Lung Disease Burial Insurance

Quick Answer

Yes, many people with lung disease such as COPD or emphysema can get burial insurance, and those with mild, controlled conditions often qualify for first-day coverage. Your options depend on how severe your condition is, how often you use oxygen, your medications, recent hospital stays, pending treatment, and other health conditions. Continuous 24/7 oxygen usually means guaranteed issue, while occasional or as-needed oxygen is evaluated differently by each company. A recent hospital stay can mean waiting to apply, a graded or modified plan, or guaranteed issue.

Here’s What This Means for You:

  • Lung disease can raise rates fast due to higher health risk
  • Severe cases often force expensive 2-year waiting period plans
  • Oxygen use or frequent flare-ups can block first-day coverage
  • Many agents default to guaranteed issue without checking better options
  • Smoking history can drive prices up or cause denial

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Lung disease key insights

  • COPD often qualifies for 1st-day coverage: Many carriers offer first-day protection to applicants with chronic bronchitis or emphysema as long as they have not been hospitalized recently.
  • Oxygen use determines the plan type because needing a tank for most of the day usually requires a different policy than just using a simple inhaler.
  • Maintenance inhaler stability is a positive sign since insurance companies prefer seeing a steady routine with meds like Advair or Symbicort rather than frequent emergency visits.
  • Nebulizers are often accepted for day 1 coverage by specific carriers like Aflac even when other companies treat them as a high-risk red flag.
  • Hospitalization dates matter most because being out of the hospital for at least 2 years opens the door to the lowest possible rates and immediate protection.

In 2026, more carriers expanded immediate-coverage options for seniors with controlled lung disease. Most seniors will have no trouble qualifying and affording an instant-approval policy.

Lung disease medical definition & health risks

Underwriters classify the risk level of lung disease by reviewing your history of hospitalizations, supplemental oxygen use, and the frequency of rescue inhaler treatments. Lung disease includes conditions like COPD, emphysema, and chronic bronchitis that make it hard for your body to move air. When your lungs struggle, your heart has to work twice as hard to pump oxygen to your brain and muscles. If you don’t manage your breathing with the right medicine, it can lead to heart failure or severe infections that insurance companies view as a major risk.

Life insurance companies ask these lung disease questions

Different life insurance companies ask different questions to decide which applicants with lung disease they may approve.

  • Aetna Decline– Within the past year, have you used or been advised to use oxygen equipment to assist with breathing, excluding CPAP for sleep apnea, or been advised to have kidney dialysis?
  • Aetna Standard Level – Have you ever been diagnosed with, received, or been advised to receive treatment or medication for chronic obstructive pulmonary disease (COPD), chronic bronchitis, emphysema, or any other chronic respiratory condition?
  • Aflac Decline – Within the past year, have you used or been advised to use oxygen equipment to assist with breathing, excluding CPAP for sleep apnea, or been advised to have kidney dialysis?
  • Aflac Standard Level – Have you ever been diagnosed with, received, or been advised to receive treatment or medication for chronic obstructive pulmonary disease (COPD), chronic bronchitis, emphysema, or any other chronic respiratory condition?
  • Family Benefit Life Decline – Are you currently, or within the past 6 months have you been, hospitalized, bedridden, using oxygen to assist breathing, confined to a wheelchair, in a nursing home or hospice, receiving home health care, or on dialysis?
  • Family Benefit Life Level – Have you ever been diagnosed as having multiple sclerosis, epilepsy, schizophrenia, Parkinson’s disease, nephropathy, neuropathy, retinopathy, chronic kidney disease or failure, systemic lupus, hepatitis B or C, cirrhosis of the liver, liver disease, liver failure, or lung impairments including chronic obstructive pulmonary disease (COPD), chronic asthma, chronic bronchitis, emphysema, or fibrosis?
  • Guarantee Trust Life Graded – Do you require daily oxygen use (excluding when used with CPAP, after exercise, and for seasonal allergies), have an implanted defibrillator, received or been advised by a medical professional to receive an organ transplant or received dialysis within the LAST 24 MONTHS?
  • Liberty Bankers Life Decline – Within the last year, have you been confined to a hospital for more than 5 days total, been advised by a member of the medical profession to have surgery or hospitalization which you are still awaiting, used oxygen due to a medical condition, been unable to care for yourself or been bedridden at home or in a nursing home, hospice, long-term care, or assisted living facility?
  • Liberty Bankers Life Preferred – Have you, the Proposed Insured, by a member of the medical profession, ever been diagnosed with, or received, or been advised to receive treatment or medication for Chronic Obstructive Pulmonary Disease (COPD), chronic bronchitis, emphysema, irregular heartbeat, atrial fibrillation, peripheral vascular disease or peripheral artery disease?
  • Mutual of Omaha Decline – Is the Proposed Insured currently requiring any of the following other than fractures, bone or joint surgery, including replacement: wheelchair, electric scooter, oxygen equipment to assist breathing (excluding use for sleep apnea) or defibrillator?
  • Mutual of Omaha Level – Has the Proposed Insured ever been diagnosed by a licensed medical professional with, received treatment by a licensed medical professional for, or been advised to seek treatment by a licensed medical professional for Chronic Lung Disease, including Chronic Obstructive Pulmonary Disease (COPD), Chronic Bronchitis, emphysema, or Sarcoidosis?
  • Trinity Life Decline – Are you currently, or within the past 6 months have you been hospitalized, bedridden, using oxygen to assist breathing, confined to a wheelchair, in a nursing home or hospice, receiving home health care, or on dialysis?
  • Trinity Life Level – Have you ever been diagnosed as having multiple sclerosis, epilepsy, schizophrenia, Parkinson’s disease, nephropathy, neuropathy, retinopathy, chronic kidney disease or failure, systemic lupus, hepatitis B or C, cirrhosis of the liver, liver disease, liver failure, or lung impairments including chronic obstructive pulmonary disease (COPD), chronic asthma, chronic bronchitis, emphysema, or fibrosis?

Lung disease underwriting basics

  • Testing & Test Results: Underwriters look at your FEV1 scores and oxygen saturation levels to see how strong your lungs are. A score above 70% is usually seen as controlled, while anything under 50% is considered uncontrolled or severe.
  • Common Medications: Medication stability reduces perceived mortality risk for the insurance company.
  • Why it Matters: Your test results and the types of meds you take determine your risk class. Better lung function means you pay a lower monthly price for your coverage.

Lung disease prescription medication classes:

  • Bronchodilators: Meds like Albuterol or ProAir used to open airways quickly during a flare-up.
  • Steroid Inhalers: Daily preventers like Flovent or Pulmicort that reduce swelling in the lungs.
  • Combination Inhalers: Powerful tools like Breo or Trelegy that combine different medicines to keep you stable.
  • Oral Steroids: Pills like Prednisone used for short periods to treat serious inflammation or infections.

Lung disease with comorbidities

Multiple medical issues an one time significantly raises total insurance risk because secondary diseases often worsen the primary cancer. Having lung disease often leads to other issues like high blood pressure or sleep apnea because your body is under constant stress. If you also have diabetes or heart disease, the risk for the insurance company goes up because one condition can make the other much worse. Getting your policy now is vital because these secondary issues often develop as lung disease progresses over time.

Controlled lung disease can qualify seniors for immediate level burial insurance coverage, depending on any secondary health issues.

Other common health issues with lung disease

Lung disease impairs airflow and oxygen exchange, reducing the body’s ability to deliver oxygen to vital organs and increasing strain on the heart and muscles, and those related complications can affect underwriting decisions and policy selection when they’re present.

  • Chronic shortness of breath – Reduced lung function limits oxygen intake and lowers physical stamina.
  • Exercise intolerance – Minimal exertion triggers breathlessness and rapid fatigue.
  • Chronic fatigue – Increased effort to breathe drains energy even during routine activities.
  • Low oxygen levels – Impaired gas exchange affects concentration, coordination, and organ function.
  • Frequent respiratory infections – Damaged lung tissue increases risk of pneumonia and repeated illness.
  • Heart strain – Long-term low oxygen levels raise pulmonary pressure and stress the right side of the heart.
  • Chronic cough – Persistent airway irritation interferes with sleep, work, and daily comfort.
  • Weight loss and muscle wasting – Higher energy demands and reduced appetite lead to weakness and frailty.
  • Anxiety and depression – Breathing difficulty and activity limits increase stress and mood disorders.
  • Reduced life expectancy – Progressive lung damage leads to increasing disability and higher mortality risk.

Understanding lung disease policy types

Carriers offer different plan categories based on an applicant’s lung disease and long-term and short-term health stability.

  • Level: Level burial insurance offers first-day coverage and pays the full death benefit from day 1.
  • Graded: Graded burial insurance limits benefits during the 12 to 24 months for health or medical-related causes of death.
  • Guaranteed Issue: Guaranteed issue burial insurance requires no health questions but includes a 2-year waiting period before it pays out for health or medical-related causes of death.

Sample lung disease rate snapshot for $10,000 coverage

Age-based pricing directly influences the cost of burial insurance premiums because carriers increase the monthly rates as the statistical risk of death rises. Rates vary by age and gender, and female rates are lower because women statistically live longer than men.

Here are some preferred 1st-day coverage rates, but your rates can vary based on which A-rated carrier is best for your situation.

Aflac standard life insurance rates age 50–80

AGE $10,000 $15,000 $20,000 $25,000
50F: $35
M: $44
F: $51
M: $64
F: $67
M: $84
F: $83
M: $104
55F: $38
M: $49
F: $55
M: $72
F: $72
M: $95
F: $89
M: $118
60F: $43
M: $59
F: $63
M: $86
F: $83
M: $114
F: $103
M: $141
65F: $57
M: $75
F: $83
M: $111
F: $110
M: $147
F: $137
M: $183
70F: $75
M: $101
F: $111
M: $150
F: $147
M: $199
F: $183
M: $248
75F: $107
M: $142
F: $159
M: $211
F: $210
M: $280
F: $262
M: $349
80F: $172
M: $222
F: $256
M: $331
F: $340
M: $440
F: $424
M: $549

Rates may vary based on age, gender, health, and state.

Lung disease underwriting & medication history

Your prescription history identifies your medical stability by showing if you currently take maintenance drugs to keep your cancer from returning, or have already been cured. If you take your maintenance meds exactly as the doctor says, it shows the insurer you are a responsible applicant. Being compliant with your treatment is a positive sign because it reduces the chance of a sudden emergency. Even if you use a nebulizer daily, some top carriers view this as a stable routine rather than an uncontrolled crisis.

Your prescription history is how the insurance carriers verify medical stability.

Recent hospitalizations for crises trigger postponement rather than permanent decline.

Health Profile Coverage Type Wait Period
Stable Inhaler Use Level (Day 1) None
Oxygen for Sleep Apnea Level (Day 1) None
Daily, Intermittent, or As-Needed Oxygen Varies: Level, Graded / Modified, or Guaranteed Issue Depends on Plan
24/7 Oxygen Use Usually Guaranteed Issue 2 Years

Real life lung disease success stories

Real-world examples illustrate how seniors with lung disease secure day-one protection with anywhere from $5,000 to $25,000 for any of the following: burial, cremation, funeral expenses, final expenses, leave money for loved ones, pay off last bills, or a combination of these.

Arthur story:

Arthur was 68 and had been living with chronic bronchitis for several years. He used a daily inhaler and occasionally used a nebulizer during the winter months when his breathing got worse. He was worried that his nebulizer use would force him into a waiting period plan with high costs. I was able to help him qualify for a level plan with Aflac, which accepted his breathing routine without any issues. Arthur secured $15,000 in coverage for his burial expenses and saved 20% compared to the other quotes he received. Now he has peace of mind knowing his family is protected from day 1.

Beatrice story:

Beatrice was 72 and used oxygen at night, specifically to help with her sleep apnea and lung fatigue. Most companies told her she had to wait 2 years for coverage because of the oxygen tank in her bedroom. I looked at her medical records and placed her with a company that is very lenient with oxygen used for sleep-related issues. She was approved for a $10,000 policy with immediate coverage to help her children pay for her cremation and final bills. Beatrice was thrilled to find a plan that didn’t punish her for following her doctor’s advice.

Lung disease financial ratings & stability

Financial ratings rate a carrier’s ability to pay death claims by providing an independent assessment of the company’s long-term financial health and cash reserves. Seniors need to know that the company they choose will actually be there to pay the bill when the time comes. We only work with companies that have high scores from A.M. Best because that proves they have the money to pay every single claim. Checking with the Better Business Bureau also ensures the company treats its customers with respect and processes paperwork quickly.

Insurance carrier ratings & comparisons

Carrier A.M. Best BBB NAIC Complaints
Aflac A+ (Superior) A+ Low
CICA B++ (Good) A+ Low
Colonial Penn A (Excellent) A+ High (300% Above Avg)
Family Benefit Life A+ (Superior) A+ Low
Guarantee Trust Life A (Excellent) A+ Low
Senior Life Not Rated A+ High (300% Above Avg)
Trinity Life A+ (Superior) A+ Low

Frequently asked questions: lung disease

Can I get burial insurance if I have a chronic lung disease?

Insurance companies approve permanent burial insurance policies for applicants with chronic lung disease every day because final expense carriers specialize in covering seniors with respiratory conditions. I have sat at thousands of kitchen tables with folks who think their lungs make them uninsurable. Honestly, it just does not make sense to go without protection when the current market is this inclusive. Most companies accept diagnoses like COPD or emphysema without a second thought. Depending on how stable you are today, you can secure a plan that pays for your funeral in full. This prevents your kids from having to scramble for cash when they should be grieving.

Is COPD considered a disqualifying condition for burial insurance?

COPD does not disqualify you from burial insurance, but the diagnosis determines whether a carrier offers you immediate coverage or a plan with a waiting period. Most insurers categorize COPD and chronic bronchitis as moderate risks rather than deal-breakers. If you manage your breathing with inhalers and stay out of the hospital, you can often qualify for a standard plan with no waiting period. But if your COPD requires you to lug around an oxygen tank, the company sees a higher risk. I find the carrier that treats your specific breathing history with the most respect so you do not pay a “convenience tax” on your premiums.

Can I get day one burial insurance coverage if I use supplemental oxygen?

Securing first-day coverage while using supplemental oxygen is difficult because most insurance carriers view oxygen dependency as a sign of advanced respiratory failure. Here is the part they do not tell you in the flashy TV commercials: if you use oxygen 24/7 for lung disease, the company is usually going to make you wait 2 years for a natural death payout. Finding immediate coverage is like finding a needle in a haystack. However, if you only use that oxygen at night for sleep apnea, a specialized agent can often find you a much better deal. You should never settle for a waiting period until you check every state-regulated policy available.

How does recent hospitalization for lung disease affect burial insurance?

Recent hospitalizations for lung disease flare-ups trigger higher premium rates or a graded benefit plan because underwriters view recent crises as a sign of medical instability. If a respiratory emergency landed you in the hospital in the last 2 years, the insurance company gets nervous about your longevity. In the current market, a recent stay usually moves you into a graded plan. These plans pay out a percentage of the benefit if you pass away in the first 24 months. It is like paying for a full gallon of milk but only getting a pint if you do not outlast the waiting period. I help you find the shortest path to full protection so your family stays safe.

Do I need a medical exam to get burial insurance with lung disease?

Burial insurance companies never require medical exams or lung function tests because they use simplified underwriting to review your health through digital records. I am not going to send a stranger to your house to poke you with needles or make you blow into a machine. These are “no medical exam” policies. The company performs a quick background check on your prescriptions to see if you use drugs like Advair or Spiriva. This process is much faster than traditional insurance and lets you get a “yes” or “no” answer in minutes.

Will my tobacco use combined with lung disease increase my burial insurance rates?

Smoking combined with a lung disease diagnosis significantly increases your burial insurance premiums because carriers view this combination as a major mortality risk. I will be blunt: if you smoke and have lung disease, you are going to pay more. Your monthly cost could be double what a non-smoker pays. Most carriers want you to be nicotine-free for at least 12 to 24 months before they give you the lower rate. Even so, it is still a better deal to pay the “smoker” rate now than to leave your spouse with no money and a $15,000 funeral bill. Every dollar you save today is a gift to your family later.

Does chronic bronchitis qualify as a pre-existing condition for burial insurance?

Insurance companies classify chronic bronchitis as a pre-existing condition, but most carriers treat it as a manageable risk that allows for standard insurance rates. Insurers group chronic bronchitis with other obstructive lung diseases, so they know exactly how to handle your application. As long as your medication history matches your answers on the questionnaire, you can secure a policy easily. Honestly, it just does not make sense to let the “pre-existing” label scare you away. You get the same whole life protection as anyone else, which locks in your price for the rest of your life.

Can I get burial insurance if my lung disease is considered terminal?

Applicants with terminal lung disease can secure a permanent death benefit through a guaranteed-issue policy that ignores life expectancy and health history. If a doctor gives you a short prognosis, you will not qualify for a plan that asks health questions. But you are not out of luck. A guaranteed-issue policy does not ask about your terminal status and cannot deny you. You just have to outlive the 2-year waiting period for the full benefit to pay out. It is the only way to ensure your family has a financial cushion when they need it most.

Is burial insurance for lung disease more expensive than for healthy individuals?

Burial insurance for lung disease survivors often costs slightly more than for healthy applicants, but the monthly price difference is usually only the cost of a couple of pizzas. Depending on your carrier, you might pay a standard rate instead of a preferred rate. This usually adds about $10 to $20 to your monthly bill. Since the total coverage amounts are small, it remains an affordable way to protect your kids. Frame every dollar you spend as a way to keep your family from borrowing money at a high interest rate just to bury you.

Randy VanderVaate

About the author

Randy VanderVaate

Randy is the Founder and President of Final Expense Guy. He’s an independent life insurance broker, licensed in most states. Because he isn’t tied to one insurance company, he can compare options from multiple companies to help you find the right fit.

When you call Final Expense Guy, you deal directly with Randy, not a call center.

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