KarlT
#1
For those of you seeing patients only for lifespan/health span prolonging and are prescribing Rapamycin and/or Dasatinib, do you have malpractice insurance coverage and/or do you have patients sign a waiver?
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DrM
#2
I have been trying to figure out that problem for myself. My work malpractice won’t cover me for things that fall outside of my scope of practice from what I can tell. I have also heard that waivers just make you feel better and don’t offer any real protection if someone has a bad outcome.
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KarlT
#3
My specialty is Emergency Medicine, so I’m only covered for patients I see in the ER. A separate policy would be prohibitively expensive at this time.
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David
#4
I would ask your malpractice insurance group. Off label Rx’s, I believe from previous research, do not need special waivers. For Rx’s that do not have an FDA approval for any indication (Experimental) a waiver makes sense and I think is good practice for your patients to be clear on what level of risk they are taking, but agree that probably not any extra protection. Reaching out to some of the vendors that work with A4M may find a malpractice coverage option specifically for longevity practices.
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DrM
#5
Im in Psychiatry, same boat
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I am a Med/Peds physician and do not do any anti aging in my practice besides being a zealot for statins, whey protein and heavy exercise. But I figure the only way you could be sued if doing longevity medications is if someone dies……

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My malpractice cover doesn’t have exclusions except for 1 type of compounded semaglutide. It is running ~$5500/year. So yes, has no issues with doing anything I deem fit within my license and scope of practice, which includes all the items mentioned above and more. Ultimately, the huge incentive is practicing good quality medicine and being sensible. The off-label isn’t the issue - I have plenty of medicines on label I can use unsafely, and plenty off label I can use safely.
I think the lack of any malpractice for almost 3 decades probably is the bigger picture, that I’m going to be sensible and safe.
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Brandon
#8
Any updates on this? @DrFraser would you mind sharing which insurance company you use?
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It is Admiral Insurance Company in Delaware that is the issuing company.
I went through a broker who is recommended through A4M and they match what I do with having adequate scope of coverage.
I had to get rid of my insurance I had prior as they refused to cover any compounded GLPs, which pretty much is a deal breaker for me.
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