guaranteed issue bypasses this problem entirely because it doesn’t assess health risk.
3. Guaranteed Issue: The Foundation for Cirrhosis Coverage
Guaranteed issue life insurance is specifically designed for people who cannot qualify for traditional coverage. For cirrhosis, it’s the most reliable and accessible path to meaningful financial protection.
Guaranteed issue core benefits:
- Guaranteed acceptance — cannot be declined for any health condition
- No health questions or medical exams required
- Coverage amounts of $5,000-$25,000
- Level premiums for life
- Fast approval within minutes to 24 hrs
How guaranteed issue works for you:
- Complete simple application (no health questions)
- Underwriting approval is automatic
- Coverage becomes effective quickly
- A two to three-year waiting period will likely apply to natural death benefits (see graded death benefit)
- Accidental death is covered immediately
Cost in 2025:
- Age 50: $50-$100 monthly for $15,000-$25,000 coverage
- Higher age: Proportionally higher premiums
- Premiums never increase once locked in
Compared to Final Expense
Unlike final expense insurance (which still asks health questions and may decline based on responses), guaranteed issue asks nothing about your health and cannot reject your application for any reason (besides one’s age and residency). You get guaranteed coverage, not maybe coverage.
Bottom Line
Guaranteed issue is the optimal foundation for cirrhosis patients because it combines guaranteed acceptance, zero health screening, and solid coverage amounts. It’s the most reliable way to ensure your family has protection.
4. Layering with Accidental Death Coverage
While guaranteed issue provides your foundation, adding accidental death and dismemberment (AD&D) coverage creates comprehensive protection at a reasonable cost.
Accidental death coverage features:
- Covers accidental death and dismemberment only (not illness)
- Higher coverage amounts available: $50,000-$100,000+
- Very affordable: $30-$60 monthly at age 50
- Immediate full benefit coverage (no waiting period)
- No medical exam required
- Works well with guaranteed issue as a layering strategy
Why layer guaranteed issue + accidental death:
- GI provides foundation coverage that applies to all death causes
- AD&D adds substantial coverage for accidents at a low cost
- Both products approve quickly with minimal underwriting
Recommended Coverage Strategy
“For most cirrhosis patients, we recommend starting with guaranteed issue as your foundation, then adding accidental death coverage to reach your target protection level. This two-product approach is simple, affordable, and proven to work for people in your situation.”
Bottom Line
Layering guaranteed issue with accidental death coverage creates comprehensive protection. The combination is affordable, accessible, and specifically effective for cirrhosis cases.
5. Available Options and Costs in 2025
While traditional insurance is typically unavailable, guaranteed issue and accidental death offer affordable protection with straightforward pricing.
2025 Recommended Coverage Options and Costs
| Coverage Type | Coverage Amount | Age 50 Monthly Cost | Key Features |
|---|---|---|---|
| Guaranteed Issue (Primary) | $10,000-$25,000 | $50-$100 | No health questions, guaranteed approval, 2-year waiting period |
| Accidental Death (Layer) | $50,000-$100,000 | $30-$60 | Accidents only, immediate coverage, no medical exam |
| Final Expense (Optional) | $5,000-$15,000 | $40-$80 | Burial/funeral focus, basic health questions, may decline |
| Group Life (if available) | $50,000-$200,000 | $20-$50 | Through the employer, limited underwriting |
Key Takeaways
- Start with guaranteed issue as your foundation ($50-$100/month)
- Layer accidental death for higher coverage at low cost ($30-$60/month)
- All products are approved quickly with minimal underwriting
6. How Insurers Evaluate Cirrhosis
What do insurance companies consider when reviewing cirrhosis cases?
Key insight: Traditional insurance underwriting for cirrhosis has become increasingly automated and risk-averse. Guaranteed issue bypasses this evaluation entirely because it doesn’t assess health.
Why does traditional insurance decline cirrhosis?
- Automated AI-driven systems flag cirrhosis for immediate decline
- MELD scores and Child-Pugh classifications show elevated risk
- Actuarial data shows significantly reduced life expectancy
- Potential complications (ascites, bleeding, encephalopathy) are substantial
Underwriting classification results:
- Compensated cirrhosis: Automatic decline for traditional coverage
- Decompensated cirrhosis: Immediate decline across all product types
- Early-stage fibrosis: Possible consideration with severe restrictions
- Post-transplant status: Generally excluded from all traditional coverage
Why guaranteed issue is different:
- No health assessment happens
- Acceptance is automatic regardless of medical condition
- Underwriting cannot decline you for cirrhosis or any health reason
- Your health history is irrelevant to approval
Bottom Line
While traditional underwriting will always decline cirrhosis cases, guaranteed issue completely eliminates this problem. You’re approved automatically regardless of your health status.
7. Medical Exams and Application Process
How simple is the process for guaranteed issue and accidental death?
Key insight: Guaranteed issue and accidental death require minimal to no medical underwriting, making them genuinely accessible for cirrhosis patients.
Traditional insurance requires:
- Comprehensive medical exam with blood work
- Liver function tests and imaging results
- Complete medical records from specialists
- MELD score documentation
- Detailed treatment history
- Typical approval timeline: 4-8 weeks (or decline)
Guaranteed issue application process:
- Simple one-page application
- No health questions asked
- No medical exam required
- No medical records needed
- Approval decision in 1-2 weeks
- Coverage becomes effective shortly after
Accidental death application process:
- Basic application form
- Minimal health questions (occupation, lifestyle)
- No medical exam required
- Approval in 1-2 weeks
- Immediate coverage upon approval
Speed and Simplicity
With guaranteed issue, you could be approved for $20,000 coverage within two weeks from application to effective date. No medical records to gather, no exams to schedule, no waiting months for decisions. Just straightforward, fast approval.
Bottom Line
Guaranteed issue and accidental death bypass the medical underwriting that excludes cirrhosis patients, resulting in quick approval and fast coverage activation.
Key Takeaways
- No medical exams or health questions for guaranteed issue
- Minimal underwriting required for accidental death
- 1-2 week approval timeline (vs. months for traditional insurance)
- Start gathering information from your current doctors to complete the simple application
8. Real-World Example: Finding Coverage
How a cirrhosis patient secured meaningful life insurance protection
Case study: Lisa, age 52, was diagnosed with alcohol-related cirrhosis five years ago. She’s been sober for three years and has compensated for cirrhosis with no current symptoms, but liver scarring remains evident. Like many facing complex health situations, Lisa needed reliable coverage without complications.
Lisa’s coverage needs:
- $50,000+ protection to protect her partner
- Coverage for funeral expenses ($12,000 estimated)
- Protection against outstanding medical debts
Application journey and results:
- Traditional term insurance: Declined by three major carriers
- Guaranteed issue solution: $20,000 policy approved in 10 days
- Accidental death layer: $35,000 policy approved simultaneously
- Total coverage achieved: $55,000 for $95/month
Why this strategy worked:
- Guaranteed issue provided the foundation that couldn’t be declined
- Accidental death added substantial coverage at a low cost
- Two-product approach met her $50,000+ target
- Fast approval meant protection started within weeks
- Total cost was predictable and affordable
Key Learning
“Lisa’s case demonstrates the proven strategy: start with guaranteed issue as your foundation, layer in accidental death for additional coverage, and you achieve real protection even with cirrhosis. The combinations work because they address different coverage needs efficiently.”
9. 2025 Market Trends and Changes
What’s changing in the insurance market for cirrhosis cases?
Key insight: Traditional insurance continues to tighten restrictions, but guaranteed issue availability is expanding to meet demand from people who cannot access traditional coverage.
Market developments for cirrhosis patients:
- Guaranteed issue products expanding with higher coverage limits
- More carriers entering the guaranteed issue space
- Accidental death premiums remaining stable
- Application technology is improving approval timelines
- Group coverage through employers is increasingly available
Why this matters:
- More options mean better pricing and faster approval
- Expanded coverage limits provide greater protection possibilities
- A competitive market keeps costs reasonable for alternative products
- Technology improvements mean faster coverage
Bottom Line
The alternative insurance market continues to improve and expand, making guaranteed issue + accidental death combinations even more accessible and effective for cirrhosis patients in 2025.



Looking for health insurance for my husband who has ciroccis of liver.
Virginia,
Unfortunately, we don’t offer any type of health insurance products at this time. However if you are looking for a life insurance product for your husband, please feel free to give us a call so that we can see what he might be able to qualify for.
Thanks,
InsuranceBrokersUSA.
Looking for life insurance for self and I have cirrhosis of the liver.
Sandra,
Please give us a call when you have a chance and we’d be happy to review what options might be available to you.
Thanks,
InsuranceBrokersUSA
can I put life insurance on my husband while he’s dying from cirrhosis of the liver caused by alcohol
Abby,
Your husband would need to apply for a guaranteed issue life insurance policy, which will have some initial restrictions limiting when full coverage will begin. For this reason, we would recommend you give us a call so that we can go over all of the details with you.
Thanks,
IBUSA.
Diagnosed with cirrhosis, however on a transplant list to receive a new liver.
does this affect being able to attain a short term term policy?
Mike,
At this point in time, the only type of life insurance policy that we know you might be able to qualify for would be a guaranteed issue life insurance policy. These types of life insurance policies will typically only provide up to $25,000 in coverage and contain a waiting period before they would provide coverage for natural causes of death. Feel free to give us a call if you would like to know if you would qualify, and how much such a policy would cost.
Thanks,
InsuranceBrokersUSA
My son has chicks is of the liver can I get life insurance for him
Debbiew,
We would need to learn more about your son’s situation first. Please give us a call at your earlies convenience.
Thanks,
InsuranceBrokersUSA