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Texas Medical Malpractice Insurance: 2026 Buyer’s Guide

By Published On: November 13th, 2025

Texas Medical Malpractice Insurance: 2026 Buyer’s Guide

November 13th, 2025

Table of Contents

Top 5 Medical Malpractice Insurance Companies in Texas

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 Texas physicians.

  • The Doctor’s Company

  • Medical Protective (MedPro)

  • MagMutual

  • TMLT

  • ProAssurance Insurance Group

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

MEDPLI helps doctors and surgeons secure the best rates in Texas, handling everything from quotes to coverage.

How Much Is Medical Malpractice Insurance in Texas?

How Much is Medical Malpractice Insurance in Florida By Specialty?

These rate estimates are for informational purposes only and are based on the Texas 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 Annual Premiums for Medical Malpractice Insurance
in Texas by Specialty
(2026 data, $1M/$3M coverage)

Specialty 2026
Annual Premium
2026
Tail Premium
Anesthesiology $18,360 $36,720
Cardiovascular Disease– Minor Surgery $16,320 $32,640
Dermatology– No Surgery $8,160 $16,320
Emergency Medicine $28,560 $57,120
Family Practice– No Surgery $10,200 $20,400
Gastroenterology– No Surgery $12,240 $24,480
General Practice– No Surgery $10,200 $20,400
General Surgery $42,840 $85,680
Internal Medicine– No Surgery $10,200 $20,400
Neurology– No Surgery $11,220 $22,440
Obstetrics and Gynecology– Major Surgery $56,100 $112,200
Occupational Medicine $7,140 $14,280
Ophthalmology– No Surgery $7,140 $14,280
Orthopedic Surgery– No Spine $37,740 $75,480
Pathology– No Surgery $8,160 $16,320
Pediatrics– No Surgery $10,200 $20,400
Pulmonary Disease– No Surgery $16,320 $32,640
Psychiatry $7,140 $14,280
Radiology – Diagnostic $21,630 $42,840
*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.

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

Average Medical Malpractice Payouts in Texas From 2015-2024

IIn 2024, Texas physicians were held liable for 643 medical malpractice payouts.

  • Average Payout: $235,037
  • Total Payout: $151,129,050

(Source: National Practitioner Data Bank)

Types of Professional Liability Insurance in Texas for Physicians

Texas doctors and surgeons 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 Collateral Impact on Medical Insurance Rates in Texas

When tornadoes, hurricanes, or other severe weather strike Texas, the devastation goes beyond destruction and emotional distress. Natural disasters disrupt the entire insurance industry, driving up rates across all sectors as insurers adjust to the rising risks of weather-related catastrophes nationwide.

Why Are Insurance Malpractice Rates Going Up?

  • Reinsurance Costs Are Rising
    Insurers rely on reinsurance (insurance for insurers) to manage risk. When reinsurers suffer significant losses from natural disasters, they may raise premiums across all insurance lines, including medical malpractice.

  • Bigger Disasters, Bigger Costs
    More frequent and extreme storms amplify financial strain on the entire insurance system, making most types of coverage more expensive.

  • Fewer Insurers, Less Competition
    Some insurers withdraw from high-risk markets to spread risk. This reduces competition, leaving consumers with fewer options and exposing the remaining insurers to greater risk.

How has Medical Malpractice Insurance Been Affected?

Reinsurance providers now charge higher premiums and impose stricter payout conditions. Insurance carriers pass these costs onto policyholders, driving up medical malpractice premiums for healthcare providers in Texas.

Severe weather isn’t a state-specific problem—it’s reshaping insurance costs nationwide.

Does Texas Have Medical Malpractice Damage Caps?

In 2003, Texas tort reform capped non-economic medical malpractice damages for pain and suffering as follows:

  • $250,000 per doctor
  • $250,000 per individual healthcare facility
  • $500,000 maximum for multiple facilities (per plaintiff)

In Texas, there is no compensation cap for economic damages, which can include:

  • Medical costs
  • Lost wages
  • Lost earning capacity

What are the Statute of Limitations in Texas for Medical Malpractice?

Healthcare liability claims must be filed within 2 years of the incident or the completion of treatment, except for minors under 12, who may submit a claim until their 14th birthday.

Other exceptions may include:

  • Delayed discovery of injury or negligence
  • Fraudulent concealment by the defendant

The statute of repose for medical malpractice lawsuits in Texas is 10 years, meaning that a lawsuit cannot be filed more than 10 years after the treatment date, regardless of when the injury is discovered.

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Canceled or Non-Renewed? MEDPLI Is Your Best Ally.

We’ve helped over 7,000 doctors eliminate liability risk with comprehensive coverage & affordable rates.

Texas Physicians 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, Texas 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.

Texas Medical Malpractice Insurance FAQ

How much does medical malpractice insurance cost in Texas in 2026?2025-11-13T02:44:55-06:00

In 2026, Texas medical malpractice insurance premiums typically range from $7,000 to $56,000 per year, depending on specialty, claims history, and coverage limits.
For example, family practice physicians without surgery may pay around $10,000 annually, while OB/GYNs performing major surgery can exceed $56,000.

Rates are based on the standard $1 million per claim/$3 million aggregate limits. For an exact premium, request a custom MEDPLI quote tailored to your practice.

Are Texas physicians required to carry medical malpractice insurance?2025-11-13T02:45:07-06:00

Texas does not mandate malpractice insurance for all physicians, but it does require proof of financial responsibility. Most hospitals, surgery centers, and employer groups require physicians to carry malpractice insurance to maintain admitting privileges or employment.

By working with MEDPLI, Texas doctors can meet all financial responsibility requirements while securing the best rates from A-rated carriers.

Does Texas medical malpractice insurance include tail coverage?2025-11-13T02:55:10-06:00

Tail coverage is not automatically included in most Texas malpractice policies. Physicians with claims-made coverage need to purchase tail insurance to protect against claims filed after a policy ends, such as when switching insurers, changing employers, or retiring.

Tail coverage typically costs 150–250% of the annual premium as a one-time payment. MEDPLI helps doctors compare tail options and find the most affordable coverage for seamless protection.

Get Your Quote for Medical Malpractice Insurance in Texas

We are Texas’s trusted medical malpractice insurance brokers. Whether you’re a dermatologist in Austin or an ER doctor in Odessa, MEDPLI will provide you with 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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