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Life Insurance, Hyperparathyroidism, Frequently Asked Questions

In this article, we will explore the impact of hyperparathyroidism on life insurance approvals, provide insights into the underwriting process, and offer valuable tips to increase your chances of obtaining life insurance coverage.

Understanding Hyperparathyroidism

Hyperparathyroidism is a condition where the parathyroid glands, located behind the thyroid gland in the neck, produce an excessive amount of parathyroid hormone (PTH). The primary role of PTH is to regulate calcium levels in the body. When the parathyroid glands produce too much PTH, it can lead to hypercalcemia (elevated blood calcium levels) and hypophosphatemia (low blood phosphorus levels).

Types of Hyperparathyroidism:

Primary Hyperparathyroidism: This is the most common type of hyperparathyroidism, accounting for about 80-85% of cases. It occurs due to the development of a benign tumor, known as a parathyroid adenoma, on one of the parathyroid glands. In some cases, primary hyperparathyroidism can be caused by hyperplasia (enlargement) or very rarely, by parathyroid cancer.

Secondary Hyperparathyroidism:

Secondary hyperparathyroidism is usually a response to an underlying condition that causes low blood calcium levels, such as chronic kidney disease, vitamin D deficiency, or malabsorption disorders. In these cases, the parathyroid glands overproduce PTH in an attempt to compensate for the calcium imbalance.

Causes of Hyperparathyroidism:

The exact causes of primary hyperparathyroidism are still unknown. However, certain factors may increase the risk of developing the condition, including:

  • Age: Primary hyperparathyroidism is more common in individuals over 50 years of age.
  • Gender: Women are more likely to develop the condition than men.
  • Radiation exposure: Previous exposure to radiation, especially in the head and neck region, may increase the risk.
  • Genetic factors: Certain inherited genetic conditions, such as multiple endocrine neoplasia (MEN) types 1 and 2A, can predispose individuals to develop primary hyperparathyroidism.

Secondary hyperparathyroidism is primarily caused by underlying medical conditions, including:

  • Chronic kidney disease: Impaired kidney function leads to calcium and phosphorus imbalances, triggering secondary hyperparathyroidism.
  • Vitamin D deficiency: Inadequate vitamin D levels can disrupt calcium absorption, leading to compensatory PTH production.
  • Malabsorption disorders: Conditions like celiac disease or gastric bypass surgery can impair nutrient absorption and contribute to secondary hyperparathyroidism.

Symptoms of Hyperparathyroidism:

Hyperparathyroidism symptoms can vary from mild to severe and may include:

  • Fatigue and weakness
  • Bone pain or fractures
  • Kidney stones
  • Excessive urination
  • Abdominal pain
  • Digestive issues
  • Depression or anxiety
  • Cognitive impairment
  • Loss of appetite
  • Muscle weakness or spasms

It is important to note that some individuals may experience no noticeable symptoms, and the condition may only be detected through routine blood tests.

Treatment Options for Hyperparathyroidism:

The treatment of hyperparathyroidism depends on the type and severity of the condition:

Primary Hyperparathyroidism:

    • Observation:  For individuals with mild or asymptomatic primary hyperparathyroidism, close monitoring and observation may be recommended. Regular check-ups and blood tests to monitor calcium levels can help determine if the condition progresses and requires intervention.
  • Surgery: Surgical removal of the parathyroid adenoma or affected parathyroid glands is the primary treatment for symptomatic primary hyperparathyroidism. This procedure, called parathyroidectomy, aims to normalize calcium levels and alleviate symptoms. In some cases, minimally invasive techniques such as focused parathyroidectomy or video-assisted techniques may be used.
  • Medications: Medications may be prescribed to manage symptoms and control calcium levels in individuals who are not suitable candidates for surgery or prefer non-surgical options. These medications include calcimimetics, which mimic the action of calcium on the parathyroid glands and help lower PTH levels.

Secondary Hyperparathyroidism:

The treatment of secondary hyperparathyroidism focuses on addressing the underlying condition causing the calcium and phosphorus imbalances. The following approaches may be used:

  • Treating the underlying disease: Managing chronic kidney disease, vitamin D deficiency, or malabsorption disorders through lifestyle changes, medications, or specific therapies can help regulate calcium and phosphorus levels, thus reducing PTH overproduction.
  • Vitamin D supplementation: In cases of vitamin D deficiency, vitamin D supplements may be prescribed to restore adequate levels and improve calcium absorption.
  • Phosphate binders: Individuals with chronic kidney disease and secondary hyperparathyroidism may require phosphate binders to reduce phosphorus levels in the blood and subsequently lower PTH production.

Worst-Case Scenario:

In rare instances, hyperparathyroidism can lead to severe complications if left untreated or undiagnosed for an extended period. These complications may include:

  • Osteoporosis: Chronic elevation of PTH can result in the loss of bone density, leading to an increased risk of fractures and osteoporosis.
  • Kidney damage: Hypercalcemia caused by untreated hyperparathyroidism can contribute to the formation of kidney stones and potentially lead to kidney damage or kidney failure.
  • Cardiovascular problems: Long-term high levels of calcium in the blood can affect the cardiovascular system, increasing the risk of high blood pressure, heart disease, and cardiac arrhythmias.
  • Neurological issues: Severe and prolonged hypercalcemia may impact the central nervous system, causing cognitive impairment, confusion, and psychiatric symptoms.

Impact of Hyperparathyroidism on Life Insurance Approvals:

Life insurance companies assess the risk associated with an applicant’s health condition to determine the premiums and coverage eligibility. Hyperparathyroidism can be perceived as a high-risk condition due to its potential complications, such as kidney stones, osteoporosis, and cardiovascular diseases.

During the underwriting process, insurers will typically review medical records, conduct a detailed questionnaire, and sometimes request additional medical tests. They aim to evaluate the severity of hyperparathyroidism, its treatment history, and overall health status to assess the risk involved.

Life insurance companies may classify hyperparathyroidism applicants into different risk categories based on factors such as:

  1. Severity and duration of the condition.
  2. Presence of complications or comorbidities.
  3. Treatment history and medication usage.
  4. Compliance with medical recommendations.

That said, however, what you’re generally going to find is that most individuals who are not experiencing significant complications due to their Hyperparathyroidism, will likely be able to qualify for a preferred rate if otherwise healthy.  For those with complications related to their Hyperparathyroidism, one’s rate can vary significantly based on the severity of one’s condition.

Tips for Securing Life Insurance with Hyperparathyroidism

While hyperparathyroidism can complicate the life insurance approval process, there are strategies you can employ to improve your chances of securing coverage:

Choose the right insurance company: Not all insurance companies have the same underwriting guidelines. Research and compare different insurers to find those with more lenient policies towards hyperparathyroidism.

Gather comprehensive medical records: Ensure that you have all relevant medical records, test results, and treatment history ready for review. Complete documentation will help insurers gain a clearer understanding of your condition and potentially result in more favorable assessments.

Work with an experienced life insurance agent: Collaborating with an agent who specializes in high-risk life insurance can be invaluable. They can navigate the complexities of the underwriting process, identify suitable insurers, and advocate on your behalf.

Maintain regular communication with your healthcare provider: Adhering to your healthcare provider’s recommendations, attending regular check-ups, and effectively managing your condition can positively impact your application. Insurance companies prefer applicants who demonstrate good control over their health.

Provide additional context: If your hyperparathyroidism is a result of a treatable underlying condition such as kidney disease or vitamin D deficiency, be sure to highlight this to the insurer. Explaining the cause and steps taken to manage the condition can help mitigate concerns.

Consider graded benefit or guaranteed issue policies: If obtaining traditional life insurance coverage proves challenging, explore alternative options such as graded benefit or guaranteed issue policies. These policies may have higher premiums and lower coverage amounts but can provide a limited level of coverage without the stringent medical underwriting process.

Improve your overall health: Adopting a healthy lifestyle can have a positive impact on your life insurance application. Engage in regular physical activity, maintain a balanced diet, and avoid tobacco and excessive alcohol consumption. These healthy habits can demonstrate your commitment to managing your health and reduce the perceived risk associated with hyperparathyroidism.

Be patient and persistent: The life insurance approval process can be time-consuming and may require multiple attempts. Don’t get discouraged by initial rejections. Continue to explore different options, work with your agent, and stay proactive in your pursuit of coverage.


While hyperparathyroidism may present challenges in obtaining life insurance coverage, it is not an insurmountable barrier. By understanding the impact of hyperparathyroidism on the underwriting process and implementing the tips mentioned above, you can increase your chances of securing life insurance. Remember to research insurance companies, gather comprehensive medical records, work with an experienced agent, and prioritize your overall health. With patience, persistence, and informed decision-making, you can find the life insurance coverage that provides the financial protection your loved ones deserve, even with hyperparathyroidism.