Paying for Health Care Costs with Life Insurance

Posted: July 29, 2020 by John Welcom

Paying for Health Care Costs with Life Insurance

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A study released by the American Cancer Society in May 2019 found that the high cost of health care in the U.S. is causing financial hardship for more than half of all American adults. Based on data collected from the National Health Interview Survey, the study documented that 56% of adults reported at least one instance of financial struggle due to medical expenses in the past year.

The financial strain created by health care costs is especially acute among seniors, many of which have been forced to confront the unwelcome surprise of having their retirement budgets compromised by medical bills. In fact, a 65-year old couple retiring in 2019 can expect to spend $285,001 in health care and medical expenses throughout retirement (up from $280,000 in 2018), according to Fidelity Investments’ 2019 Retiree Health Care Cost Estimate. For single retirees, the health care cost estimate is $150,000 for women and $135,000 for men.

“For many, loss of health can be the most devastating wildcard in retirement,” according to a report from Age Wave, a firm that studies the aging population in the U.S. “Health problems and the cost of healthcare now top the list of retirement worries — and even more so among the affluent.”

Seniors who are facing financial pressure created by unexpected health care expenses should explore a solution that can be extremely beneficial.

Rethinking Life Insurance Policy

As of last year, there were nearly 290 million life insurance policies in force in the U.S., making it one of the most common financial assets owned by American consumers. But what happens when life insurance policies no longer serve its original intended purpose?

To help assess whether a life insurance policy is still wanted or affordable, a few questions should be asked: Is any life insurance coverage still necessary to provide heirs financial protection? If so, what is the right amount of life insurance coverage to maintain? Are the current premiums on the policy exceeding the retirement budget? Have changes to estate or tax brackets affected the need for the life insurance policy? Is it necessary to generate cash from the life insurance policy to offset other retirement expenses, such as health care bills?

Potential Strategies to Consider

There are multiple life insurance policy exit strategies available to help pay health care bills, upon concluding that a life insurance policy is no longer serving its original purpose.  Please find below eight strategies, which offer some degree of financial relief for seniors.  All of these options should be considered prior to lapsing, canceling, or surrendering a life insurance policy.

1.  Living Benefits

Some life insurance policies include an Accelerated Death Benefit (ADB) rider allowing the option to accelerate a portion of the death benefit payment. Eligibility for this option typically requires the insured to have a certified life expectancy of less than 12 months from his/her attending physician.  The ADB option, if available, may be defined in the life insurance contract and/or maybe verified through the life insurance company.

2.  Premium Waiver

Some life insurance policies have a rider that allows the life insurance policy to remain in force in the event the insured becomes disabled. The life insurance company will reduce or eliminate the premium required as long as the insured qualifies for this provision. The Disability Waiver of Premium (DWP) option, if available, may be defined in the life insurance contract and/or maybe verified through the life insurance company.

3.  Use Cash Value to Pay Premiums

Cash value life insurance policies may allow a policy owner to discontinue paying premiums if there is sufficient account value in the policy to cover the monthly cost of insurance. This is typically only a short-term solution since the cash value will eventually be depleted.

4.  Reduce Face Value of Life Insurance Policy

A life insurance company may permit the policy owner to lower the death benefit of the policy in order to decrease premium payments - such desired reductions should be communicated to the life insurance company.

5.  Change to “Paid-Up” Policy

If there is significant cash value in the life insurance policy, then the life insurance company may offer a reduced death benefit and waive future premiums in exchange for keeping the entire cash value.

6.  Policy Loan from the Life Insurance Company

If a life insurance policy has an accumulated account value, then the life insurance company may allow borrowing against a portion of it. The amount borrowed will be deducted from the death benefit, until the loan is repaid.

7.  Third-Party Loan

It may be possible to secure a loan or credit line from a bank or another authorized lender.  This third-party lender will typically require personal collateral or may use the life insurance policy as sole collateral.  Qualification and closing requirements for third-party loans vary and may not be available in all states or to all policy owners.

8.  Sell the Life Insurance Policy

The best option may be selling a life insurance policy in exchange for a lump sum cash settlement or retained death benefit - this is called a life settlement transaction.  It is advisable to work with a licensed life settlement broker who determines policy eligibility and represents the policy owner’s best interests throughout the process.  The licensed life settlement broker will require a completed application, if eligible, which includes obtaining policy information and the health details of the insured.  The life settlement broker will then negotiate with multiple state licensed buyers who compete to extend the best offer to purchase the life insurance policy.  


Of all these options, life settlements will likely generate the largest amount of immediate cash flow to help pay for immediate and ongoing health care bills. Life settlement transactions are highly regulated, with laws in over 40 states, and the industry has been experiencing steady growth in recent years as more seniors become aware of the option to sell their unneeded, unwanted, and cost-prohibitive life insurance policies. 

If interested in obtaining a free, and objective review of an existing life insurance policy, then please contact an experienced life settlement broker, who is both legally and ethically obligated to represent your best interests.

Sell Your Life Insurance Here

For more information, please visit or call 877.227.4484.

Click here to download: Paying for Health Care Costs with Life Insurance

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