Image of a physician with the text Tennessee Medical Malpractice Insurance Physician's Guide overlayed.

Tennessee Medical Malpractice Insurance: 2026 Buyer’s Guide

By Published On: January 26th, 2026
Image of a physician with the text Tennessee Medical Malpractice Insurance Physician's Guide overlayed.

Tennessee Medical Malpractice Insurance: 2026 Buyer’s Guide

January 26th, 2026

Table of Contents

Top 5 Medical Malpractice Insurance Companies in Tennessee

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

  • The Doctors Company
  • State Volunteer Mutual Insurance Co.

  • ProAssurance Group

  • Coverys Group

  • ISMIE Mutual Insurance Company

Infographic explaining the Tennessee Medical Malpractice Insurance Requirements.

Your time is better spent with patients than with insurance companies.

MEDPLI helps doctors find the best rates in Tennessee, managing the entire process from quote to coverage.

What is the Cost of Medical Liability and Malpractice Insurance in Tennessee?

What is the Cost of Medical Liability and Malpractice Insurance in Tennessee

These rate estimates are for informational purposes only and are based on the TN standard limits of $1,000,000 per claim and $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 Cost of Medical Malpractice Insurance
by Specialty in Tennessee
(2026 data, $1M/$3M coverage)

Specialty 2026
Annual Premium
2026
Tail Premium
Anesthesiology $21,420 $42,840
Cardiovascular Disease– Minor Surgery $19,380 $38,760
Dermatology– No Surgery $8,160 $16,320
Emergency Medicine $32,640 $65,280
Family Practice– No Surgery $11,220 $22,440
Gastroenterology– No Surgery $15,300 $30,600
General Practice– No Surgery $11,220 $22,440
General Surgery $48,960 $97,920
Internal Medicine– No Surgery $11,220 $22,440
Neurology– No Surgery $12,240 $24,480
Obstetrics and Gynecology– Major Surgery $72,420 $144,840
Occupational Medicine $7,140 $14,280
Ophthalmology– No Surgery $8,160 $16,320
Orthopedic Surgery– No Spine $44,880 $89,760
Pathology– No Surgery $8,160 $16,320
Pediatrics– No Surgery $11,220 $22,440
Pulmonary Disease– No Surgery $18,360 $36,720
Psychiatry $8,160 $16,320
Radiology – Diagnostic $23,460 $46,920

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 Tennessee From 2015-2024

In 2024, Tennessee physicians were held liable for 125 medical malpractice payouts.

  • Average Payout: $285,832
  • Total Payout: $35,729,000

(Source: National Practitioner Data Bank)

Types of Professional Liability Insurance for Tennessee Physicians

Physicians in Tennessee 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 must 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’s 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 throughout the policy’s duration.
  • Physicians do not need tail coverage when an occurrence policy ends.

Rising Home Insurance Rates: The Hidden Impact on Medical Malpractice Costs

When tornadoes, flooding, or other severe storms hit Tennessee, the damage isn’t just physical or local—the financial repercussions impact insurance costs nationwide. To offset the growing risk of weather-related losses, insurers must increase premiums to maintain financial stability.

Why Are Insurance Rates Rising?

  • Reinsurance Costs Are Increasing
    Insurers rely on reinsurance (insurance for insurers) to spread risk. If reinsurers experience major losses from extreme weather, they may raise rates across all insurance lines, including professional liability.

  • Bigger Disasters, Bigger Costs
    More frequent and severe storms with billion-dollar damages strain the entire insurance industry, making coverage more expensive.

  • Fewer Insurers, Less Competition
    When insurers withdraw from high-risk markets, the remaining carriers raise premiums to balance risk exposure, leaving consumers with fewer affordable, high-quality coverage options.

What Affects Medical Malpractice Insurance Costs in Tennessee

Reinsurance providers now demand higher premiums and stricter payout thresholds from primary insurance providers. As a result, insurers increase policyholder premiums across all sectors, including medical malpractice coverage for doctors and surgeons in Tennessee.

What Is the Tennessee Cap on Medical Malpractice Lawsuits?

As part of the Tennessee Civil Justice Act of 2011, noneconomic damages shall not exceed $750,000. However, this cap increases to $1,000,000 for catastrophic injuries or loss, which can include:

  • Full or partial paralysis from a spinal cord injury
  • Amputation of both hands, both feet, or one of each
  • Third-degree burns on 40% or more of the body, or the face
  • Wrongful death of a parent with a surviving, dependent minor child/children

Non-economic damage caps do not apply in the event of:

  • Intentional harm
  • Fraud, destruction, or concealment of evidence
  • Intoxication or impairment from alcohol/drugs
  • Felony conviction in connection to the injury

According to Tennessee Code § 29-39-104, punitive damages may be awarded if the defendant acted “maliciously, intentionally, fraudulently or recklessly.” Still, the amount shall not exceed $500,000 or 2x the total compensatory damages.

There is no limit on economic damages in Tennessee.

What Is the Statute of Limitations in Tennessee for Medical Malpractice?

In Tennessee, health care liability actions must be filed within 1 year of the alleged harm or date of discovery, but no more than 3 years after the harmful act.

Exceptions include:

  • Fraudulent concealment
  • Foreign object(s) left in the plaintiff’s body
  • Mental incapacity
  • For minors, the 1-year statute of limitations does not begin until their 18th birthday.

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Tennessee Physicians & Surgeons Partner with MEDPLI

We exclusively broker medical malpractice insurance, focusing daily on making the professional liability process less burdensome and expensive for doctors.

With MEDPLI, Tennessee physicians:

  • Save Time & Money
    We submit application paperwork to multiple carriers on your behalf and compare quotes to find you the best rate from an A-rated carrier.

  • Stress Less
    We navigate the specific requirements of your medical specialty and individual risk profile to evaluate carriers and policy details to identify underwriters whose risk appetite aligns with your needs.

Tennessee Medical Malpractice Insurance FAQ

What is medical malpractice insurance in Tennessee?2026-01-26T10:01:31-06:00

Medical malpractice insurance in Tennessee is a form of professional liability insurance that protects healthcare providers if they are accused of causing patient harm through negligence, errors, or omissions in care. Coverage typically includes legal defense costs, settlements, and judgments related to malpractice claims. 

MEDPLI works with Tennessee providers to structure coverage that fits both state requirements and individual risk profiles.

Is medical malpractice insurance required in Tennessee?2026-01-26T10:03:00-06:00

Tennessee does not universally require physicians to carry medical malpractice insurance, but hospitals, health systems, and employers often mandate it. However, carrying coverage is strongly recommended due to the high cost of defending malpractice claims.

How much does medical malpractice insurance cost in Tennessee?2026-01-26T10:03:37-06:00

The cost of medical malpractice insurance in Tennessee depends on factors such as specialty, claims history, location, policy limits, and whether coverage is claims-made or occurrence-based. High-risk specialties typically pay higher premiums.

We compare top-rated carriers to help Tennessee providers find competitive pricing without sacrificing coverage quality.

Get Your Quote for Medical Malpractice Insurance in Tennessee

Whether you’re an OB/GYN in Nashville or a MedSpa Owner in Chattanooga, MEDPLI will find you premier coverage at a competitive rate.

Call 800-969-1339 or Request a Quote.

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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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