Medical Questionaire
All applicants 86 years of age and older must answer the following questions as of today’s date to determine the insurance quote.
Q1. Have you had any of the following in the last 12 months?
| Myocardial infarction also known as heart attack | |
| Stroke and/or Transient Ischemic Attack (TIA) also known as mini-stroke | |
| Arterial by-pass, angioplasty and/or placement of a stent for a cardiovascular condition | |
| None of the above |
Q2. Have you had any of these conditions in the last 12 months?
Note: Choose a condition if, in the specified timeframe, you had the condition, whether or not you received any medical care for it. This includes conditions controlled or managed by medication, a medical device, diet or exercise.
| Atrial fibrillation | |
| Diabetes requiring insulin | |
| Liver disease, excluding liver cancer | |
| Pneumonia | |
| Coronary artery disease (CAD) | |
| Arteriosclerosis and/or atherosclerosis also known as hardening of the arteries | |
| Chronic Obstructive Pulmonary Disease (COPD), including emphysema, not requiring home oxygen | |
| Asthma | |
| None of the above |
Q3. In the last 12 months, have you smoked any tobacco products, or vaped any nicotine products (including e-cigarettes)?
We'll beat all our competitors!
1-647-350-0332