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Hybrid Long-term Care Insurance for Diabetics

Glucose meter next to bowl of fruits

If you’ve ever wondered if you will qualify for a hybrid long-term care insurance policy as a diabetic, you are not alone. Diabetes is a very common health issue. You may still qualify for hybrid long-term care life insurance as a diabetic.

Diabetics & Hybrid Long-term Care Insurance

According to the National Institute of Diabetes and Digestive and Kidney Disease, approximately 10% or 1 in 10 people in the United States had diabetes. Therefore diabetes is more commonplace than we may think. So what are underwriters considering for diabetic applicants?

Type of Diabetes

Stethoscope and pharmaceuticals on a blackboard - Diabetes
Type of Diabetes

When it comes to underwriting diabetic applicants, the first thing to be considered is the type of diabetes. If you are considering applying for this insurance, it is important to identify if you have Type 1 or Type 2 Diabetes. Underwriters assess each form of diabetes differently.

Type 1

Doctor holding card stating "Diabetes Type 1"
Diabetes Type 1

First, there are type 1 diabetics. This type of diabetes makes you insulin dependent and generally occurs your childhood. Also, type 1 diabetes occurs when your immune system attacks cells in the pancreas that are responsible for making insulin.

Type 1 diabetics account for only 5% of individuals with diabetes. In addition, researchers are not exactly sure what causes this form of diabetes.

When it comes to Type 1 diabetes and life insurance, underwriters according to underwriting guidelines, often decline to take on that risk. Since hybrid long-term care insurance is a life insurance policy, most carriers would decline someone with type 1 diabetes.

Of the half-dozen or so carriers offering hybrid-long-term care insurance, there is probably only one that comes to mind that may consider you if you have type 1 diabetes.

Although they may consider your case, there are other requirements that must be met. There must be no coexisting coronary or vascular history.

Unfortunately, if you have type 1 diabetes your options may be limited. Nevertheless, it may not hurt to try and qualify for a hybrid long-term care life insurance policy. I would recommend doing a pre-screen with the insurance company before you apply.

Type 2

Diabetes Type 2 card in hands of Medical Doctor
Diabetes Type 2

Next there are type 2 diabetics. Type 2 diabetes is the most common form of diabetes. This is according to the National Institue of Diabetes and Digestive and Kidney Disease. With type 2 diabetes your body does not use insulin properly and is often referred to as being insulin resistant.

Type 2 diabetes can generally occur at any stage in life however it is often seen in adults. It typically develops in middle aged adults or adults age 65 and older. Unlike type 1 diabetes, type 2 diabetes can occur due to a combination of factors such as age, physical inactivity, obesity, or your families medical history.

Now there are several factors underwriters consider when underwriting an application for someone with type 2 diabetes. All of these factors reflect how well you manage your diabetes. It also reflects the quality of your health you as a type 2 diabetic. Let’s take a look at some of theses factors.

6 Underwriting Factors Related to Diabetes

1. Onset of Diabetes

Different people reflecting different lifestages
Stages of Life

One factor underwriters look at is the onset of your diabetes. Although type 2 diabetes is generally more common in adults, it is possible to become diabetic in earlier stages of life. Therefore, the underwriters look to see your age or stage of life when you became diabetic.

2. Good Control of Diabetes

Blood sample tube with laboratory requisition form for HbA1c test, diabetes diagnosis
HbA1C – blood sample test

Another factor underwriters look at for diabetics is whether or not you have good control. A measurement of your blood glucose levels and your A1c values can normally tell if your diabetes is under control.

An underwriter may request your latest measurements during the underwriting process of your application. Favorable results for blood glucose levels and A1c values will reflect well on your case. It shows you’re managing your blood sugar and your diabetes is under control.

3. Favorable build

Slim man measuring his waist. Healthy lifestyle, body slimming, weight loss concept. Cares about body.
Man Measuring His Waist

As a diabetic, having what is considered a “favorable build” is definitely important when applying for hybrid long-term care insurance. Underwriters will consider what is called your “Body Mass Index.”

Your body mass index is a weight to height ratio that determines if you have the appropriate weight in relation to your height. Using body mass index tools such as BMI tables, underwriters determine an estimation of body fat. This will tell if an applicant’s build is overweight.

There is a link between obesity and diabetes. Obesity or being overweight can contribute to insulin resistance. Also, your risk for heart disease can increase if you are both overweight and diabetic. This is why a favorable build is important for diabetic applicants.

4. Blood Pressure

Beautiful young female doctor is checking the blood pressure of the patient.
Blood Pressure Check

It is good if your blood pressure is under control when you apply for hybrid long-term care life insurance. If your blood pressure is too high it means your heart is working harder to pump blood. Also, being diabetic tends to stiffen the arteries forcing your heart to work harder.

Hence, the combination of diabetes and high blood pressure can lead to even more health risks such as strokes, heart disease, and even kidney failure.

These are risks that are considered in the underwriting process. Therefore having a blood pressure that meets underwriting guidelines will reflect well for you as a diabetic applicant.

5. Lipids

Laboratory requisition form with blood sample tube for lipid profile test
Lipid Profile Test – Blood sample

When an underwriter is reviewing your application, another thing they consider is your lipid profile. A lipid profile reflects your cholesterol levels.

Diabetes has a tendency to lower the “good” cholesterol in the body and raise the so-called “bad” cholesterol in the body. This can lead to a higher risk of stroke and heart disease. That’s why it is important to have normal cholesterol levels when you apply.

6. Smoking – Cigarette Use

Close up of burning cigarette isolated on white background
Cigarette Use

As a diabetic applicant, it is important that in the last 36 months you have no history of:

  • cigarette use
  • tobacco use
  • smoking

There are companies that are more lenient in this are and only require 12 months. However, why limit your options?

Therefore, it is a good rule of thumb to have zero cigarette or tobacco use in the last 36 months when applying for Hybrid LTC-life insurance.

Coexisting Conditions

Man filling out medical questionnaire
Medical Questionnaire

In addition, to the factors listed above, underwriters also consider if you have any history of coexisting conditions. A diabetic applicant typically should have no coexisting conditions such as:

  • Coronary Artery Disease
  • Stroke
  • TIA
  • Neuropathy
  • Retinopathy
  • Atrial Fibrillation
  • Kidney Disease
  • or Circulatory Disease

This list may vary depending on what company you apply to for insurance. Nevertheless no history of coexisting conditions is good for your approval chances.


If you want to better your chances of getting approved with diabetes for a hybrid Long-term Care Life insurance policy, it is in your best interest to talk to an agent.

An experienced agent can guide you through the application process. In addition, they can help you assess what your options are and the companies that may consider your case.

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If you or a loved one has diabetes and are interested in a hybrid long-term care life insurance policy, we want to help you!

Get a Free No Obligation Direct Quote or call us at (800) 498-3955 to start the conversation today!

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Disclosure: This article is for information purposes only. It is NOT an all inclusive guide of underwriting guidelines, particularly for diabetics. Approval or declination of any application is subject to the sole discretion of the insurance company and its underwriters.

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