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🩺🛡️ Doctor Practice Insurance· Professional Indemnity + 5 More Covers· the insurer Miscellaneous

Complete Practice Protection for Every Doctor — Malpractice· Clinic· Personal —
Doctor Package Policy, the insurer

the insurer's Doctor Package Policy is a comprehensive bundled insurance product for medical practitioners — combining Professional Indemnity (malpractice protection), Personal Accident, Clinic Fire & Burglary, Money Insurance, and Public Liability into one package. Claims-made PI with retroactive date cover and AOA/AOY limit structure designed for doctors.

✅ Professional Indemnity — Malpractice Claims ✅ Claims-Made + Retroactive Date Coverage ✅ AOA:AOY Ratio — 25%/33%/50%/100% Options ✅ PA + Fire + Burglary + Money + Public Liability ✅ Eligible: MBBS, BDS, BAMS, BHMS, MD & More ✅ Group Discount — 200+ Members
the insurer Miscellaneous Insurance· All Registered Medical Practitioners· India  |  IRDAI Licensed Broker — Lic. No. 528
PI DPP
🏛️IRDAI Licensed Broker· Lic. No. 528
🩺PI + PA + Fire + Burglary + Money + PL
⚖️Claims-Made — Retroactive Date Protection
📞Quote & Claims 022 4302 0000
An IRDAI Licensed Insurance Broker

the insurer Miscellaneous Insurance· Professional Indemnity + Practice Protection· Claims-Made Basis

What is the Doctor Package Policy?

the insurer's Doctor Package Policy is a comprehensive bundled insurance product for practising doctors — combining Professional Indemnity (the core malpractice shield) with five additional covers protecting the doctor personally and their clinic premises.

⚠️ The Medical Litigation Reality — Why Every Doctor Needs This Policy

📊Annual medico-legal cases in India5.2 million / year
⚖️Largest court award against a doctor in India (Anuradha Shah, Supreme Court)₹11 Crore
📋Consumer Protection Act (CPA) — doctors directly liable as service providersSince 1995
🏥Cases of relatives assaulting doctors / vandalising clinics — common in IndiaRising annually
💰Average professional indemnity premium for ₹1 crore surgical PI coverage₹8,000–₹10,000/yr
The Six Shields of the Doctor Package Policy
CORE SECTION
🩺

Professional Indemnity

Malpractice, negligence, error or omission claims by patients. Legal defence + compensation.

🛡️

Personal Accident

Doctor's own accident protection — death, PTD, PPD if personally injured.

🔥

Fire & Allied Perils

Clinic building and contents — fire, storm, flood, RSMD protection.

🔒

Burglary

Clinic contents stolen in break-in — medical equipment, records, supplies.

💰

Money Insurance

Clinic fee collections in transit and in safe — robbery, theft protection.

⚖️

Public Liability

Patient/visitor slip-and-fall or accident at clinic premises — legal liability.

🩺

Professional Indemnity (PI) — Section I

Covers claims arising from your PROFESSIONAL ACTS — wrong diagnosis, surgical error, medication error, treatment omission. "You gave the wrong treatment" → PI responds.

⚖️

Public Liability (PL) — Section VI

Covers claims arising from CLINIC PREMISES ACCIDENTS — patient slips on wet floor, display board falls on visitor, staircase incident. "Your clinic was unsafe" → PL responds.

Key Features of the insurer's Doctor Package Policy
🩺

PI — Malpractice Protection

The core and unique cover — civil liability for medical negligence, errors, and omissions. Legal defence costs + court-awarded compensation.

Section I — Core
📅

Claims-Made + Retroactive

Coverage for claims filed during the policy period AND retroactive protection for past acts — provided there is no break in annual renewal.

PI Mechanics
📐

AOA/AOY Ratio Choice

Choose your protection structure: 25%, 33.33%, 50%, or 100% AOA:AOY ratio — determines how much is available per claim vs annually.

PI Structure
🏥

Bundled Practice Cover

PA + Fire + Burglary + Money + Public Liability — all practice risks in one bundled policy with one premium and one renewal.

6 Covers
👨‍⚕️

Staff Covered Under PI

Qualified assistants and employees named in the proposal — nurses, resident doctors — are covered for acts under the insured doctor's supervision.

Team Cover
👥

Group Discount

Group policies available for hospitals and clinics. Discount for 200+ members. Separate coverage for each named doctor under group PI.

Group Available

Probitas Insurance Brokers· takemyinsurance.com

Professional Indemnity — The Core Section

PI is what makes the Doctor Package Policy unique. It covers the risk no other section addresses: a patient suing you for professional negligence. Civil liability only — not criminal.

What Professional Indemnity Covers

  • Negligence:Any act of medical negligence, error, or omission by the insured doctor while rendering professional service
  • Patient injury:Claims arising from bodily injury to a patient caused by or alleged to have been caused by error, omission, or negligence
  • Patient death:Claims arising from death of a patient caused by or alleged to have been caused by professional negligence
  • Legal defence costs:All costs, fees, and expenses in investigation, defence, settlement of claims — including representation at inquests and inquiries
  • Staff coverage:"The insured includes policy holding doctor and qualified assistants or employees named in the proposal"
  • Out-of-court:"Company can opt for out-of-court settlement which should be accepted by the claimant"
  • Jurisdiction:All Indian courts — India jurisdiction only

📐 AOA/AOY Interactive Calculator — Find Your Coverage Structure

This is your "Sum Insured" — total annual protection
Higher ratio = more per single claim
Your AOY (Annual Limit)₹1,00,00,000
Your AOA (Per-Claim Max)₹1,00,00,000
Maximum claims in a year (if all equal AOA)1 claim at full AOA
AOY reduces with each claim?Yes — each claim reduces remaining AOY
💡 Example: A patient claims ₹80 lakhs against you. With 1:1 ratio and ₹1Cr AOY — the insurer pays up to ₹1 Crore for that single claim. Your remaining AOY becomes ₹0 for the rest of the year.

⚠️ All PI policies have a mandatory excess/deductible (compulsory co-payment per claim). The deductible is a fixed % of the AOA limit subject to a minimum agreed at inception. Call 022 4302 0000 for current deductible terms.

📅

Claims-Made Basis — The Key Mechanics

  • What it means:The policy covers claims FILED during the policy period — not just incidents that occurred during it
  • Retroactive date:"Coverage from the date policy is first bought and thereafter renewed without any break"
  • No occurrence basis:Unlike fire or PA (which cover events that happen during the policy), PI covers CLAIMS that are filed — which may be years after the incident
  • Why it matters:A patient may sue you in 2025 for a treatment you gave in 2019. If you have had continuous PI cover since 2019, the 2019 retroactive date covers that claim in 2025.
  • BREAK WARNING:If you stop renewing for even ONE year, your retroactive date resets. Past acts from before the break are then UNINSURED. Never break your PI renewal.

All Six Sections — Click Any to Expand

The Complete Doctor Package — Six Sections

The Doctor Package Policy bundles six sections of protection. Professional Indemnity is the core section — the other five protect the doctor personally and the clinic premises. Click any section tile to see full details.

CORE
🩺

Section I — PI

Professional Indemnity
🛡️

Section II — PA

Personal Accident
🔥

Section III — Fire

Fire & Allied Perils
🔒

Section IV — Burglary

Clinic Theft
💰

Section V — Money

Clinic Cash
⚖️

Section VI — PL

Public Liability

Probitas Insurance Brokers· takemyinsurance.com

Who Qualifies for the Doctor Package Policy?

The Doctor Package Policy is available to any registered medical practitioner with a valid MCI/NMC/State Council registration. Eligibility is by qualification and registration — not by speciality (with one key exception).

Eligible Qualifications

  • MBBS — General Practitioners and Physicians
  • BDS / MDS — Dentists and Oral Surgeons
  • BAMS — Ayurvedic Practitioners
  • BHMS — Homoeopathic Practitioners
  • BPT / MPT — Physiotherapists
  • MD / MS — All Postgraduate Specialists
  • Higher qualifications (DM, MCh, PhD)
  • Requires:Valid registration with MCI/NMC or State Medical Council
🚫

Key Policy Details

Plastic Surgeons and Cosmetic Surgeons are NOT eligible for the standard Doctors' Professional Indemnity insurance.

This is a confirmed standard exclusion across the insurer and all PSU insurers. Reason: Cosmetic surgery has a distinctly different liability profile — patient expectations vs medical outcomes create a higher and different risk type that requires specialist underwriting separate from standard doctor PI.

Also excluded under PI:
→ Doctors practising without valid licence
→ Procedures beyond registered qualification
→ Doctors outside India (no foreign claim cover)

Risk Groups — Premium Varies by Practice Type

Group A — Surgical / High Risk

Est. ₹8,000–₹10,000/yr for ₹1 Crore SI
  • → General Surgeons
  • → Cardiac Surgeons
  • → Neurosurgeons
  • → Orthopaedic Surgeons
  • → Gynaecologists & Obstetricians
  • → Anaesthetists
  • → Ophthalmologists (surgical)
  • → Any interventional specialist

Group B — Non-Surgical / Standard Risk

Est. ₹2,000–₹4,000/yr for ₹1 Crore SI
  • → General Practitioners (MBBS)
  • → Physicians (MD Medicine)
  • → Paediatricians
  • → Dermatologists (non-surgical)
  • → Psychiatrists
  • → Pathologists
  • → Radiologists (non-interventional)
  • → Physiotherapists, Ayurveda, Homoeopathy

The Most Important Concept in Doctor PI — Fully Explained

AOA/AOY — Choosing Your Ratio

The AOA:AOY ratio is the most critical decision in buying a PI policy. It determines how much protection you have for each individual patient claim versus your total annual exposure. Most doctors choose the wrong ratio — often underinsuring for single high-value claims.

RatioAOA:AOYPer-Claim Max (on ₹1Cr AOY)Max Claims at AOABest For
1:4 (25%)25%:100%₹25 Lakh4 claimsGPs with high patient volume, low individual claim risk
1:3 (33.33%)33.33%:100%₹33.33 Lakh3 claimsBalanced for most non-surgical specialists
1:2 (50%)50%:100%₹50 Lakh2 claimsMid-risk specialities — gynaecology, orthopaedics
Which AOA:AOY Ratio Is Right for You? — Select Your Speciality
📉

AOY Reduces with Every Claim Payment — Critical Mechanic

  • How it works:"The Any One Year limit gets reduced by the amount of indemnity paid for each accident."
  • Example (1:4, ₹1Cr AOY):Claim 1 paid: ₹20L → AOY remaining: ₹80L. Claim 2 paid: ₹15L → AOY remaining: ₹65L. All claims in the year are covered until AOY is exhausted.
  • Reinstatement:AOY does NOT automatically reinstate within the year. At renewal (next year's policy), full AOY restores.
  • Implication:A high-volume practice with many patients should choose a higher AOY — the cumulative claims in one year must not exceed the AOY limit.

The Most Misunderstood Concept in Doctor PI — Never Break Your Renewal

Retroactive Date & Continuity — Why You Must Never Lapse

The retroactive date is the single most important reason for annual renewal without break. A single lapse in PI renewal can cost you coverage for YEARS of past medical acts.

📅 Retroactive Date — How It Works in Practice

✅ SCENARIO A — Continuous Renewal (Protected for All Past Acts)
2018
First PI Policy
Issued
2019
Renewed
No Break
2020
Renewed
No Break
2021
Renewed
No Break
2024
Patient Claims
for 2019 Act
✅ COVERED

Retroactive date = 2018. The 2019 act is within retroactive coverage. The 2024 claim is filed during active policy. COVERED.

❌ SCENARIO B — Break in Renewal (Past Acts Unprotected)
2018
First PI Policy
2019
Renewed
2020
LAPSE — Did Not Renew
2021
Restarted
New Policy
2024
Patient Claims
for 2019 Act
❌ NOT COVERED

After lapse, new retroactive date = 2021. The 2019 act is BEFORE the new retroactive date. The claim is NOT covered — doctor bears the loss personally.

⚠️

Never Break Your PI Policy Renewal — Ever

Even a single missed renewal creates a retroactive date reset. Years of built-up historical protection are wiped out. Set a standing renewal instruction with your bank or broker. If you are changing insurers — ensure the new policy starts on or before the previous policy's expiry date. The retroactive date protection is the most valuable long-term benefit of continuous PI cover — protect it by never allowing a lapse.

What the PI Section Does NOT Cover

PI Exclusions —

All PI exclusions below are /NCBI academic paper, (PSU sister), RetireWise, and — consistent across all PSU PI policies.

🚨 DO NOT ADMIT LIABILITY — Your First-Action Protocol When a Patient Threatens to Sue

1
Do NOT say "I'm sorry" in writing or to media

Any written or recorded apology can be construed as an admission of liability — weakening your legal defence.

2
Do NOT make any payment to the patient

Any out-of-pocket payment without the insurer's consent may void your PI cover and does not necessarily prevent future legal action.

3
Preserve ALL medical records IMMEDIATELY

Case notes, prescriptions, investigation reports, consent forms, discharge summaries — these are your primary defence. Secure them before anything else.

4
Call 022 4302 0000 immediately

Notify the insurer as soon as you receive any legal notice, consumer forum complaint, or credible threat of legal action. Time is critical.

5
Let the insurer manage the response

the insurer appoints lawyers, handles all court/consumer forum proceedings, and manages out-of-court settlement negotiations on your behalf.

Criminal Acts

"Any liability arising out of any criminal act or act committed in violation of any law or ordinance is not covered." Only civil liability is insured.

Plastic / Cosmetic Surgery

"Treatments related to plastic surgery/cosmetic procedures" excluded in most PI policies. Purely aesthetic/beautification procedures not covered.

AIDS / HIV-Related

"Any condition which is associated with or caused by AIDS" — excluded from standard doctor PI across all PSU insurers.

Intoxicants — Under Influence

"If the insured is under the influence of drugs or alcohol while rendering service" — liability excluded.

Genetic Damages

Hereditary conditions and genetic disorders — not caused by the doctor's professional act. Genetic damage claims excluded.

Punitive / Exemplary Damages

Only compensatory damages are covered. "Penalties or punitive damages" — excluded. If a court awards exemplary damages, doctor bears that portion.

Criminal Liability

"Only civil liability claims are payable. Criminal liability claims are NOT covered." A criminal prosecution against a doctor (under IPC, MCI rules) is not indemnified.

Personal Injury Claims — Non-Professional

"Legal liability arising out of false arrest, slander, wrongful detention, libel, defamation, wrongful eviction" — not covered under PI.

Claims Outside India

"Jurisdiction covers all Indian courts only." Any foreign claim (e.g., international telemedicine patient filing abroad) is not covered under the insurer's PI policy.

Unlicensed Practice

Professional services rendered without a valid medical licence or in areas outside your registered qualification/speciality — not covered under PI.

What to Do When a Patient Makes a Complaint or Files a Case

PI Claim Process — 7 Steps

PI claims require a different approach than property or accident claims. The most critical rule: preserve records and notify the insurer BEFORE responding to anyone. Every action you take independently can affect your claim.

📢

Step 1 — Notify the insurer Immediately

Call 022 4302 0000 the moment you receive any legal notice, consumer forum complaint, or threat of lawsuit. Immediate notification is a policy condition — delays complicate claims.

📂

Step 2 — Preserve All Records

Secure all medical records for the patient concerned: case notes, prescriptions, lab reports, imaging, consent forms, discharge summaries, nurse notes. These are your legal defence.

🚫

Step 3 — No Independent Action

Do NOT respond to legal notices, appear before consumer forums, or pay anything without the insurer's guidance. Independent action without the insurer's consent may void the PI claim.

📋

Step 4 — Submit Claim Form

Complete the insurer's PI claim form with full details of the alleged incident, patient name, date of treatment, nature of complaint, and all legal notices received.

🧑‍⚖️

Step 5 — the insurer Appoints Lawyers

the insurer appoints experienced legal counsel to handle your defence. the insurer manages all communications with the patient's lawyers, consumer forum, and courts on your behalf.

🤝

Step 6 — Settlement / Court

"Company can opt for out-of-court settlement which should be accepted by the claimant." If a court decides — the insurer pays the award up to your AOA limit.

Step 7 — AOY Adjusted

The claim amount paid reduces your remaining AOY for the policy year. At annual renewal, AOY restores to the full contracted limit.

📁

Medical Records — Your Most Important Claim Document

  • Why records matter:PI claims are won or lost on documentation. A well-maintained patient record showing informed consent, thorough clinical notes, and appropriate treatment is your strongest defence against any negligence claim.
  • Keep for minimum:7 years from last treatment date (MCI guidelines) — longer is better for PI purposes given the retroactive date dynamics
  • What to maintain:Signed consent forms· Clinical examination notes· Investigation orders and results· Treatment plan documentation· Prescription copies· Follow-up notes· Discharge summaries
  • Digital records:Digitised records with timestamps are accepted — ensure backup systems are maintained. Never alter records after a complaint is received.

Probitas Insurance Brokers· takemyinsurance.com

Premium Guide — What Determines Your Cost

PI premiums are determined by speciality risk group, limit of indemnity (AOY), AOA:AOY ratio chosen, and years in practice. The additional package sections (PA, Fire, Burglary, Money, PL) are priced separately and bundled.

Group A — Surgical Specialists

Est. ₹8,000–₹10,000 for ₹1 Crore SI· 1:1 ratio
  • → Cardiac, Neuro, Orthopaedic Surgeons
  • → Gynaecologists (surgical practice)
  • → Anaesthetists
  • → Higher premium = higher risk procedures
  • → Always recommend 1:1 ratio for surgeons

Group B — Non-Surgical Specialists

Est. ₹2,000–₹4,000 for ₹1 Crore SI· 1:3 or 1:4 ratio
  • → General Physicians, Paediatricians
  • → Pathologists, Radiologists
  • → Dermatologists, Psychiatrists
  • → Lower premium = consultation/diagnosis risk
  • → 1:3 or 1:4 ratio typically adequate
💰

Premium Factors — What Affects Your Rate

  • Speciality:Surgical = higher risk group premium. Non-surgical = standard rate.
  • AOY (Sum Insured):Higher AOY = higher premium. ~0.2% to 1% of AOY is typical range. Min ₹9,440.
  • AOA:AOY ratio:Higher AOA ratio (1:1) = slightly higher premium than 1:4 for the same AOY.
  • Type of practice:Private clinic vs hospital employment vs corporate hospital — risk profile differs.
  • Years in practice:Senior practitioners may have better claims record; first-year doctors may face standard entry rate.
  • Prior claims:Claims history directly impacts renewal premium. Clean history = better terms.
  • Group discount:Hospital/clinic groups of 200+ members qualify for group discount. Group policy allows per-doctor coverage at preferential group rates.

Standalone PI vs Doctor Package Policy

Doctor Package vs Standalone PI — Which Should You Choose?

the insurer offers both a standalone Professional Indemnity policy (for malpractice only) and the Doctor Package Policy (PI + five additional covers). Here's how to choose.

ParameterDoctor Package Policy (This)Standalone PI Policy (the insurer Liability)
Product categorythe insurer Miscellaneous — Bundled Packagethe insurer Liability Insurance
Professional Indemnity (PI) Section I — Core cover Full PI policy
Claims-made basis Yes — retroactive date Yes — retroactive date
AOA/AOY ratio structure Same — 25%/33%/50%/100% options Same ratio options
Personal Accident for doctor Section II — included Not included
Clinic Fire + Burglary Sections III + IV Not included
Clinic Money Insurance Section V Not included
Public Liability (clinic premises) Section VI Not included
Best forClinic-owning, practising doctors who need complete practice protectionHospital-employed doctors who need only malpractice PI — no clinic to protect
Bundled cost advantageOne premium for six covers — cost-effective for clinic ownersLower premium — only pays for PI. Add other covers separately if needed.
💡

Which Should You Choose?

  • Own a clinic/nursing home:Doctor Package Policy — you need PI + Fire + Burglary + Money + PL for complete protection
  • Employed in a hospital:Standalone PI — the hospital covers the building; you just need malpractice protection
  • Part-time clinic + hospital:Doctor Package Policy — the clinic section covers your part-time practice premises
  • Large group practice:Group PI policy (hospital buys one policy covering all named doctors) — higher per-doctor discounts

Doctor Insurance Questions

Frequently Asked Questions

The Doctor Package Policy is the insurer's bundled Miscellaneous Insurance product that combines six covers into one policy for practising doctors:

Doctor Package Policy:
→ Section I: Professional Indemnity (malpractice claims)
→ Section II: Personal Accident (doctor's own accident)
→ Section III: Fire & Allied Perils (clinic building/contents)
→ Section IV: Burglary (clinic contents theft)
→ Section V: Money Insurance (clinic fee collections)
→ Section VI: Public Liability (patient/visitor accidents at clinic)

Standalone PI Policy (the insurer Liability category):
→ Only Professional Indemnity — no other covers

Who should choose which:
→ You own/run a clinic: Doctor Package Policy (need all six covers)
→ You work in a hospital only: Standalone PI (hospital has the property covered; you just need malpractice protection)

The PI section in both products is identical in structure — claims-made basis, retroactive date, AOA/AOY ratio system, and eligibility. The package simply adds five additional practice-protection covers at a bundled price.
This is the most important concept in doctor PI — and the most misunderstood.

Claims-made basis means: Your PI policy covers claims that are FILED (made) during the policy period — not just incidents that OCCURRED during the policy period.

Why this matters:
A patient may have been treated in 2019, but only files a legal complaint in 2024. Under claims-made basis, the 2024 policy covers this claim — IF the retroactive date protection extends back to 2019.

Retroactive date: The date from which past acts are covered. If you bought your first PI policy in 2018 and have renewed every year without a break, your retroactive date is 2018 — meaning any act from 2018 onwards that results in a claim during the current policy period is covered.

The break problem: If you miss one renewal year, your new policy starts a fresh retroactive date. All acts between your original 2018 start and the break year are no longer covered by any policy. A patient who files a claim in 2024 for a 2019 treatment — with a 2020 break — finds the 2019 act is uninsured.

This is why PI is fundamentally different from fire or personal accident insurance: fire insurance covering 2023 pays for fires that occurred in 2023. PI covering 2024 can pay for acts that occurred in 2019 — but only if there is an unbroken retroactive date chain.
AOY (Any One Year) = your "Sum Insured" — the maximum the insurer pays for ALL claims in one policy year combined.
AOA (Any One Accident) = maximum per single claim — the most the insurer pays for any one patient's claim.

The four ratio options (on ₹1 Crore AOY example):
→ 1:4 (25%:100%): AOA = ₹25L — each claim max ₹25L, up to 4 claims per year
→ 1:3 (33.33%:100%): AOA = ₹33.33L — balanced
→ 1:2 (50%:100%): AOA = ₹50L — higher per-claim
→ 1:1 (100%:100%): AOA = ₹1Cr — full SI per single claim

Which to choose by speciality:
→ Cardiac/Neuro/Ortho Surgeons: 1:1 (full SI per claim — catastrophic single event risk)
→ Gynaecologists: 1:1 or 1:2 (obstetric emergency risk)
→ Anaesthetists: 1:1 (single catastrophic event risk)
→ General Physicians: 1:3 or 1:4 (multiple smaller claims, lower per-event value)
→ Dentists: 1:2 or 1:3 (moderate per-claim risk)
→ AYUSH/Physiotherapists: 1:4 (lower per-event claim values)

The key insight: A surgeon who chooses 1:4 to save premium and then faces a ₹80 lakh claim can only claim ₹25 lakh — bearing ₹55 lakh personally. The premium difference between 1:4 and 1:1 is typically modest. Always choose the ratio based on your maximum possible single-event exposure, not on premium savings.
PI covers your CIVIL LEGAL LIABILITY for PROFESSIONAL ACTS of negligence, error, or omission while rendering medical service.


→ Claims for patient bodily injury caused by your negligence or error
→ Claims for patient illness/sickness resulting from your negligent treatment
→ Claims for patient DEATH caused by or alleged to be caused by your professional negligence
→ Legal DEFENCE COSTS — all lawyer fees, court fees, representation costs
→ Compensation AWARDED by court or agreed in out-of-court settlement
→ Acts of your qualified EMPLOYEES (nurses, resident doctors named in policy)

Common real-world PI claims in India:
→ Wrong diagnosis leading to delayed treatment of serious condition
→ Wrong medication administered / wrong dosage
→ Surgical complication — wrong site, retained instrument, post-op infection
→ Failed consent — procedure done without proper informed consent
→ Anaesthesia awareness or anaesthetic overdose
→ Missed diagnosis — fracture not detected on X-ray

Important: "Negligence will be proved only when: (1) a duty of care existed, (2) it was breached, (3) the breach caused the damage." PI covers situations where these three elements are alleged — even if the case is ultimately found in the doctor's favour. Legal defence costs are covered even for claims you win.
NO — Plastic Surgeons and Cosmetic Surgeons are NOT eligible for the standard Doctors' PI under the insurer and other PSU insurers.

Confirmed from Insurance (confirmed as standard across PSU insurers including the insurer): "Plastic Surgeons and Cosmetic Surgeons are not eligible for Doctors Professional Indemnity Insurance."

Why they are excluded:
Cosmetic and plastic surgery has a fundamentally different risk profile from medical/surgical treatment:
→ Patient expectations are often aesthetic, not purely medical — "improvement" is subjective
→ Most procedures are elective, not medically necessary
→ Dissatisfied patients more likely to pursue legal action even when procedures were technically correct
→ The gap between "expected result" and "actual result" is common and litigable
→ This risk profile requires specialist cosmetic surgery PI underwriting at different rates

For plastic/cosmetic surgeons:
Specialist PI policies for cosmetic surgery are available from private sector insurers — these are specifically underwritten for the cosmetic practice risk profile. Contact 022 4302 0000 for referral to appropriate specialist PI options for cosmetic surgery practitioners.
The mandatory excess (compulsory deductible) is a co-payment the doctor bears personally on every single PI claim.


"All policies issued under professional indemnity insurance are subject to a mandatory excess (compulsory deductible). It is generally mentioned as a fixed percentage of the limit of indemnity as per any one accident or any one year subject to a minimum amount agreed by the insurer, for each and every claim."

How it works:
If a court awards ₹15 lakhs to a patient and your compulsory deductible is 2% of AOA (with a minimum of ₹25,000):
→ Your AOA = ₹50 lakh (1:2 ratio on ₹1Cr AOY)
→ 2% of AOA = ₹1 lakh
→ You pay: ₹1 lakh (deductible)
→ the insurer pays: ₹14 lakh (balance of the ₹15L award)

Implications:
→ Every claim has a personal cost — even if the insurer pays the majority
→ The deductible encourages risk management (doctors with high claims face higher effective costs)
→ The mandatory excess applies to EVERY claim, not just the first

Call 022 4302 0000 for the current deductible percentage applicable under the insurer's Doctor Package Policy at the time of your proposal.
Step-by-step first-action protocol:

1. DO NOT PAInsurance — and DO NOT RESPOND INDEPENDENTLY
The worst thing a doctor can do is respond to a legal notice themselves, apologise publicly, or pay the patient anything before the insurer is involved.

2. PRESERVE ALL MEDICAL RECORDS IMMEDIATELY
Before doing anything else — secure, organise, and copy all records for the patient concerned. Never alter records after receiving a complaint.

3. CALL 022 4302 0000 IMMEDIATELY
Notify the insurer as soon as you receive any legal notice, consumer forum summons, or credible threat of legal action. Immediate notification is a policy condition.

4. DO NOT ADMIT LIABILITY
"Claims have to be legally established." Do not say "I'm sorry" in writing, to media, or even casually to the patient's family. Any admission — even casual — can be used against you in court.

5. DO NOT PAY ANYTHING
No "goodwill" payment, no out-of-court payment without the insurer's involvement. "The company can opt for out-of-court settlement which should be accepted by the claimant." (the insurer) the insurer manages and pays — not you independently.

6. LET the insurer MANAGE
the insurer appoints lawyers, handles all court/consumer forum proceedings, communicates with claimant's counsel, and negotiates settlement if appropriate.
YES — qualified assistants and employees NAMED IN THE PROPOSAL are covered under the PI section for acts done under the insured doctor's supervision.


"The insured includes policy holding and his qualified assistants or employees named in the proposal."

Who can be named:
→ Qualified nurses with nursing council registration
→ Resident doctors and junior doctors working under supervision
→ Qualified paramedical staff

Coverage scope for staff:
If a nurse makes a medication error under your supervision and a patient claims — the claim against both you (as the supervising doctor) and the nurse is covered under your PI policy.

Important conditions for staff coverage:
→ Staff must be specifically NAMED in the proposal form at inception
→ Acts must be done under the insured doctor's SUPERVISION
→ Staff must hold appropriate qualifications for their role

For large groups:
Hospitals and nursing homes with multiple doctors and staff typically buy GROUP PI policies — all named doctors covered under one policy with a group discount for 200+ members. Contact 022 4302 0000 for group PI structuring for your practice.
PI premium is determined by five key factors:

1. Speciality / Risk Group
Surgeons (cardiac, neuro, ortho, gynaecology) = Group A = higher premium (₹8,000–₹10,000/yr for ₹1Cr SI). Non-surgical specialists = Group B = lower premium (₹2,000–₹4,000/yr for ₹1Cr SI).

2. Limit of Indemnity (AOY)
Higher AOY = higher premium. Approximate range: 0.2% to 1% of AOY. Minimum premium: ~₹9,440.

3. AOA:AOY Ratio
Higher AOA ratio (1:1) = marginally higher premium than 1:4 for the same AOY — the broader per-event protection costs slightly more.

4. Type of Practice
Private solo clinic = one rate. Corporate hospital employment = different risk profile. High-volume procedures = higher premium. Type of equipment used (e.g., robotic surgery) affects premium.

5. Claims History
Previous PI claims directly affect renewal premium. A clean, no-claims record over 5+ years may attract better renewal terms. Any prior claims are disclosed at renewal.


→ Cardiac Surgeon, ₹1Cr SI, 1:1 ratio: ~₹8,000–₹10,000/year
→ General Physician, ₹1Cr SI, 1:4 ratio: ~₹2,000–₹4,000/year
→ Minimum premium: ~₹9,440 regardless of SI (the insurer)
Your retroactive date RESETS to the restart date — all historical protection from before the break is permanently lost.

What happens specifically:
→ Original policy: 2018 (retroactive date = 2018)
→ Break in 2020: retroactive date becomes unprotected
→ Restart in 2021: NEW retroactive date = 2021
→ Any patient claim in 2024 for a 2019 treatment: NOT covered (2019 is before 2021 retroactive date)

This is permanent and irreversible. You cannot buy back coverage for the gap period. The 2019 treatment is permanently uninsured after a 2020 break.

Why this matters critically:
Medical negligence claims in India often come years after the treatment. A patient treated in 2019 may only pursue legal action in 2024–2025. If your 2020 break reset your retroactive date to 2021, that 2019 treatment is exposed — despite you paying premiums in 2018 and 2019.

How to never lose your retroactive date:
→ Set annual renewal as a fixed standing instruction with your broker/bank
→ Never allow a PI policy to lapse for convenience or cost reasons
→ If changing insurers — ensure new policy starts on or before the old policy expiry date
→ The retroactive date coverage is worth more than the annual premium — never sacrifice it

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Doctor Package Policy — Medical Professional Enquiry Form

Our the insurer-empanelled specialists will contact you within one working day with a complete Doctor Package Policy quote — tailored to your speciality, risk group, clinic ownership, and preferred AOA/AOY structure.

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By submitting, you agree to our Privacy Policy and Terms & Conditions. Doctor Package Policy subject to the insurer underwriting and IRDAI regulations. PI on claims-made basis. Plastic/cosmetic surgeons: not eligible for standard PI — contact us for specialist options. Probitas Insurance Brokers Pvt. Ltd.· IRDAI Lic. No. 528.

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⚠️ Disclaimer: The information and product comparisons displayed on this platform are intended solely for general informational and evaluation purposes, and do not constitute a legal offer or binding insurance contract. Specific policy features, premium rates, riders, and underwriting guidelines are determined exclusively by the respective general insurance carriers and may vary significantly based on the insurer, product tier, and location across multiple Indian states. All quotes and premium calculations generated on this website are indicative estimates based on preliminary data and do not guarantee final underwriting approval or policy issuance by the insurer. For comprehensive details regarding specific coverage terms, limits, and permanent exclusions, please refer directly to the official sales brochure and policy wording issued by the respective insurance company, which will take absolute legal precedence in the event of any discrepancy or dispute.