How much does med spa insurance cost?

Premiums are built around your specific treatment menu, credentials, revenue, and claims history. Qualified start-up practices typically begin between $1,800 and $2,500 per year. Multi-location groups start around $5,000. Advanced regenerative and surgical practices generally range from $5,000 to $7,500. Every quote is tailored, so the best way to know your number is to request an estimate.

Do you cover ketamine clinics?

Yes. Ketamine clinics fall within our Tier 4 specialty programs. This is coverage many standard carriers decline outright, and it is an area we specialize in.

Do you cover stem cell and regenerative therapy?

Yes. Live stem cell therapy and advanced regenerative treatments are covered under our Tier 5 programs, written for practices operating at the leading edge of regenerative medicine.

Do you cover GLP-1 and medical weight loss?

Yes. GLP-1 and medical weight loss services are covered under Tier 3, reflecting the fast growth of medically supervised weight management in aesthetic and wellness practices.

What states do you write in?

We are licensed in all 50 states and write coverage nationwide.

What happens if a patient files a claim against my practice?

You file an incident report as soon as an adverse event occurs, because early reporting protects your position. Policies placed with Lloyd's of London include access to the Juno program legal hotline, available around the clock, so you can reach counsel immediately. Our team then coordinates with your carrier and legal counsel to manage the claim and keep your practice operating.

Do I need to declare every procedure I perform?

Yes. Policies operate on a declared-activity basis, which means any procedure not listed on your schedule may not be covered in a claim. We audit your treatment menu at onboarding and again at renewal to close gaps before they become problems.

Which carriers back your policies?

Our programs are backed by A-rated carriers, including Lloyd's of London, MedPro, and Admiral.

How quickly can I get covered?

Our online quote tool produces an estimate in minutes, and a licensed underwriter reviews your application to finalize terms. Certificates of Insurance can be issued promptly once your policy is bound.

Do you cover multi-location practices and franchises?

Yes. Multi-clinic and multi-location programs are written under structures built for that purpose and start from $5,000 per year. Coverage expands as you add sites.

What types of insurance does a med spa actually need?

Most med spas need three core coverages. Professional liability, also called malpractice, covers clinical errors from the procedures you perform. General liability covers non-clinical incidents such as a client slipping in your reception area. Business property coverage protects your equipment and premises. Practices with employees typically also need workers' compensation. We build these into a single program tailored to your services so you are not left with gaps.

What is the difference between professional liability and general liability?

Professional liability covers claims that arise from the clinical services you deliver, such as an injection injury or an adverse reaction to a treatment. General liability covers everyday business risks unrelated to the treatment itself, such as a visitor slipping on a wet floor or property damage. A med spa needs both, because one protects the treatment room and the other protects the premises.

Does my med spa need its own policy if my medical director already has malpractice insurance?

Yes. A medical director's individual malpractice policy covers their personal supervisory liability. It does not cover your business entity or your staff. Your med spa needs its own policy written in the name of the business so the corporation, your injectors, nurses, and aestheticians are all protected. Relying only on the medical director's personal policy is one of the most common and costly gaps.

What liability limits do I need?

The standard for most med spas is $1,000,000 per occurrence and $3,000,000 aggregate. Practices with higher-risk procedures, multiple locations, or operations in high-litigation states often carry higher limits such as $2,000,000 per occurrence and $4,000,000 aggregate. We help you match your limits to your actual risk rather than defaulting to the minimum.

What is the difference between claims-made and occurrence coverage?

An occurrence policy covers any incident that happens while the policy is active, no matter when the claim is filed, even years later. A claims-made policy only covers a claim if your policy is active both when the incident occurred and when the claim is filed. If you carry a claims-made policy and switch or cancel, you may need tail coverage to stay protected. We explain which structure fits your situation before you buy.

What is tail coverage and do I need it?

Tail coverage extends a claims-made policy so it still responds to claims filed after the policy ends, for incidents that happened while it was active. You typically need it if you carry a claims-made policy and are switching carriers, closing, or retiring. If your policy is written on an occurrence basis, you generally do not need tail coverage at all. We flag this clearly so you are never caught with a gap.

Are my employees and contractors covered under the practice policy?

Your med spa's professional liability policy covers the business entity and the staff performing or assisting with procedures, including W-2 employees and, when properly structured, 1099 contractors, nurse practitioners, physician assistants, registered nurses, and aestheticians, as long as they are licensed and working within their scope. We confirm your staffing structure at onboarding so everyone who needs to be covered is.

Does insurance cover Botox and dermal filler claims?

Yes. Injectable claims are among the most common in aesthetics and are a core part of your professional liability coverage. This includes complications such as ptosis, facial asymmetry, vascular occlusion from filler, or allergic reactions, when a patient alleges the outcome resulted from the injection. Your policy protects the prescribing clinician and the administering practitioner.

Does insurance cover laser treatment injuries?

Yes. Laser and IPL claims are covered under your professional liability policy. These treatments carry real risk of burns, blistering, scarring, and pigment changes, and claims can be costly because of the long-term care sometimes involved. Coverage responds to claims involving device issues, incorrect skin-type assessment, missed patch testing, and operator technique, provided the treatment is on your declared schedule.

Do you cover IV therapy and vitamin drips?

Yes. IV nutrition and vitamin therapy are covered, typically within our specialty tiers given the clinical nature of infusion services. As with all procedures, IV therapy must appear on your declared treatment schedule so any related claim is covered.

Do you cover hormone therapy and pellet therapy?

Yes. Hormone optimization and pellet therapy are covered. These are increasingly common in med spa and wellness settings and are part of the specialized programs written for functional and integrative practices.

Is med spa insurance required by law?

It depends on your state and your structure. Many states require some level of liability or malpractice coverage to perform medical procedures, and a medical director may be required to carry their own policy. Even where the state does not mandate it, coverage is often required in practice, because commercial landlords, lenders, and licensing boards frequently require proof of insurance before you can operate.

Can I add or change treatments on my policy mid-term?

Yes. As your menu grows, you can add procedures to your policy. This matters because coverage operates on a declared-activity basis: a treatment not listed on your schedule may not be covered. We recommend reviewing your menu whenever you add a service, and we audit it at renewal so your coverage keeps pace with your practice.

Can you provide a Certificate of Insurance (COI)?

Yes. Certificates of Insurance are issued quickly, which you will often need for a commercial lease, a licensing board, a lender, or a partnership. Once your policy is bound, a COI can be turned around right away.

Do you cover solo injectors and independent practitioners?

Yes. Coverage is written for solo injectors, independent nurse practitioners, and single-provider practices, not just large groups. Coverage and pricing scale to your size, so a solo provider is not paying for a footprint they do not have.

What happens to my coverage if I open a second location?

Your program can expand with you. Multi-location operations are written under structures built for that, and coverage adjusts as you add sites. Let us know before a new location opens so coverage is in place from day one.

What is a Business Owner's Policy (BOP) and do I need one?

A Business Owner's Policy bundles general liability with business property coverage into a single package, often at a better rate than buying them separately. Many med spas pair a standalone professional liability policy with a BOP for their premises and equipment. We help you decide whether a bundled or standalone structure fits your business and budget.

Does insurance cover my equipment, like lasers and devices?

Yes, through business property coverage. Aesthetic devices are expensive to replace, often ranging from tens of thousands to well over one hundred thousand dollars, so property coverage protects owned and, where applicable, leased equipment against perils such as fire, theft, and damage.

Do you offer cyber liability or HIPAA coverage?

Cyber and HIPAA-related coverage is available as an add-on in many programs. Because med spas hold patient records and payment data, this coverage responds to data breaches and privacy incidents. Availability and terms vary by carrier, so we confirm what applies to your program during underwriting.

Is sexual abuse and molestation (SAM) coverage available?

Coverage relating to sexual abuse and molestation allegations is an important and often misunderstood area in aesthetic and clinical insurance, and availability varies by carrier. In the market it is generally offered either as a standalone policy dedicated to this exposure, or as a sublimit endorsed onto a broader liability policy. Coverage is typically described in two parts: legal defense, which responds to the cost of defending an allegation, and indemnity, which responds to damages or settlements. Because structure, limits, and availability differ significantly by carrier and by a practice's risk profile, this coverage is reviewed individually during underwriting rather than applied uniformly.

Can I get coverage if I have a prior claim or history?

Yes, a prior claim does not automatically disqualify you. Underwriting looks at the full picture, including the nature of the claim, how it was resolved, and the protocols you have put in place since. Practices with a claim in their history can often still secure coverage, though terms may reflect that history. We work to place coverage even where past claims exist.

What is a Medical Director and does my policy require one?

In most states, med spas must have a physician medical director who provides oversight of clinical operations, though supervision requirements vary widely. In states with full practice authority, a nurse practitioner may practice independently and even serve in that role. Proper oversight matters for insurance because operating without required supervision can void coverage. We confirm what your state requires and how it affects your policy.

How do I lower my med spa insurance premium?

Several factors are within your control. A clean claims history is the biggest driver. Verified practitioner credentials, documented consent and safety protocols, operating equipment within manufacturer guidelines, and accurately declaring your treatment menu all support better terms. Choosing appropriate limits rather than over- or under-insuring also helps. We review these with you so your premium reflects a well-run practice.

The Exposure Files

Why Functional Medicine Practices Get Denied by Standard Carriers (and What to Do About It)

By the NumbersStandard malpractice underwriting is built for defined specialties using on-label, FDA-approved treatments. Functional medicine, by design, does not fit those boxes, which is why the denials happen.

If you run a functional, integrative, or regenerative medicine practice and have been denied coverage, or quoted a policy that excludes half of what you do, you are not imagining it. Standard carriers routinely struggle with functional medicine, and understanding why is the key to actually getting covered.

Why Functional Medicine Doesn't Fit the Boxes

The root issue is that functional medicine does not fit the boxes standard carriers are built around. Conventional malpractice underwriting is designed for defined specialties with established standards of care and FDA-approved, on-label treatments. Functional medicine, by its nature, blends modalities, hormone optimization, peptides, IV therapy, off-label prescribing, compounded preparations, nutritional and regenerative approaches, that fall outside those tidy categories. To a standard underwriter, that looks like a collection of red flags rather than a coherent practice.

What Specifically Triggers Denials

Specifically, several things trigger denials or exclusions. Off-label prescribing, which is legal and common in functional medicine but which standard carriers often will not cover. Compounded medications and peptides, frequently excluded outright. IV therapy and hormone optimization, treated as elevated risk. And treatments without large conventional evidence bases, which underwriters do not know how to price. The result is a denial, or a policy so full of exclusions that it covers little of what the practice actually does.

The False Sense of Security

The danger is a false sense of security. A functional practice can hold a malpractice policy and be effectively uninsured on its core services, off-label, compounded, and integrative treatments, because those were quietly excluded. Practitioners often do not discover this until a claim is denied.

WarningA functional practice can hold a malpractice policy and be effectively uninsured on its core services, off-label, compounded, and integrative treatments, because those were quietly excluded. Practitioners often find out only when a claim is denied.

The Answer: Specialized Coverage

So what do you do about it? The answer is specialized coverage. There are carriers and programs built specifically for functional, integrative, and regenerative medicine, that understand off-label prescribing, contemplate compounded and peptide therapies, and are designed around how these practices actually operate. The key is working with someone who knows which markets cover this world and how to present your practice so it is understood, not reflexively declined.

That last part matters: how a functional practice is presented in underwriting, its protocols, documentation, sourcing, and consent processes, heavily influences whether it is covered and on what terms. A practice packaged as a disciplined, well-documented operation is a very different underwriting proposition than one that looks like a grab-bag of high-risk services.

In over 25 years placing coverage for practices that standard carriers decline, functional and integrative medicine is one of the areas where specialized placement makes the biggest difference, the difference between 'denied' and 'properly protected.'

Being denied by a standard carrier does not mean you are uninsurable. It means you need coverage built for the medicine you actually practice.

If standard carriers have denied you or excluded your core services, you need a specialist who covers functional and integrative medicine. That is exactly what we do, with over 25 years of placing coverage others decline. Check your eligibility and get covered for what you actually practice.

Check Your Eligibility

Frequently Asked Questions

Why do standard carriers deny functional medicine practices?

Standard malpractice underwriting is built for defined specialties using FDA-approved, on-label treatments. Functional medicine blends off-label prescribing, compounded medications, peptides, IV therapy, and hormone optimization, which fall outside those categories and trigger denials or exclusions.

Can I be insured but still uncovered for my main services?

Yes. A functional practice can hold a policy that quietly excludes off-label, compounded, and integrative treatments, its core services, leaving it effectively uninsured on them. Practitioners often discover this only when a claim is denied.

What kind of insurance does a functional medicine practice need?

Specialized coverage from carriers and programs built for functional, integrative, and regenerative medicine, that understand off-label prescribing and contemplate compounded and peptide therapies, rather than a standard policy that excludes them.

How can I improve my chances of getting covered?

Present the practice as a disciplined, well-documented operation, clear protocols, compliant sourcing, thorough consent and documentation, and work with a specialist who knows which markets cover functional medicine and how to present it for underwriting.

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Been denied or excluded by a standard carrier? Schedule a free consultation. We will show you how to get properly covered for off-label, compounded, and integrative care, the medicine you actually practice.

Schedule a Free Consultation