Medical Clinic Insurance Policy Information
Medical Clinic Insurance. Medical clinics - also called ambulatory clinics or outpatient clinics - play a tremendously important role in providing primary care to patients.
Medical clinics provide healthcare services on an outpatient basis. While originally formed to provide low-cost medical services to the poor and destitute and to provide a learning facility for medical students, they now provide the services one could normally obtain in a doctor's office.
Many clinics have become specialized treatment centers that provide a service or group of services in a particular field of medicine such as pediatrics or physical therapy. Other clinics are part of a Health Maintenance Organization (HMO) and provide medical treatment to group participants.
A clinic generally employs licensed primary care doctors who pre-screen patients according to their symptoms, prescribe medication for common ailments, and refer patients in need of more focused medical attention to specialists.
Most doctors working in clinics refer patients to a hospital or other medical facility for laboratory tests, surgery, or post-operative care.
Basic health care needs like the treatment of minor traumas, the diagnosis of common medical conditions, and the routine monitoring of and treatment for chronic illnesses can all be overseen by these clinics. They are typically staffed by primary care physicians as well as nurses and physician assistants.
While medical clinics frequently serve as a first point of call for patients in crisis, these facilities themselves are also vulnerable to a range of risks. To protect a clinic's financial health, it is vital to "diagnose" the vulnerabilities and take proactive steps to minimize the odds that a clinic will encounter a major peril.
Should disaster strike regardless, a comprehensive insurance plan comes in as the "treatment". What types of medical clinic insurance are needed, though? Discover more by reading on.
Medical clinic insurance protects outpatient facilities from lawsuits with rates as low as $137/mo. Get a fast quote and your certificate of insurance now.
Below are some answers to commonly asked broom and brush medical clinic insurance questions:
- What Is Medical Clinic Insurance?
- How Much Does Medical Clinic Insurance Cost?
- Why Do Medical Clinics Need Insurance?
- What Type Of Insurance Do Medical Clinics Need?
- What Does Medical Clinic Insurance Cover & Pay For?
What Is Medical Clinic Insurance?
Medical clinic insurance is a type of insurance coverage specifically designed for medical clinics, including primary care facilities, specialty care facilities, and multi-specialty clinics. This insurance provides financial protection for the clinic and its employees against the costs associated with accidents, injuries, lawsuits, and other incidents that may occur in the course of providing medical services.
Some common types of coverage included in medical clinic insurance policies include general liability, professional liability, workers' compensation, property damage, and cyber liability. This insurance helps clinics to manage the financial risk associated with providing medical services and helps to ensure that they can continue to provide quality care to their patients.
How Much Does Medical Clinic Insurance Cost?
The average price of a standard $1,000,000/$2,000,000 General Liability Insurance policy for outpatient medical clinics ranges from $137 to $179 per month based on location, size, revenue, claims history and more.
Why Do Medical Clinics Need Insurance?
medical clinics can, like any other business or public entity, be struck by a wide range of perils that could all have devastating financial consequences. The risks a medical clinic faces include those specific to the medical field as well as the very same risks that could befall any commercial venture.
Acts of nature - as natural disasters such as earthquakes, floods, and wildfires are called in the insurance industry - could ravage a clinic overnight, destroying valuable medical equipment in the process. Threats of vandalism and theft are likewise ever-present.
Perhaps a patient with a substance abuse problem raids the clinic's pharmaceuticals, or maybe a hacker breaches sensitive patient data stored electronically. Employees, but also members of the public, could be hurt on the premises as the result of an accident or an act of negligence.
All these perils, and many others, can do such damage to a clinic's bottom line that it would, without insurance, be almost impossible to recover. For this reason, carrying the best possible medical clinic insurance should not be seen as a burden but an investment - a backup plan in case things go wrong.
What Type Of Insurance Do Medical Clinics Need?
Each outpatient clinic is unique, and the factors that make it so include the clinic's location, the scope of the care it provides, and its number of employees. These same variables also determine what type of insurance coverage a clinic may require.
That is why it is crucial to consult a reputable commercial insurance broker, who, armed with insights into your clinic's risk profile, can help you craft a tailor-made medical clinic insurance program. Any medical clinic should, meanwhile, carry these important kinds of insurance:
- Commercial Property: This essential form of insurance protects you from financial damage in cases where your property is struck by unforeseen circumstances that can range from acts of nature to theft. It covers not only the building, but also valuable assets inside, such as X-ray machines and pharmaceuticals.
- Commercial General Liability: Any commercial operation will also require this general form of liability insurance, which covers legal fees associated with common mishaps that result in third party bodily injury or property damage. Scenarios covered by it would include those like a tree damaging a patient's car, or someone tripping on a loose tile.
- Medical Malpractice: This type of medical clinic insurance covers scenarios in which a patient or their family allege misdiagnosis, improper treatment, or negligent medical care. It is a specialized form of insurance for medical professionals.
- Workers' Compensation: Should an employee sustain workplace injuries, these policies pay for their medical costs as well as any income they lose as they recuperate. In the process, the employer is partially released from liability.
- Cyber Liability: If a clinic stores electronic data, it is imperative to also carry cyber insurance, which covers costs related to the theft or breach of digital property such as patient records.
Because medical clinic may have complex insurance needs, it is important to keep in mind that an individual clinic may require additional forms of coverage that are not mentioned here.
A commercial insurance broker familiar with the medical field will be able to answer all your questions, and advise you on the types of medical clinic insurance you need to optimally guard your facility from disaster.
Medical Clinic's Risks & Exposures
Premises liability exposure is moderate due to patients' access to the premises. To prevent trips, slips, and falls, all areas accessible to patients must be well maintained with floor covering in good condition.
The number of exits must be sufficient, and be well marked, with backup lighting in case of power failure. Steps should have handrails, be illuminated, marked, and in good repair. Parking lots should be maintained free of ice and snow.
Housekeeping should be excellent and spills must be cleaned up promptly. If surgery is performed, the area must be kept sterile at all times and carefully controlled. The patients' area must be designed for patients who are physically impaired following surgery.
Escort procedures must be clear for all personnel. Maintaining a patient's privacy is critical. Examination rooms, check-in and checkout stations must be in private areas so one patient cannot view information or overhear conversations regarding another patient's' confidential information.
Professional liability exposure is extensive as most clinics serve patients either who have no regular physician or whose regular physician is unavailable. Decisions are made based on limited background information with verification of medical history generally unavailable. The exposure increases if the provider fails to conduct thorough background checks to verify employees' credentials, education, and licensing.
Staff turnover is high in clinics, disrupting continuity in patient care. Records must be well-documented and prior data obtained as much as possible. The prescreening questionnaire is vital. Very serious losses may result from failure to secure patient approval before performing procedures, including vaccinations.
Training and safety equipment should be in place to prevent exposure to radiation when performing X-rays. Needles and other equipment must be sterilized and sanitized to prevent the spread of blood-borne infectious diseases such as hepatitis, HIV, and AIDS.
On-site surgery must be closely monitored, with an experienced trained individual administering and monitoring the use of the anesthetic. Finally, inappropriate touching and sexual misconduct must be considered.
Workers compensation exposure is due to the possible transmission of disease from a patient. Gloves and masks must be worn at all times when working around any bodily fluids. Unruly or unpredictable patients can cause harm including strains, back injuries, and contusions.
Employees should have access to vaccinations to prevent diseases. Training and safety equipment should be in place to prevent exposure to radiation when performing X-rays. Because patient information and billings are done on computers, potential injuries include eyestrain, neck strain, carpal tunnel syndrome, and similar cumulative trauma injuries that can be addressed through ergonomically designed workstations.
Workers who travel off site may encounter difficult circumstances, especially when going into patients' residences. Procedures should be in place to monitor the off-site exposure and provide for emergency backup.
Property exposure is high due to the use of expensive diagnostic and medical equipment. Ignition sources include electrical wiring, heating, and air conditioning systems, and overheating of equipment. All electrical wiring must be up to code and equipment properly maintained.
Excellent housekeeping is required and smoking should be prohibited. A small fire, which produces smoke, can cause considerable damage when sterile equipment and environments are compromised.
If pharmaceuticals are kept on premises, theft is a concern. These items should be inaccessible for unauthorized use and stored in a protected area after hours. Most property items are better covered on inland marine forms such as a computer form or the physicians and surgeons floater.
The business income and extra expense exposure can be minimized if the clinic has arranged for temporary facilities with another clinic.
Equipment breakdown exposures are high as operations are dependent on medical equipment being available. All equipment should be maintained on an ongoing basis.
Crime exposure comes from employee dishonesty of both money and inventory, particularly relating to drugs on premises. The potential for theft, directly or by means of identity theft, is great. Background checks should be conducted on all employees with access to drugs or money.
Since drugs are tempting and susceptible to theft, employee access must be restricted and carefully monitored. Ordering, billing and disbursement transactions should be handled as separate duties. Inventories and audits should be performed regularly.
Money and securities are a concern if payments are accepted on premises. Deposits should be made regularly and money should not be kept on premises overnight.
Inland marine exposures include accounts receivable if the clinic bills for services, computers, physicians and surgeons equipment floater (which can include all office furnishings), and valuable papers and records for patients' and suppliers' information.
Computers are used for patients' records and other office purposes, but most medical equipment, such as video equipment and X-ray machines, is also computerized.
Physicians and surgeons equipment includes items that doctors may take off site to handle emergencies. A medical clinic will generally include sophisticated computer and medical equipment, especially if it specializes in a particular medical field. Duplicates should be made of all records and stored off site.
Business auto exposure is generally limited to hired and non-owned liability for employees running errands. If there are owned vehicles, all drivers should be licensed with acceptable MVRs. Vehicle maintenance should be ongoing and documented in a central location.
What Does Medical Clinic Insurance Cover & Pay For?
There are various reasons why medical clinics can be sued, some of which include:
Misdiagnosis or delayed diagnosis: If a doctor fails to diagnose a medical condition or diagnoses it later than is reasonable, the patient may suffer harm and may choose to sue the medical clinic.
Medication errors: Medication errors such as prescribing the wrong medication, incorrect dosage, or failing to consider a patient's allergies or other medical conditions can lead to severe harm.
Surgical errors: Mistakes during surgery, such as leaving surgical instruments inside the patient, performing the wrong procedure, or damaging surrounding tissues, can cause significant harm.
Failure to obtain informed consent: Before any medical procedure, a patient must be informed of the potential risks and benefits and give their consent. If the doctor fails to obtain proper consent or misrepresents the risks, the patient may sue for damages.
Negligence: Any act of negligence that causes harm to the patient can lead to a medical malpractice lawsuit, such as failing to follow standard procedures, ignoring patient complaints, or failing to refer a patient to a specialist.
Medical clinics typically carry malpractice insurance to protect themselves from potential lawsuits. Malpractice insurance covers legal fees, court costs, and damages awarded to the plaintiff in a lawsuit. The amount of coverage depends on the policy's limits, which can range from hundreds of thousands to millions of dollars.
For example, suppose a patient sues a medical clinic for misdiagnosis, claiming that the doctor failed to diagnose their cancer in a timely manner, resulting in the cancer progressing to a more advanced stage. The medical clinic's malpractice insurance would pay for the legal fees and damages awarded to the plaintiff if they lose the case.
Similarly, if a patient sues a medical clinic for surgical errors resulting in permanent injury, the medical clinic's malpractice insurance would cover the costs of the lawsuit, including legal fees and any settlement or damages awarded to the plaintiff.
In summary, medical clinics can be sued for various reasons, including misdiagnosis, medication errors, surgical errors, failure to obtain informed consent, and negligence. Malpractice insurance protects medical clinics from potential lawsuits and helps pay for legal fees, court costs, and damages awarded to the plaintiff in a lawsuit.
Commercial Insurance And Business Industry Classification
- SIC CODE: 8011 Offices and Clinics Of Doctors Of Medicine
- NAICS CODE: 621493 Freestanding Ambulatory Surgical and Emergency Centers, 621111 Offices of Physicians (except Mental Health Specialists)
- Suggested Workers Compensation Code(s): 8832 Physician & Clerical, 9040 Hospital - All Other Employees
Description for 8011: Offices and Clinics Of Doctors Of Medicine
Division D: Manufacturing | Major Group 39: Miscellaneous Manufacturing Industries | Industry Group 399: Miscellaneous Manufacturing Industries
8011 Offices and Clinics Of Doctors Of Medicine: Establishments of licensed practitioners having the degree of M.D. and engaged in the practice of general or specialized medicine and surgery. Establishments operating as clinics of physicians are included in this industry. Osteopathic physicians are classified in Industry 8031.
- Ambulatory surgical centers
- Anesthesiologists, offices of
- Clinics of physicians (M.D.)
- Dermatologists, offices of
- Freestanding emergency medical (M.D.) centers
- Gynecologists, offices of
- Neurologists, offices of
- Obstetricians, offices of
- Oculists, offices of
- Ophthalmologists, offices of
- Orthopedic physicians, offices of
- Pathologists (M.D.), offices of
- Pediatricians, offices of
- Physicians (M.D.), including specialists: offices and clinics of
- Plastic surgeons, offices of
- Primary care medical (M.D.) clinics
- Psychiatrists, offices of
- Psychoanalysts, offices of
- Radiologists, offices of
- Surgeons (M.D.), offices of
- Urologists, offices of
Medical Clinic Insurance - The Bottom Line
For the safety of you patients and your employees - having the right medical clinic insurance coverage is important. To learn what types of options are available to your facility, how much coverage you should invest in and the cost - speak to a reputable commercial insurance broker.
Additional Resources For Medical Insurance
Discover small business insurance for medical and dental professionals. Medical malpractice insurance is a type of professional liability that protects health care professionals from liability causing in bodily injury, medical expenses and property damage.
- Ambulatory Surgical Center
- Art Therapy
- Assisted Living Facilities
- Blood Banks
- Dental Lab
- Dental Office
- Diagnostic Imaging Centers
- Health Maintenance Organizations
- Healthcare Facilities
- Home Medical Equipment Dealers
- Marriage & Family Therapy
- Medical Clinics
- Medical Laboratories
- Medical Marijuana Dispensary
- Medical Practice
- Medical, Surgical & Hospital Supply Store
- Mental Health Counseling
- Nurse Registry
- Occupational Therapy
- Osteopathic Physicians
- Physicians Office
- Plastic Surgeons
- Skilled Nursing Facilities
- Speech Therapy
- Substance Abuse Counseling
- Telemedicine Business Insurance
- Specialty Medical Centers And Clinics
- Specialty Medical Malpractice
The medical industry is a crucial sector that plays a vital role in ensuring the health and well-being of individuals. It is a complex and highly regulated industry that requires specialized knowledge and expertise. As a result, the medical industry is exposed to a variety of risks, including legal and financial liabilities.
One of the main reasons why the medical industry needs commercial insurance is to protect against medical malpractice. Medical malpractice occurs when a healthcare provider deviates from the standard of care and causes harm to a patient. It can lead to costly lawsuits and significant financial losses for the healthcare provider. Business insurance helps to cover these costs and protect the financial stability of the medical facility.
Another reason the medical industry needs business insurance is to cover the cost of regulatory fines and penalties. The medical industry is subject to strict regulations and any violations can result in significant fines and penalties. Business insurance helps to cover these costs and protect the financial stability of the medical practice or facility.
In addition, the medical industry is vulnerable to data breaches and cyber attacks. These incidents can result in significant financial losses and reputational damage for the medical facility. Business insurance helps to cover the cost of recovering from a data breach or cyber attack and helps to protect the reputation of the medical facility or practice.
Overall, business malpractice insurance is an essential component of the medical industry. It helps to protect against the financial and reputational risks associated with the medical industry and helps to ensure the financial stability and success of medical practices and facilities.
Minimum recommended small business insurance coverage: Business Personal Property, Business Income and Extra Expense, Employee Dishonesty, Money and Securities, Accounts Receivable, Computers, Physicians and Surgeons Floater, Valuable Papers and Records, General Liability, Employee Benefits, Professional, Umbrella, Hired and Non-owned Auto & Workers Compensation.
Other commercial insurance policies to consider: Building, Earthquake, Equipment Breakdown, Flood, Leasehold Interest, Real Property Legal Liability, Computer Fraud, Forgery, Cyber Liability, Employment-related Practices, Business Automobile Liability and Physical Damage and Stop Gap Liability.