Medical Professionals

Family Medicine Disability Insurance

How family physicians buy disability insurance, with near-best occupation classes at all five carriers Seaworthy places, full-period mental health elections, part-time and locum underwriting paths, and business overhead expense coverage for practice owners.

Toby Lason , CA License #0H52962 · ·
20-29 hrs
Part-time family medicine is insurable at Principal ($40K+ income)
$100K/mo
Ameritas physician BOE maximum
Full period
M/N coverage is generally an election for family medicine, not required

Top carriers for Family Physicians

All five carriers below can be written as true own-occupation for most professions. Guardian and Ameritas build it into the base definition, MassMutual and Principal deliver it through their own-occupation rider or definition, and at The Standard it comes through a rider whose availability depends on your occupation class. Your optimal carrier depends on your specific specialty, income structure, and state. We compare all five side-by-side in every analysis.

Carrier Product AM Best rating Contract strength
Provider Choice A++ (Superior) Strongest contract; best default mental-health
Platinum Advantage A (Excellent) Contract clarity
Income Protector A+ (Superior) Most flexible underwriting; deep rider menu
Radius Choice A++ (Superior) Mutual-company dividends; billing-code own-occ
DInamic Cornerstone A (Excellent) Competitive pricing; highest BOE limit

Provider Choice

AM Best
A++ (Superior)
Strength
Strongest contract; best default mental-health

Radius Choice

AM Best
A++ (Superior)
Strength
Mutual-company dividends; billing-code own-occ

Income Protector

AM Best
A+ (Superior)
Strength
Most flexible underwriting; deep rider menu

Platinum Advantage

AM Best
A (Excellent)
Strength
Contract clarity

DInamic Cornerstone

AM Best
A (Excellent)
Strength
Competitive pricing; highest BOE limit

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How do carriers classify family physicians?

Favorably, everywhere we place coverage. The mid-2026 producer guides put family practice at 5M with Guardian, 5P/1 with MassMutual, 6M with Ameritas, 5M with Principal, and 5P with The Standard. Guardian's placement is an upgrade, since family practice and internal medicine both moved up from 4M between its 2022 and 2025 guide editions, and MassMutual's 5P/1 is the best physician pricing tier it has. Premium follows class, which puts a family physician close to the cheapest per-dollar rate any of these carriers charges a doctor. Our occupation class grid maps the rest of medicine against the same five carriers.

A lower income ceiling than surgery does not make the income small. Family medicine physicians earned a median of $244,180 in May 2025, according to Bureau of Labor Statistics wage data, and twenty-five years at that pay is roughly $6.1 million of earnings. The lower pay mainly changes how much benefit a carrier will issue, covered in the sizing section below. Family physicians are one of the specialties Seaworthy places most often.

What does disability insurance cost a family physician?

The numbers below are Seaworthy's 2026 quote study priced at the five family medicine classes just listed. Every figure carries true own-occupation, a residual (partial) disability rider, the carriers' increase riders, and benefits to age 65.

Monthly premium ranges for family physicians across five carriers, 2026 list price, Texas basis
Profile Monthly benefit 180-day wait 180-day wait + inflation protection 90-day wait + inflation protection
Male, 30 $10,000 $185–$220 $225–$270 $265–$320
Female, 30 $10,000 $310–$345 $355–$420 $415–$495
Male, 35 $10,000 $220–$260 $265–$300 $310–$350
Female, 35 $10,000 $370–$415 $425–$485 $500–$570
Male, 45 $10,000 $330–$415 $385–$460 $450–$540
Female, 45 $10,000 $560–$650 $625–$715 $735–$840

Lowest to highest carrier, monthly, 2026 list price, Texas basis. Figures include residual coverage, the no-cost increase riders, and the own-occupation rider at carriers that sell one separately. They exclude the catastrophic disability rider, and inflation protection appears only where a column says so.

Picture a male family physician of 35 who wants $10,000 a month. With a 180-day wait the carriers charge him $220 to $260. Adding inflation protection and dropping to a 90-day wait moves him to $310 to $350. A female colleague, also 35, is quoted $370 to $415 for the 180-day version. If he waits ten years to apply, that same 180-day policy costs $330 to $415.

Seaworthy ran each carrier's illustrations in August 2026 for applicants aged 28, 35, and 45, at $5,000, $10,000, and $15,000 of monthly benefit. We estimated the age-30 rows between those runs, built the women's rows from each carrier's own measured female-to-male ratio, and set the 180-day column at 85% of the 90-day illustration. Every price assumes the full mental health benefit period, the election family medicine is allowed to make, and a carrier that prices the 24-month limitation will generally charge less if you take it. Our breakdown of what physicians pay for disability insurance sets family medicine against the other specialties, and the disability insurance cost guide covers the pricing factors that apply to any occupation.

How much disability coverage can a family physician buy?

Income decides it. Carriers publish issue and participation limits keyed to earnings, and the individual-pay ladders at the five carriers we place sit close together, near $13,000 to $13,700 a month at $300,000 of income and about $18,000 at $500,000. Most physician classes can go as high as $30,000 a month, but a family physician at typical pay reaches the income limit long before the class cap. That makes the paperwork the lever. Put base pay, productivity bonuses, and any ownership distributions in the file. A benefit-increase feature adds coverage as pay rises without new medical underwriting, useful in the first attending years while income is still climbing away from resident pay, and the benefit sizing guide shows how the limits work.

An employer's group LTD plan usually leaves gaps a family physician should see before relying on it. Monthly benefits are commonly capped at $10,000 to $15,000, the formula typically counts base salary only, and own-occupation protection commonly ends about 24 months into a claim. Benefits are generally taxable when the employer pays the premium, though the tax result depends on how premiums are paid, so a tax professional should confirm it. Our group vs individual guide lays the two side by side.

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Can a part-time or locum family physician get individual coverage?

Yes, though carrier choice matters more than usual. Most of the five carriers we place want 30 or more hours a week. Principal accepts physicians working 20 to 29 hours if they earn at least $40,000, in every state. Guardian handles contract income well. A first-year 1099 contract goes in at a 50% expense ratio, which an underwriter can lower to 25%, and locum contracts of six months or longer get the same rule. Guardian also commonly credits a physician recruitment agreement at up to 60% of the contract amount. Short locum stints are harder, and generally need a year of full-time history plus steady documented income.

So a family physician on a nonstandard schedule still has options, just fewer of them, and a five-carrier comparison is how you find the ones that fit. The locum tenens guide walks through the documents underwriters ask for.

What should a family practice owner add?

Business overhead expense coverage, because a family physician who owns the practice carries two distinct financial exposures, personal income and the fixed costs of an office that keeps costing money while its physician cannot work. The personal policy answers the first. Business overhead expense coverage answers the second, reimbursing rent, staff salaries, and operating costs during a disability so the practice survives to be returned to or sold rather than collapsing into the lease.

The physician-market BOE programs are substantial. Ameritas writes physician BOE to a $100,000 monthly maximum on a 12-month benefit period, and includes a substitute-salary benefit. Outside California its electronic application has no medical requirements at any benefit amount for ages 18 to 50, and in California a simplified application runs to $25,000 a month with no mini-exam for the same ages. An employed family physician can skip this section entirely. An owner should read the business overhead expense guide before assuming the personal policy covers the practice.

Can a family physician get full-benefit-period mental health coverage?

Yes, outside California. No carrier puts family medicine in the group that must accept a 24-month mental and nervous cap. Anesthesiology, emergency medicine, and CRNAs make up that group at every carrier, and some carriers add pain management and a handful of other occupations. For a family physician the full benefit period is available at Guardian by electing up to unlimited coverage, at Principal by declining its limitation rider where the rider is optional, at MassMutual through an endorsement costing about 14% more premium outside California, and at Ameritas and The Standard by election, where accepting the cap earns about a 10% discount instead. California is the exception. Guardian, Principal, MassMutual, and The Standard put the limitation on every California policy, and Principal also puts it on every New York policy and every single-life Florida policy.

The election carries weight in primary care. The AMA's 2025 data show 41.9% of physicians with at least one burnout symptom, an improvement on 48.2% in 2023 and 43.2% in 2024 (AMA report). Family medicine adds patients of every age, every organ system, and a heavy charting load, and our 2026 audit traced about 40% of the physician exclusions in our placed book to mental and nervous conditions. The residual rider belongs on the same policy, because a family physician's claim can start with a trimmed schedule long before practice stops, and residual pays on lost income alone.

When should a family physician apply?

In residency if possible, and without delay after it. Our 2026 audit found an exclusion or a rating on about 26% of the physician policies Seaworthy has placed, and the median physician in that book was 36 when the policy issued. Underwriting reads the medical record as it stands on the application date, so each year adds history it can price. Residents get the best terms, with no-income-documentation programs and resident discounts across the carriers. After that, compare all five carriers against your real schedule, income mix, and ownership stake, the three facts that change a family physician's answer most.

Frequently asked questions

What occupation class do family physicians get for disability insurance?
A favorable one across the board, per the mid-2026 producer guides. Guardian classes family practice at 5M, its top physician tier, an upgrade from 4M between its 2022 and 2025 guide editions. MassMutual assigns family practice its 5P/1 tier, the best physician pricing it offers. Ameritas places family practice at 6M, Principal at 5M, and The Standard at 5P with its non-procedural specialists. Because premium follows class, a family physician pays close to the lowest rate any carrier charges a physician. Guides change between editions, so price the policy off a current quote.
How much does disability insurance cost for a family physician?
For a man of 35, Seaworthy's 2026 quote study puts a $10,000 monthly benefit with true own-occupation and a 180-day wait at $220 to $260 a month. The same policy for a 35-year-old woman runs $370 to $415. The low end is the cheapest of the five carriers we place and the high end the most expensive, priced at list in Texas with nothing discounted. Where you live, what your medical file shows, and riders like inflation protection all change the number you end up paying.
Is disability insurance worth it on a family medicine income?
Yes, and the class works in your favor. Carriers size benefits from income, and the favorable class keeps each dollar of that benefit cheap. At $300,000 of income the five carriers we place allow roughly $13,000 to $13,700 a month on their individual-pay ladders, with smaller maximums below that. A family physician income sustained across a career is a multi-million-dollar asset. Physicians and surgeons rank among the best-paid occupations in Bureau of Labor Statistics data, and with family medicine priced near the cheapest physician class, a leaner income ceiling argues for careful sizing rather than skipping coverage.
Can part-time or locum family physicians get individual disability coverage?
Yes, if the carrier is picked for the schedule. A 30-hour week is the usual floor at most of the five carriers we place. Principal is the exception for part-timers, writing physicians who work 20 to 29 hours and earn $40,000 or more, in every state. Guardian is the one to know for contract work. It will underwrite a first-year 1099 contract at a 50% expense ratio (down to 25% if the underwriter agrees), applies that same treatment to a locum assignment of six months or more, and commonly counts a physician recruitment agreement at up to 60% of its value. A short locum stint usually needs a year of full-time history and proof that income has held steady. So an unusual schedule trims the list of carriers without emptying it.
What is business overhead expense coverage and does a family practice owner need it?
Business overhead expense (BOE) coverage is a separate policy that reimburses the practice's fixed costs (rent, staff salaries, utilities) while the owner is disabled, so the practice survives to be returned to or sold. A personal disability policy replaces the physician's income. It does nothing for the office lease and the medical assistant's paycheck. For an employed family physician BOE is irrelevant, but for an owner the two policies answer different failures. Ameritas, as one example, writes physician BOE to a $100,000 monthly maximum with a 12-month benefit period and asks applicants aged 18 to 50 for no exam, labs, or phone interview at any benefit amount under its electronic application. California is the exception, where a simplified application with a phone interview still applies and runs without a mini-exam to $25,000 a month for ages 18 to 50. Our business overhead expense guide covers the structure.
Is family medicine stuck with the 24-month mental health cap?
Not as a rule, outside California. Family medicine is not a specialty any carrier forces into the cap. The forced group always includes anesthesiology, emergency medicine, and CRNAs, and a carrier may add pain management or a few other occupations to its own list. Outside California the path runs through each carrier differently. Guardian lets a non-high-risk physician choose coverage up to unlimited. Principal's limitation rider is optional except in California, New York, and single-life Florida cases. MassMutual removes its cap by endorsement for about 14% more premium outside California. Ameritas and The Standard let you pick, and taking the cap there earns roughly a 10% discount. In the AMA's 2025 figures, 41.9% of physicians reported at least one burnout symptom, and in our placed book about 40% of physician exclusions trace to mental and nervous conditions, so a family medicine quote should show the full-period price next to the capped one.

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