Professional Indemnity Insurance for Doctors

Doctors Professional Indemnity Insurance serves as a crucial shield for healthcare professionals, safeguarding them from the legal fallout of medical malpractice claims. It not only covers the costs tied to legal defense but also extends its protective reach to settlement payouts and other related expenses arising from malpractice lawsuits against medical professionals.

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360° Protection From Medical Negligence Cases
Within 6 hrs Lawyer Allocation
365 Days Claim Assistance

Spend Less Save More!! Check Our All-Speciality Rate Chart

Who Should Consider Doctors Professional Indemnity Insurance?

Healthcare professionals who should consider indemnity insurance for doctors include:

  • Medical graduates serving as resident doctors
  • Active medical practitioners
  • Medical Practioners who are specialists in a particular field
  • Those employed in a hospital or managing their own practice

Why Do You Need Professional Indemnity Insurance for Doctors?

The Problem

Starting a career in medicine is undoubtedly rewarding, but it comes with its unique set of challenges. One significant concern that hovers over the profession is the ever-present risk of medical malpractice claims. The intricate nature of healthcare, coupled with the evolving legal landscape, poses a continuous threat to your professional standing and financial well-being. Without a robust risk management strategy, the potential pitfalls of unforeseen liabilities are evident.

The Solution

To fortify the foundation of a thriving medical practice, prioritizing risk mitigation through Doctors Professional Indemnity Insurance becomes paramount. This specialized coverage is not just about mitigating risks; it's about providing you with the confidence and peace of mind needed to focus on what truly matters – delivering exceptional patient care.

Hence, by embracing Professional Indemnity Insurance for Doctors, you can proactively fortify your professional resilience. Moreover, this strategic move goes beyond financial protection; it safeguards your reputation and allows you to practice medicine with dedication and assurance.

Doctors Indemnity Insurance: Coverage

Medical indemnity insurance for doctors provides coverage for the following perils:

  • Claims resulting from bodily injury and/or fatality of a patient attributed to errors, omissions, or medical negligence
  • Protection for the expenses incurred in responding to legal notices
  • Costs associated with defending oneself in a court of law, including consumer court
  • Settlement costs arising from court verdicts
  • Unintentional breach of confidentiality 
  • Defamation including libel and slander
  • Fraud/ dishonesty of employees
  • Infringement of intellectual property and copyright
  • Loss of documents and data
  • Tail reporting coverage

Doctor’s Professional Indemnity Insurance: Exclusions

Professional Indemnity Insurance for doctors does not provide coverage for the following perils:

  • Medical treatment for plastic surgery, weight loss, genetic damage, and AIDS.
  • Penalties, disciplinary, criminal acts, fines, and exemplary damage.
  • Deliberate act, intentional non-compliance, willful neglect.
  • Practicing medicine under the influence of narcotics or alcohol.

Doctors Indemnity Insurance: Triggering Event

The activation of doctor indemnity insurance typically occurs when a claim is lodged against the insured doctor for an alleged omission, error or negligence in their professional services. To illustrate this, let's delve into a hypothetical case:

Case Scenario

Dr. Patel, a gastroenterologist with a professional indemnity insurance policy, performs a liver biopsy on a patient named Ms. Aanya. Unfortunately, a procedural oversight by Dr. Patel leads to complications for Ms. Aanya.

Following the biopsy error, Ms. Aanya experiences prolonged discomfort, complications, and requires additional medical interventions and care. Unsatisfied with the outcome, Ms. Aanya decides to pursue legal action against Dr. Patel, citing medical negligence and seeking compensation for the damages she has endured.

In this scenario:

The triggering event for Dr. Patel's professional indemnity insurance occurs when Ms. Aanya files a claim, alleging professional negligence. Dr. Patel promptly informs his insurance provider about the claim, initiating the claims process.

The doctors professional indemnity insurance coverage is activated, prompting the insurer to investigate the claim and assess its validity. If the claim proves valid, the insurer may offer financial coverage for legal expenditure, settlement costs or damages awarded to Ms. Aanya, within the policy's specified limit of indemnity.

Note: It's crucial to emphasize that the activation of doctors professional indemnity insurance coverage typically occurs when a claim is filed within the policy period, irrespective of when the alleged incident took place.

Doctors Indemnity Insurance Policy - Limit of Indemnity

The insured amount in professional indemnity insurance is termed as the Limit of Indemnity. This limit is specified per accident and per policy period, denoted as Any One Accident (AOA) limit and Any One Year (AOY) limit, respectively.

The insured can choose the ratio of AOA limit to AOY limit. The AOA limit, representing the maximum payout for each accident, needs to be predetermined. The table below outlines various ratio options for AOA limit to AOY limit, explaining their meanings and providing examples:

Limit of Indemnity Meaning Examples
1:1 Full sum issured for any one claim. If the insured has a sum insured of Rs. 1 Crore and a claim arises during the policy tenure, coverage extends up to Rs. 1 Crore for one claim.
1:2 Maximum 50% of the sum issured for any one claim. If the insured has a sum insured of Rs. 1 Crore and a claim arises, coverage is up to Rs. 50 Lakh for one claim and an additional Rs. 50 Lakh for another claim.
1:3 One-third of the sum insured for any one claim. If the insured has a sum insured of Rs. 1 Crore, coverage is up to Rs. 33.33 Lakh for one claim and Rs. 33.33 Lakh for two more claims.
1:4 25% of the sum insured for any one claim. If the insured has a sum insured of Rs. 1 Crore, coverage is up to Rs. 25 Lakh for one claim and Rs. 25 Lakh for three more claims.

Professional Indemnity Insurance for Doctors: Eligibility Criteria

  • Individual doctors can apply
  • Applicant should have zero claim history
  • Preferred Qualification: MBBS, BPT, BDS, BAMS, BHMS, MD, MPT MDS, MS or higher.

Note: Plastic Surgeons and Cosmetic Surgeons are not eligible for Doctors Professional Indemnity Insurance** subject to the insurer.

Doctors Professional Indemnity Insurance Claim Process

Follow the steps below to raise the claim under Medical Indemnity Insurance for Doctors:

  1. Claim Intimation: Immediately inform your relationship manager about the incident.
  2. Generation of Claim Reference Number: Your relationship manager will help you register the claim and provide you with a claim reference number from the insurance company. 
  3. Documentation: Your relationship manager will provide you with a required list of documents. Please ensure to submit them promptly for sharing with the insurance company.
  4. Claim Settlement Assistance : Your relationship manager will assist you throughout the claim settlement process. 

Note: The insurer will thoroughly review the terms and conditions of your policy to assess the coverage applicability regarding the claimed incident. Consequently, the determination of claim acceptance or rejection will be at the discretion of the insurer.

Conditions Related to Claim Settlement

When it comes to professional indemnity insurance for doctors, the policy pays the agreed-upon sum assured amount for a specific cover. It's important to note that any expenses beyond that limit will be the responsibility of the medical practitioner. The cover offered to the practitioner is determined based on various factors, such as the level of risk associated with their practice and the likelihood of situations that could result in a lawsuit.

Why Policybazaar?

  1. Medico-Legal Lawyer Panel: Gain access to a distinguished panel of medico-legal experts exclusively dedicated to representing the interests of healthcare professionals.
  2. Expert Advice: Receive expert consultation tailored to comprehensively understand and address your specific risk profile.
  3. Dedicated Relationship Manager: Benefit from the dedicated services of a full-time relationship manager assigned to oversee all your insurance needs with a focus on personalized and efficient service.
  4. Multiple Modes of Communication: Engage with us effortlessly through your preferred mode of communication, whether it be via Call, Whatsapp, Email, In-person meetings, or Video Conferencing. We are committed to addressing all your queries promptly and effectively.

Professional Indemnity for Doctors: FAQs

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