Does having a pacemaker affect auto insurance rates? (2025)

Having a pacemaker does not directly affect auto insurance rates unless you have a history of accidents related to your condition. Expect to pay 45% more for car insurance after an accident. Below, we'll overview how a pacemaker affects car insurance and potential driving restrictions after pacemaker surgery.

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Dorothea Hudson

Insurance and Finance Writer

Dorothea Hudson has been professionally writing in many spheres since 2013. She has written on entertainment, insurance, finance, travel, technology, AI, renewable energy, crypto, fundraising, and real estate for many websites. Her work has been published for British retailer Marks and Spencer, Kroger Magazine, the Vision Group, and more. Her passions include writing, music, running, travel, te...

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Dorothea Hudson
Justin Wright

Licensed Insurance Agent

Justin Wright has been a licensed insurance broker for over 9 years. After graduating from Southeastern Seminary with a Masters in Philosophy, Justin started his career as a professor, teaching Philosophy and Ethics. Later, Justin obtained both his Property & Casualty license and his Life and Health license and began working for State Farm and Allstate. In 2020, Justin began working as an i...

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Justin Wright

Updated January 2025

While having a pacemaker does not directly affect auto insurance rates, any at-fault accidents stemming from your pacemaker can cause your rates to go up by around 45%.

does having a pacemaker affect auto insurance rates?

Read More: Auto Insurance for Drivers With Accidents

Keep reading to understand how a pacemaker of the heart can impact your car insurance premiums and compare pacemaker car insurance rates from the best auto insurance companies.

Things to remember

  • Having a pacemaker does not directly affect your auto insurance
  • Pacemaker-related accidents can affect your car insurance rates
  • Prepare for potential issues involving your pacemaker with extra coverage

How a Pacemaker Can Affect Auto Insurance Rates

In general, simply possessing a pacemaker won’t by itself make it harder for you to get auto insurance or lead to unreasonable rates. This is because auto insurance companies usually do not look at your health when approving coverage.

Auto insurance companies consider several factors when reviewing potential or current policyholders. These may include your:

  • Driving record
  • Location
  • Age
  • Vehicle 
  • Driving habits

They usually do not consider your medical condition, so they may never know that you have a pacemaker. However, there are two exceptions to this that may indirectly impact your auto insurance.

If your pacemaker results in you having vehicular accidents or your doctor feels that it endangers you while driving, it may impact your rates because either of these may lead to you being labeled as “high-risk.” As a high-risk driver, you may face reluctance from companies to grant you a policy. Read more about how to find cheap high-risk auto insurance with a pacemaker.

Pacemakers Come With Risks

While pacemakers are meant to help treat existing heart problems, they come with risks, including:

  • Fatigue
  • Dizziness
  • Light-headedness
  • Stroke
  • Heart failure

If these occur while you are behind the wheel, you could have a serious wreck. If you have a pacemaker and recently caused an accident, check out the rates below to see how much more you’ll pay for coverage:

Full Coverage Auto Insurance Monthly Rates: One Accident vs. Clean Record

Insurance CompanyOne AccidentClean Record
Allstate TablePress Logo$321$228
American Family TablePress Logo$251$166
Farmers TablePress Logo$282$198
Geico TablePress Logo$189$114
Liberty Mutual TablePress Logo$335$248
Nationwide TablePress Logo$230$164
Progressive TablePress Logo$265$150
State Farm TablePress Logo$146$123
Travelers TablePress Logo$199$141
USAA TablePress Logo$111$84
U.S. Average$246$170

Compare RatesStart Now →

While many individuals with pacemakers continue to live normal lives and can drive without problems, the possibility of issues is enough to put insurance companies on guard in the two instances where they usually notice a customer or potential customer has a pacemaker.

Pacemakers and Driving

A history of pacemaker-related incidents is a red flag to insurance companies. One way having a pacemaker can impact the cost of insurance is if you have a history of accidents and insurance claims that were in some way caused by your pacemaker.

Your driving record is something insurance companies pay a great deal of attention to regardless of whether you have a pacemaker or not. However, if you have a long, accident-free record, your pacemaker should not pose an issue.

Michael Leotta Insurance Operations Specialist

Read More: How to Check My Auto Insurance Claims History

Insurance Companies Can Access Your Medical Record if Your Doctor Submits Them

If your doctor feels that your medical condition may affect your driving ability and safety, they will submit your medical documentation to your state’s Department of Motor Vehicles. They have a moral obligation to do so.

Your doctor may also place limits on your driving license. Examples of such limitations include:

  • Only driving during the day
  • Only driving with another licensed adult driver in the vehicle
  • Only driving short distances

If your condition is severe enough, your physician may even remove your driving privileges completely. Limitations usually are not permanent and may be lifted over time. You are more likely to have restrictions placed on your license right after the pacemaker surgery since that is when symptoms are more likely to express themselves. Your doctor may also place restrictions initially if you have a long history of complex heart problems.

Insurance companies can access your medical documentation as long as the DMV has the records. They also look at your driver’s license, which means they will see any limitations placed on it. Most physicians will notify you if they send your medical documentation to the DMV.

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How to Guard Against Future Pacemaker-Related Incidents

If your pacemaker has played a role in an accident or if your doctor submitted documentation to the DMV, you may no longer be eligible for traditional auto insurance at comfortable rates. However, there are companies that specialize in insuring high-risk drivers. Your state may also have assigned risk pools you can join so you can ensure you have the coverage you need. There are also steps you can take to prepare for and minimize the chance of accidents.

Invest in Additional Insurance Coverage

You must meet your state’s minimum auto insurance requirements to drive legally. Standard policies usually include liability auto insurance, which has bodily injury and property damage coverage. You can increase the levels of these coverages, though.

You may also want to acquire collision auto insurance and medical payments coverage. The first covers damages if you collide with another vehicle or an object such as a mailbox or telephone pole. The latter covers the medical bills and any lost wages if you suffer a serious injury in an accident. Having additional coverage will buffer the expenses if you have a wreck.

Maintain Your Health

Taking care of yourself can help prevent pacemaker failure. This involves simple tasks, such as:

  • Attending regular check-ups
  • Following your physician’s instructions exactly
  • Contacting your physician if you notice abnormalities in your health or the pacemaker’s performance
  • Including heart-healthy foods like fruits, vegetables, and grains in your diet
  • Incorporating more physical activity into your life without overstraining yourself

By maintaining your health, you lower the possibility of you having a wreck, which would lead to an increase in your rates.

How Pacemakers and Auto Insurance Rates Correlate

If you have a pacemaker, you should not have any trouble driving if your doctor clears you for it. Auto insurance companies generally do not consider whether you have a pacemaker or not when providing coverage, so your rates or ability to obtain insurance should not be directly affected.

However, if you have a record of accidents resulting from issues with your pacemaker or your doctor feels you may need restrictions on your license, you may need extra coverage and other solutions.

Frequently Asked Questions

Does having a pacemaker affect auto insurance rates?

In most cases, having a pacemaker does not directly affect auto insurance rates. Auto insurance companies primarily base their rates on factors such as driving history, vehicle type, age, and location. Having a pacemaker is not typically considered a direct risk factor for driving, unless it significantly impacts the individual’s ability to safely operate a vehicle.

Do you have to tell your insurance company if you have a pacemaker?

It is generally a good idea to inform your auto insurance company about any medical conditions, including the presence of a pacemaker. While it may not directly affect your rates, providing accurate information helps ensure that you have the appropriate coverage and that the insurance company is aware of any potential health concerns that may arise while driving.

Can I get insurance with a pacemaker?

In most cases, having a pacemaker should not impact your ability to obtain auto insurance. Insurance companies typically focus on factors such as driving history and risk assessment, rather than specific medical conditions. However, if your pacemaker significantly affects your ability to drive safely, it may be necessary to discuss this with the insurance company and potentially explore alternative transportation options.

Are there any specific insurance companies that specialize in coverage for individuals with pacemakers?

While there may not be insurance companies that specifically specialize in coverage for individuals with pacemakers, many insurance providers offer policies for individuals with various medical conditions. It is recommended to research and contact different insurance companies to discuss your specific needs and find a policy that suits your requirements.

Auto insurance rates can increase after an accident, regardless of whether it is related to a pacemaker or not. Insurance companies typically consider factors such as fault, severity of the accident, and previous claims history when determining rate changes. While having a pacemaker may not be a direct cause for rate increases, any accident could potentially impact your rates depending on the circumstances. It is advisable to check with your insurance provider to understand their specific policies regarding rate adjustments in such situations.

Can you drive if you have a pacemaker?

Your doctor may give you pacemaker driving restrictions, such as not to drive for a week, after a pacemaker procedure. However, you should be able to continue driving with a pacemaker afterward.

Can I get travel insurance with a pacemaker?

Some travel insurance companies may deny you coverage if you have a pre-existing medical condition, such as a heart pacemaker.

Can I drive an electric car with a pacemaker?

Yes, electric cars are safe for pacemakers. A person with a pacemaker can drive an electric car as the risk of malfunction is pretty low.

How can my insurance company find out about my pacemaker?

Insurance companies may be able to access medical records if they’re with the DMV.

Are there discounts available for drivers with pacemakers?

Many insurers offer discounts that drivers with pacemakers can take advantage of, such as a safety feature or defensive driver auto insurance discount.

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