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Burial insurance on oxygen

Supplemental oxygen at home is one of the few answers on a burial insurance application that closes most of the market on its own. It is asked about on almost every level benefit form, it is frequently asked with no time limit attached, and a yes normally ends the level benefit conversation. Cover still exists, and it is worth knowing exactly what it looks like.

Nothing here is medical advice and nothing here should change how anyone manages a health condition or a prescribed therapy. Underwriting rules differ from one insurance company to the next and change without notice. The outcome of any application is decided by the carrier on the individual case, not by a website.

The honest answer

If oxygen is used at home today for a lung or heart condition, the realistic product across most of this market is a guaranteed issue policy. It asks no health questions, cannot be declined for health inside its age band, and applies a two year period during which death from natural causes returns the premiums paid plus interest. Accidental death is paid in full from day one.

A small number of companies word the question narrowly enough that past use which has stopped falls outside it. That is a genuine opening and it is worth an agent checking, but it is not a plan. Anyone told that daily oxygen is no obstacle to a day one policy is being told something the market does not support.

Why oxygen is read so hard

Underwriters do not treat oxygen as a treatment. They treat it as a measurement. Home oxygen is prescribed when the lungs or the heart can no longer keep blood oxygen where it needs to be, so the presence of a concentrator in the house tells a company something about severity that no other single question on the form tells it.

That is why the oxygen question so often carries no window. Most questions on these applications are about dated events that age out. Oxygen is asked as a present state, and in the strictest wording as anything that has ever happened, and there is no waiting it out while it is still in use.

What counts as oxygen, and what does not

This section is here because the distinction costs people a policy tier every single week. Several very common devices are not oxygen therapy, and answering yes because of one of them gives up cover that was available.

Device or situationIs it the oxygen question
Home oxygen concentrator, continuous useYes
Portable oxygen cylinders used when out of the houseYes
Oxygen used only at nightYes, part time use is still use
Oxygen prescribed and collected but rarely usedYes, and several forms also ask whether it has been advised
CPAP or BiPAP machine for sleep apneaNo. It delivers pressurised air, not supplemental oxygen
Rescue or maintenance inhalersNo. Asked about separately as medication
Home nebuliserNo. Also medication delivery rather than oxygen
Oxygen given in hospital or during surgery and stopped on dischargeNot current use, but a form asking whether oxygen has ever been used still captures it, so say what it was and when it stopped

The CPAP confusion is the expensive one. Sleep apnea treated with a CPAP machine, on its own, is a routine case in this market and is very often written at level benefit. People who answer the oxygen question yes because there is a machine beside the bed hand back a policy they qualified for. If the wording is unclear on the call, describe the device precisely and let the company classify it.

How the question is worded

The exact phrasing is the whole ball game, and it differs between companies. These are the common shapes.

None of that is a reason to shade an answer. It is a reason to give an agent the full and accurate history, including dates, so the file goes to the companies whose wording actually fits the facts rather than to the ones it cannot pass.

What the underwriter actually asks

Simplified issue does not mean unchecked

There is no medical exam, but most companies run a prescription history search and a check against the shared industry database. A policy issued on an inaccurate answer can be rescinded during the first two years, which is exactly the window in which a burial policy is most likely to be claimed on. The result is premiums returned instead of a benefit paid.

If the oxygen was used and then stopped

This is the group with the real opportunity, and it is larger than people think. Oxygen is often prescribed for a defined episode, a bad pneumonia, a spell in hospital, a period after surgery, and then discontinued once things settle.

Because several companies ask about current use, or about use within a twelve or twenty four month window, a course that ended some time ago can fall outside the question entirely. The two things worth having ready are the stop date and the reason it was prescribed. With those, an agent can direct the application to companies whose wording matches, and a level benefit outcome becomes realistic again in a way it never is while oxygen is still in daily use.

The same logic runs through the whole of COPD underwriting, where most of the questions count events inside a window rather than describing severity.

What guaranteed issue gives you

FeatureWhat to expect
Health questionsNone, and no medical exam
Maximum coverCapped, frequently around $25,000 and often lower
Natural death in the first two yearsPremiums paid returned with interest rather than the full benefit
Accidental deathFull benefit from day one
After two yearsFull benefit, any cause
PremiumFixed for life, and never raised because health changes

General features of the product across the market. Terms differ by company and by state.

The waiting period runs from the day the policy is issued, so time spent deciding is added to the end of it rather than taken off. That is the strongest practical argument against waiting for a better offer that the market does not currently make.

Sizing the policy to something real

Guaranteed issue costs more for each thousand dollars of cover, so decide what the money has to do rather than reaching for the largest available figure. A burial once the cemetery has billed commonly totals about $15,395. Funeral home charges alone for a service with viewing and a metal casket run about $8,300. A cremation with a service is nearer $6,280 and a direct cremation nearer $2,202. The calculator gives your own state figure in a few seconds.

Bring the dates, including the stop date

Current use, past use and a CPAP machine are three different answers to what sounds like one question. Getting it stated precisely is often worth an entire policy tier.

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Common questions

Can you get life insurance if you are on oxygen?

Yes, but realistically through a guaranteed issue policy. Oxygen use is asked about on almost every level benefit application and is often asked with no time limit, so a yes generally ends the level benefit route. Guaranteed issue asks no health questions, cannot be declined for health inside its age band, and applies a two year waiting period on death from natural causes.

Does a CPAP machine count as being on oxygen?

No. A CPAP or BiPAP machine used for sleep apnea delivers pressurised air rather than supplemental oxygen, and applications generally handle it as a separate question. Sleep apnea treated with CPAP alone is routine in this market and often written at level benefit. Answering the oxygen question yes because of a CPAP machine gives up cover that was available.

What if oxygen is used only at night?

Part time use is still use, and most applications make no distinction between overnight and continuous oxygen. Some companies ask how many hours a day, which allows a lighter pattern of use to be described accurately, but the presence of a prescription is the part that carries the weight.

Does oxygen used in hospital and then stopped have to be declared?

It depends on the wording. A form asking about current use is answered no. A form asking whether oxygen has ever been used to assist breathing is answered yes, with the explanation that it was given during a hospital stay and discontinued on discharge. Give the full history with dates and let the company apply its own rule.

Can a level benefit policy come back into reach after oxygen stops?

Often, yes. Several companies ask about current use or about use within a twelve or twenty four month window, so a course that ended some time ago can fall outside the question completely. The stop date and the reason it was prescribed are the two facts that make that possible, so they are worth having to hand.

Is oxygen worse than the underlying lung condition on an application?

In underwriting terms it usually is, because it acts as a measure of severity rather than a diagnosis. Mild COPD managed with inhalers is written at level benefit by several companies. The same diagnosis with home oxygen attached is generally a guaranteed issue case, even though the condition has the same name.

Sources cited

  1. National Heart, Lung, and Blood Institute, COPD treatment
  2. NHLBI, sleep apnea
  3. American Thoracic Society, patient information on oxygen therapy
  4. Medicare, oxygen equipment and accessories coverage
  5. Centers for Disease Control and Prevention, COPD
  6. National Association of Insurance Commissioners, life insurance