Getting life insurance without a medical exam is possible. Depending on your age and health, you might not be required to undergo a medical exam. Many insurance companies now offer “no-exam” life insurance. Depending on your health and the company, this type of policy may offer a higher or lower premium than one with a medical exam. Weigh the benefits of each for your situation. Certain types of life insurance are not medically underwritten, like final expense insurance. Approval is guaranteed, even if you have pre-existing conditions, but coverage is limited.