Is malpractice insurance required?

Asked by: Gay Dicki  |  Last update: January 7, 2026
Score: 4.8/5 (21 votes)

Most health care professionals — including nurses, nurse midwives, advanced practice nurses, CRNAs, physician assistants, physicians, dentists, and podiatrists — are required to have malpractice insurance, either as a part of their employment or to maintain privileges or payer contracts.

Is malpractice insurance necessary?

A person can be sued anytime for any reason. Most employer policies are tailored to cover the employer, not the individual license you carry. This means that if you are personally named in a lawsuit, you need your own malpractice coverage.

What happens if a doctor does not have malpractice insurance?

However, you can still collect an award for your physical and emotional losses in certain situations, even if your doctor does not have malpractice insurance. In the latter situation, you would essentially sue a doctor without malpractice insurance.

Who should have medical malpractice insurance?

Physicians and Surgeons

All physicians within the practice need medical malpractice insurance. However, every doctor is different. Therefore, the coverage they need might vary. Again, while many facilities provide a degree of malpractice coverage, most physicians need their own policies.

How do I know if I need malpractice insurance?

All clinically practicing PAs should carry professional liability coverage, often called malpractice insurance, during all time periods in which they practice. This insurance covers your exposure to liability arising from your profession, including allegations of malpractice.

Are Doctors Required To Carry Medical Malpractice Insurance?

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Who typically pays for malpractice insurance?

Who is paying for your malpractice insurance? Unless you are going into solo practice, your new employer should be paying for your coverage. Hospital-employed physicians' premiums are typically paid by the hospital.

What type of doctor has the highest malpractice insurance?

Surgeons: Any physician doing invasive surgery will pay higher medical malpractice insurance rates than physicians performing no surgery. For the same reasons OB/GYNs pay more, surgeons pay higher rates too.

Is it legal for a doctor to not take insurance?

Yes. Doctors aren't required to accept health insurance plans or to accept the rates insurance companies decide to pay. The Affordable Care Act improved health insurance access, but it didn't resolve the issue of rising costs and lower reimbursements offered by some payers.

Do doctors pay malpractice insurance out of pocket?

While it's true that doctors with medical malpractice policies often pay some or all of their premiums out of pocket, they usually don't pay much, if anything, if they're successfully sued for medical malpractice.

Why is malpractice insurance so high?

Medical malpractice insurance rates have been climbing recently, with several factors driving this trend. Rising claim payouts: The cost of resolving claims has increased. Jury awards in medmal cases are trending higher, reflecting growing financial pressures on providers.

Is medical malpractice worth it?

Therefore, unless the medical malpractice caused substantial damages, these cases are not worth pursuing. Moreover, since physicians who pay any money in settlement get reported to a national data bank, which report follows them for the rest of their career, doctors do not settle these cases very often.

Is the cost of malpractice insurance forcing physicians to leave medical practice?

Premiums may influence physicians' decisions to join and leave the labor force, their choice of a medical specialty, and their decision of where to locate, creating the potential for underserved patient populations in certain specialties or geographic areas.

What are the two types of malpractice insurance?

The two basic types of malpractice insurance are "claims-made" and "occurrence-made." "Claims-made" insurance protects you from malpractice claims only if the company that insured you at the time of the alleged "occurrence" is the same company at the time the claim is filed in court.

What states is it illegal to not have insurance?

New Jersey, California, Rhode Island, Massachusetts, and the District of Columbia require their residents to have health insurance coverage or face penalties. Vermont recommends that residents have coverage, but there's no noncompliance penalty.

Do hospitals carry malpractice insurance?

Many large hospitals, networks or practices carry group hospitalist malpractice policies. The policies protect the business's interest in the mistakes employees might make. That's why most facilities carry them in the first place. Generally, these policies will provide coverage for all those listed on the policy.

Can a doctor refuse to treat a patient without insurance?

Uninsured individuals requiring emergency medical attention enjoy treatment because failing to treat them is illegal. On the other hand, for-profit health facilities can deny services to patients who cannot pay for non-emergency care.

Why are doctors no longer taking insurance?

Reimbursement Rates and Administrative Burden: The reimbursement rates offered by insurance companies and the administrative burden associated with processing insurance claims can also play a significant role in a doctor's decision to no longer accept certain plans.

Who pays for uninsured patients?

Hospitals do get help with the unpaid bills – from taxpayers. The majority of hospitals are non-profits and are exempt from federal, state and local taxes if they provide a community benefit, such as charitable care. Hospitals also receive federal funding to offset some of the costs of treating the poor.

How much do doctors make after malpractice insurance?

Because our doctors are paid, on average, more than $250,000 a year (even after malpractice insurance and other expenses), and more than 900,000 doctors in the country, that means we pay an extra $100 billion a year in doctor salaries. That works out to more than $700 per U.S. household per year.

What is the most common malpractice claim?

Multiple studies have concluded that misdiagnosis is the most common cause of malpractice claims. Misdiagnosis includes failure to diagnose a medical problem that exists or making a diagnosis that is incorrect.

What doctors are least likely to be sued?

The specialties at lowest risk of lawsuits include allergists and immunologists, with 7% of physicians being sued during their careers, and hematologists and oncologists, with 8% of physicians being sued during their careers.

How much is malpractice insurance per month?

Doctors and physicians pay an average medical malpractice insurance premium of $427 per month, or $5,125 annually. This policy is also called professional liability insurance. Doctors often need this coverage to comply with state laws, or to work at a specific hospital or other facility.

Do doctors pay out of pocket for malpractice insurance?

Hospitals typically pay malpractice insurance premiums for doctors who are their employees. Doctors who operate their own practices typically pay for their own coverage. Medical professionals who work for federal agencies, such as the U.S. Department of Veterans Affairs, often don't have to get malpractice insurance.

Why is malpractice insurance so expensive?

Several elements can lead to increased malpractice insurance premiums, reflecting the inherent risks associated with certain medical practices. High-risk specialties, geographic location, and a provider's claims history are just a few factors that can significantly raise costs.