Who should have medical malpractice insurance?
By Stephen Leggitt January 17, 2026

Who should have medical malpractice insurance?
Medical malpractice is an unfortunate reality in healthcare, and the financial and legal consequences can be severe. That’s why medical malpractice insurance is a critical consideration for healthcare practitioners and it’s important to know who should have medical malpractice insurance. This type of coverage protects medical professionals from lawsuits arising from alleged errors, omissions or negligence in the delivery of care.
Whether you’re a doctor, nurse practitioner or other healthcare provider, understanding your need for this insurance—and the medical malpractice insurance requirements by state—can safeguard your career and financial stability.
Is medical malpractice insurance worth it?
How much is malpractice insurance, and is it truly worth the cost? When deciding whether to invest, many practitioners wonder if the expense outweighs the benefits. The reality is medical malpractice claims—even those without merit—can result in substantial legal fees, settlements and professional liability risks. Proper insurance offers peace of mind and financial protection against unexpected lawsuits.
The cost of malpractice insurance varies widely depending on factors like specialty, location and claims history. On average, primary care physicians might pay between $1,000 and $3,000 annually, while higher-risk specialties like neurosurgery or obstetrics can see premiums exceeding $20,000 per year. Insurance carriers also offer different coverage limits and policy types, which can influence the total premium. Considering the potential financial impact of a lawsuit, most healthcare practitioners find that the cost of malpractice insurance is a worthwhile investment for long-term protection.
Who should have medical malpractice insurance?
Any healthcare professional who provides patient care should consider obtaining medical malpractice insurance. This includes, but is not limited to, physicians, surgeons, dentists, nurses, physician assistants and nurse practitioners. Even professionals in administrative or consulting roles may benefit if their work involves medical decision making or patient advice.
There are several types of medical malpractice insurance policies available:
- Claims-made policies cover claims filed during the policy period, regardless of when the incident occurred, as long as the policy is active.
- Occurrence policies cover incidents that happen during the policy period, even if the claim is filed years later.
- Tail coverage is an add-on to claims-made policies that protects against claims filed after a policy has ended.
Choosing the right type of policy depends on your career stage, specialty and risk exposure. Regardless of the option, having coverage is generally considered essential for anyone delivering medical care.
What happens if a doctor does not have malpractice insurance?
Going without malpractice insurance is risky and can have serious financial and professional consequences. If a claim is filed, the healthcare provider is personally responsible for legal fees, settlements and any judgments awarded. Even a single claim can result in bankruptcy or severe damage to a medical career.
What does malpractice insurance cover?
Generally, medical malpractice insurance covers:
- Legal defense costs, including attorney fees and court expenses
- Settlements or judgments arising from covered claims
- Claims of negligence, errors or omissions during patient care
- Certain types of disciplinary actions or licensing defense
It’s important to review policies carefully, as coverage limits, exclusions and state regulations can differ significantly.
Should all healthcare practitioners carry medical malpractice insurance?
While some states do not legally require all healthcare providers to carry medical malpractice insurance, it is widely recommended. Even in states where coverage is not mandatory, the financial risks of being sued can be devastating.
Are doctors required to have malpractice insurance?
It’s important to first know requirements vary by state and by medical specialty. Some states mandate minimum coverage for specific healthcare roles, while others leave it to the discretion of the practitioner. Regardless of legal requirements, most professional associations strongly encourage all healthcare providers to maintain adequate insurance as a standard of responsible practice.
Medical malpractice insurance is a crucial safeguard for anyone in the healthcare field. It provides protection against costly lawsuits, ensures peace of mind and helps meet state-specific requirements for coverage. Whether you’re a physician, nurse practitioner or other healthcare professional, carrying the right policy is a vital part of protecting your career and financial stability.
For more guidance on choosing the right coverage and understanding state-specific requirements, explore our comprehensive resources on medical malpractice insurance.

