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Illinois Medical Malpractice Insurance: 2026 Buyer’s Guide

By Published On: November 25th, 2025
Image of a physician with the text Illinois Medical Malpractice Insurance Physician's Guide overlayed.

Illinois Medical Malpractice Insurance: 2026 Buyer’s Guide

November 25th, 2025

Top 5 Malpractice Insurance Companies in Illinois

We recommend carriers with an AM Best rating of “A” or higher. An A-rating indicates financial strength, long-term solvency, and an established history of protecting Illinois physicians.

  • ISMIE

  • The Doctors Company
  • MedPro Group

  • ProAssurance

  • Coverys

Infographic explaining the Medical Malpractice Insurance Requirements in Illinois

Your time is best spent with patients, not insurance companies.

MEDPLI helps doctors and surgeons find the best rates in Illinois, handling everything from quote to coverage.

Illinois’s Medical Malpractice Insurance Costs By Specialty in 2026

Illinois’s Medical Malpractice Insurance Costs By Specialty in 2026

These rate estimates are for informational purposes only and are based on the IL standard limits of $1,000,000 per claim/$3,000,000 aggregate per year.

Quotes require a completed application and underwriter approval. Contact us for a custom estimate if you don’t see your specialty.

Average Annual Premiums for Illinois
Medical Malpractice Insurance by Specialty
(2026 data, $1M/$3M coverage)

Specialty 2026
Annual Premium
2026
Tail Premium
Anesthesiology $28,560 $57,120
Cardiovascular Disease– Minor Surgery $33,660 $67,320
Dermatology– No Surgery $14,280 $28,560
Emergency Medicine $38,760 $77,520
Family Practice– No Surgery $18,360 $36,720
Gastroenterology– No Surgery $25,500 $51,000
General Practice– No Surgery $18,360 $36,720
General Surgery $66,300 $132,600
Internal Medicine– No Surgery $22,440 $44,880
Neurology– No Surgery $26,520 $53,040
Obstetrics and Gynecology– Major Surgery $85,680 $171,360
Occupational Medicine $12,240 $24,480
Ophthalmology– No Surgery $14,280 $28,560
Orthopedic Surgery– No Spine $51,000 $102,000
Pathology– No Surgery $14,280 $28,560
Pediatrics– No Surgery $17,340 $34,680
Pulmonary Disease– No Surgery $28,560 $57,120
Psychiatry $14,280 $28,560
Radiology – Diagnostic $29,580 $59,160
*Note: These rates are approximate, and each individual has unique factors that can affect their premium.

Have a question? Get fast answers from a U.S.-based MEDPLI agent. Call 1-800-969-1339 or email info@medpli.com.

MEDPLI’s multi-quote approach saves an average of 23% on insurance premiums.

Average Medical Malpractice Payouts in Illinois From 2015-2024

In 2024, Illinois physicians were held liable for 486 medical malpractice payouts.

  • Average Payout: $673,767
  • Total Payout: $327,450,900

(Source: National Practitioner Data Bank)

Types of Professional Liability Insurance for Illinois Physicians

Physicians in Illinois can choose between these two primary types of medical malpractice insurance:

  • Provides coverage for incidents that occurred during the policy period IF the claim is filed while the policy is still active. If a claim is filed after the policy ends, that claim is NOT covered.
  • Typically, it offers lower premiums at the start of the policy, but rates increase yearly as the policy matures.
  • Physicians need to obtain tail insurance coverage when a claims-made policy ends to ensure protection against future claims related to incidents that occurred during the policy period. Tail insurance premiums require a one-time cash payment equal to approximately 200% of the claims-made policy annual premium.
  • Provides coverage for incidents that occurred during the policy period, regardless of when a claim is reported to the carrier.
  • Typically, it offers higher premiums at the start of the policy, but the rate remains constant for the entire policy term.
  • Physicians do not need tail coverage when an occurrence policy ends.

Does Illinois Have a Cap on Medical Malpractice?

Illinois does not enforce economic or non-economic damage caps for medical malpractice actions. In 2010, the Illinois Supreme Court ruled that medical malpractice damage caps were unconstitutional, as legislative limitations on damages would violate the separation of powers clause of the Illinois Constitution. Today, juries retain the power to determine appropriate damage payouts.

Since a 2023 amendment to the Wrongful Death Act, punitive damages are permitted in wrongful death cases, though not for medical malpractice cases.

Illinois Statute of Limitations for Medical Malpractice Claims

According to ILCS 5/13-212, an action for medical malpractice or wrongful death damages shall be filed within:

  • 2 years from when the alleged harm was known or should have been known
  • No more than 4 years from the date of alleged harm

Illinois law extends the statute of limitations for minors for up to 8 years after the injury occurs or until the minor’s 22nd birthday.

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Illinois Medical Malpractice Insurance FAQ

Which malpractice insurance companies are best for Illinois physicians?2025-11-25T09:52:11-06:00

The top medical malpractice insurance carriers in Illinois are ISMIE, The Doctors Company, MedPro Group, ProAssurance, and Coverys. Each holds an AM Best rating of A or higher, indicating strong financial stability and a long history of protecting physicians.

MEDPLI works directly with these A-rated insurers to help doctors compare quotes and secure the best possible coverage.

How much does medical malpractice insurance cost for doctors in Illinois in 2026?2025-11-24T21:52:26-06:00

Costs vary significantly by specialty. For example, Dermatology (no surgery) averages $14,000, General Surgery around $65,000, and OB/GYN with major surgery can reach $84,000 annually. These estimates reflect standard $1M/$3M limits. Tail coverage typically costs about 200% of the annual premium.

For precise rates, a custom application and underwriter approval are required.

Does Illinois have caps on medical malpractice payouts?2025-11-24T21:52:17-06:00

No. Illinois does not enforce economic or non-economic damage caps. The state Supreme Court ruled such caps unconstitutional in 2010, leaving juries responsible for determining compensation.

Though punitive damages are allowed in certain wrongful death cases (post-2023 amendment), they do not apply to medical malpractice cases.

Get Your Quote for Medical Malpractice Insurance in Illinois

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About the Author

Max Schloemann is a medical malpractice insurance broker helping physicians and surgeons secure Medical Professional Liability coverage. A Magna Cum Laude graduate of Southern Illinois University’s College of Business, he was named Outstanding Management Senior.

Max began his career in 2008 at an industry-leading firm and founded MEDPLI in 2017 to guide private practice doctors and physicians in transition through the complexities of malpractice insurance.

Outside of work, Max, his wife Kristen (a Physician Assistant), and their four kids enjoy the outdoors and attending the kids’ sporting events. For malpractice insurance questions, you can contact Max here.

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