Questions about American Amicable? Call us: (754) 800-1152 — Independent broker • We place clients with American Amicable daily
Carrier Review — Independent & Unbiased

American Amicable Life Insurance Review 2026:
The Best Carrier for Diabetics Nobody Talks About

American Amicable doesn’t advertise on TV. They compete exclusively through independent brokers — which means their pricing stays competitive and their underwriting stays flexible. For diabetics, smokers, and asthma patients, they are one of the strongest carriers in our network.

A.M. Best
A-
Excellent
Max Coverage
$50K
Ages 50–85
Diabetics
Level ✓
Insulin users too
Smoker rates
Best in mkt
Lowest of any carrier
Medical exam
None
Simplified issue

Bottom line: American Amicable is our #1 recommended carrier for diabetics, smokers, and asthma patients. They offer level benefit — full coverage from day one, no waiting period — to insulin-dependent diabetics, a capability almost no other carrier matches. Their underwriting is among the more lenient in our network.

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Why we recommend American Amicable

American Amicable has been writing life insurance since 1910. They are not a household name because they do not advertise directly to consumers — they compete exclusively through independent brokers. This is exactly why their rates stay competitive and their underwriting stays flexible.

As an independent broker who places clients with nine A-rated carriers, we run American Amicable quotes daily. They win specific profiles repeatedly and decisively: the diabetic senior who has been told they can only get graded benefit, the smoker who has been quoted above-market rates, the asthma patient who was turned away elsewhere.

LL

From Larry La Spina — Licensed Independent Broker

NPN #21598508 • Licensed in all 50 states • 9 A-rated carriers

I place a large volume of clients with American Amicable, and the reason is almost always diabetes or tobacco. A diabetic who calls Mutual of Omaha gets automatically graded — no exceptions. The same client who calls me gets level benefit at American Amicable, often for less money. Call me before you apply anywhere: (754) 800-1152.

The diabetic advantage: what makes American Amicable stand out

Mutual of Omaha automatically grades all diabetics to their graded benefit product. No exceptions. American Amicable evaluates diabetics on the full clinical picture. A diabetic without serious complications typically qualifies for level benefit coverage with no waiting period — including many insulin-dependent diabetics.

A 65-year-old insulin-dependent diabetic female who applies with Mutual of Omaha gets graded benefit with a 2-year waiting period. The same client applying through us at American Amicable typically gets level benefit from day one at a standard rate.

The three profiles where American Amicable wins

1
Diabetics — including insulin users
Level benefit for Type 1 and Type 2 diabetics without serious complications. One of the only carriers offering this to insulin-dependent applicants.
2
Smokers & tobacco users
Best smoker rates in the independent broker market. Smokers typically pay 20–30% less than at competing carriers for the same coverage amount.
3
Asthma & inhaler users
Level benefit for asthma and inhaler users — a condition many carriers rate or decline outright. American Amicable treats asthma like a standard health profile in most cases.

American Amicable underwriting by health condition

Health conditionAmerican AmicableMutual of OmahaLincoln Heritage
Type 2 diabetes, oral medsLevel benefit (Immediate) ✓Graded only ⚠Modified Plan ⚠
Type 1 or insulin-dependent diabetesLevel benefit (Immediate) ✓Graded only ⚠Modified Plan ⚠
Diabetes with complicationsROP waiting periodGraded onlyModified Plan
Smoker / tobacco userLevel — best mkt rate ✓Level ✓Level — above market
Asthma / inhaler userLevel benefit (Immediate) ✓Often ratedModified Plan
COPD within past 2 yearsROP waiting period ⚠LimitedModified Plan
Heart attack 2+ yrs agoLevel benefit (Immediate) ✓Case by caseModified Plan ⚠
Cancer in remission 2+ yrsLevel benefit (Immediate) ✓Case by caseModified Plan ⚠
Controlled high blood pressureLevel benefit ✓Level benefit ✓Level ✓
CHFNo coverageGI onlyGI only

COPD note: American Amicable is not a COPD carrier for active or recent cases. For COPD patients, Transamerica and Royal Neighbors offer level benefit at their best rates — they are the right first call.

American Amicable rates: 2026 $15,000 level benefit

Age / GenderAm. Amicable (non-smoker)Am. Amicable (smoker)Mutual of Omaha (non-smoker)Lincoln Heritage (non-smoker)
Female, 55$42/mo$54/mo$40/mo$67/mo
Female, 65$62/mo$80/mo$58/mo$99/mo
Female, 70$80/mo$102/mo$76/mo$131/mo
Male, 65$82/mo$107/mo$76/mo$132/mo
Male, 70$108/mo$141/mo$100/mo$174/mo

Who American Amicable is best for — and who it isn’t

✓ Best fit
Diabetics (Type 1 & 2)
Especially insulin-dependent diabetics. Immediate (level) benefit where most carriers give graded.
✖ Not ideal
Healthy non-diabetic seniors seeking lowest rate
Mutual of Omaha and Royal Neighbors typically beat American Amicable by $3–$8/month for clean, healthy profiles.
✓ Best fit
Current smokers & tobacco users
Best smoker rates in the market. 20–30% cheaper than most competing carriers for the same $15,000 level benefit policy.
✖ Not ideal
COPD patients (active or recent)
Transamerica and Royal Neighbors offer level benefit for COPD — they are the right first call.
✓ Best fit
Asthma & inhaler users
Immediate (level) benefit for asthma and inhaler users. Most carriers rate this condition.
✖ Not ideal
Congestive heart failure (CHF)
CHF = no coverage at American Amicable. Transamerica is the only carrier offering level benefit for CHF.

Diabetic, smoker, or asthma patient? Let us run your American Amicable quote.

We place these profiles with American Amicable regularly. Free, no obligation.

Get My Quote →

American Amicable vs. Mutual of Omaha: the full comparison

FactorAmerican AmicableMutual of Omaha
A.M. Best ratingA- (Excellent)A+ (Superior) ✓
Non-smoker rates (healthy)Competitive — $2–$5/mo above MoOBest in market ✓
Diabetics (any type)Immediate benefit ✓Graded only — no exceptions ⚠
Insulin-dependent diabeticsImmediate benefit (most cases) ✓Graded only ⚠
Smoker ratesBest in market ✓Higher than Am. Amicable
Asthma / inhaler usersImmediate benefit ✓Often rated or limited
CHFNo coverageGI only
Medical examNo ✓No ✓

Frequently asked questions

Is American Amicable good for diabetics?
Yes — it is one of the best final expense carriers for most diabetics, including many insulin-dependent diabetics. American Amicable offers Immediate (level) benefit to diabetics without serious complications. See our full diabetes coverage guide.
Does American Amicable cover asthma and inhaler users?
Yes. American Amicable offers Immediate (level) benefit to asthma and inhaler users in most cases. Note that asthma and COPD are different conditions — for COPD, Transamerica and Royal Neighbors are the stronger options.
How does American Amicable compare to Mutual of Omaha?
For healthy, non-diabetic seniors: Mutual of Omaha wins on rate and has a higher A+ AM Best rating. For diabetics, smokers, and asthma patients: American Amicable wins consistently.
How do American Amicable’s smoker rates compare?
American Amicable has the best smoker rates of any carrier in our independent broker network. Smokers typically pay 20–30% less than at competing carriers for the same $15,000 level benefit coverage.
Can insulin-dependent diabetics get level benefit at American Amicable?
Yes, in most cases. American Amicable offers Immediate (level) benefit to most insulin-dependent diabetics without serious complications such as dialysis or amputation. Mutual of Omaha and Lincoln Heritage both put insulin-dependent diabetics on graded benefit automatically.

Related guides and carrier reviews

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