
Mild hypertension is a classification of high blood pressure in which systolic and diastolic readings are elevated above normal but not yet in the most severe ranges. Depending on the guideline, it often corresponds to systolic blood pressure between approximately 130 and 149 mmHg and/or diastolic pressure between 80 and 89 mmHg. Even mild hypertension increases the long-term risk of heart disease, stroke, and kidney damage if left untreated. Diagnosis is based on repeated readings over time, sometimes supplemented by ambulatory or home blood pressure monitoring. Treatment may include lifestyle modifications-such as weight loss, exercise, reduced sodium intake, and moderation of alcohol-along with medications like ACE inhibitors, ARBs, beta blockers, or diuretics when indicated. For insurers, mild hypertension is a common and manageable impairment that still requires careful evaluation of control, compliance, and coexisting risk factors.
In everyday underwriting, mild hypertension is one of the most frequent impairments encountered on applications. Underwriters look at the average of several recent readings, how long the condition has been present, and whether medications are being taken as prescribed. Well-controlled mild hypertension with good follow-up and no complications can often qualify for standard or even preferred classes, especially if the client maintains a healthy build and has favorable cholesterol and non-smoking status. Poorly controlled blood pressure, inconsistent treatment, or associated conditions like diabetes and kidney disease may result in ratings. Advisors can improve outcomes by encouraging clients to obtain up-to-date blood pressure logs and physician notes showing stability before underwriting. Clear documentation of mild hypertension, including medications and lifestyle steps, helps carriers differentiate between low-risk, well-managed cases and those with higher long-term cardiovascular risk.