CosmetAssure

What CosmetAssure does

CosmetAssure is a private, Birmingham, Alabama-based complications insurance company founded in 2003 by board-certified plastic surgeons. It underwrites and distributes a niche insurance product that covers medical expenses arising from complications of elective cosmetic surgery performed by ASPS or ASAPS member surgeons. Coverage is available in all 50 US states, extends to 24 covered procedures, and applies to complications (including hematoma, infection, DVT, pulmonary embolus, and capsular contracture) occurring within 45 days of surgery at JCAHO, AAAHC, AAAASF, or Medicare-certified facilities. Policies are issued in two tiers, standard CosmetAssure and CosmetAssure Plus, with flat premiums across each tier.

The company's technology layer is a policy administration and claims processing platform accessed via the CosmetAssure Member Services (CMS) portal, supporting automated patient registration and online claims submission for enrolled surgeons. CosmetAssure does not retain underwriting risk directly; coverage is underwritten by Lone Star Alliance, Inc., a Risk Retention Group rated A (Excellent) by A.M. Best, with claims administered by Intercare (procedures on or after January 1, 2017) and historically by Gallagher Bassett. The company has accumulated a proprietary dataset of more than 183,000 procedures across 129,007 patients, which has produced 33 peer-reviewed publications and podium presentations, constituting a notable data asset within the aesthetic surgery community.

CosmetAssure's revenue model is a surgeon-paid annual subscription. Enrolled ASPS/ASAPS member surgeons pay flat premiums per tier and all eligible patients of their practice are automatically covered, with no separate patient enrollment. The company operates with a 1-10 employee footprint, leverages society endorsements (ASPS exclusive endorsement; ASAPS Alliance Partner status) as its primary go-to-market channel, and runs a recurring webinar and digital content program to drive surgeon enrollment. To date, CosmetAssure has paid $17M+ in claims across its operating history.

Name

CosmetAssure

Legal name

CosmetAssure

Website

https://cosmetassure.com

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

1–10 employees

Short description

CosmetAssure is a private complications insurance company founded in 2003 that provides financial protection to patients undergoing elective cosmetic surgery by ASPS- or ASAPS-member, board-certified plastic surgeons across all 50 US states.

Ownership category

akta.pro rank

Product category

Specialty Insurance

NAICS

Direct Life, Health, and Medical Insurance Carriers (52411)

SIC

Fire, Marine & Casualty Insurance (6331)

akta.pro primary industry

Combined Critical Illness + Hospital Indemnity Policies (FSAIAKAC)

akta.pro secondary industries

Ancillary & Supplemental Health Products (Accident/Critical Illness/Hospital Indemnity) (HLAEABAJ), Disease-Specific & Condition-Specific Critical Illness (e.g., Cancer, Heart/Stroke) (FSAIAKAH)

Keywords

• Complications insurance
• Cosmetic surgery insurance
• Plastic surgery coverage
• Medical complications coverage
• Surgical complications insurance

Headquarters

HQ city

Birmingham

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Operations, Personnel, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Insurance Premiums (Surgeon-Paid): Surgeons (participating plastic surgeons) pay insurance premiums to CosmetAssure to cover their patients for post-surgical complications. The premiums are flat amounts across each tier (CosmetAssure and CosmetAssure Plus) and are not filed as surplus lines, eliminating surplus lines tax. Once a surgeon enrolls, all of their patients undergoing covered procedures are automatically covered under the policy.
2. Patient Coverage (Bundled with Surgeon Enrollment): Coverage for patients is automatically extended once their surgeon enrolls in the program. Patients do not separately elect coverage — it is bundled into the surgeon's practice enrollment. Coverage applies within 45 days of surgery for complications treated at accredited facilities.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels7 records

Core offering

CosmetAssure provides a complications insurance program that financially protects patients of board-certified plastic surgeons from unexpected medical expenses arising from post-surgical complications of elective cosmetic procedures. Coverage is sold exclusively to ASPS and ASAPS member surgeons as a flat annual premium per tier, with two tiers (CosmetAssure and CosmetAssure Plus) offering different maximum benefit limits across inpatient, ICU, outpatient, ambulance, and follow-up categories. Once a surgeon enrolls, all eligible patients of the practice are automatically covered for specified complications occurring within 45 days of surgery at accredited facilities.

Product overview

CosmetAssure offers a complications insurance program providing financial protection for patients undergoing elective cosmetic surgery. The core product is the CosmetAssure Complications Insurance policy, which offers two tiers: standard CosmetAssure and CosmetAssure Plus with higher coverage limits. Coverage extends to 24 types of cosmetic procedures and covers specific complications (hematoma, infection, DVT, pulmonary embolus, capsular contracture) occurring within 45 days of surgery. The program integrates with an Online Claims Submission system for streamlined claims processing through the CosmetAssure Member Services (CMS) portal. Participating surgeons must be ASPS or ASAPS members, and coverage is automatically extended to all their eligible patients.

Differentiator

Problem solved

Functional benefit

Products and services

• CosmetAssure Complications Insurance Program Specialty complications insurance program that financially protects patients of board-certified plastic surgeons (ASPS/ASAPS members) from unexpected medical expenses arising from post-surgical complications of elective cosmetic procedures. Offered in two tiers (standard CosmetAssure and CosmetAssure Plus) with different maximum benefit limits, covering 24 procedure types and specific complications (hematoma, infection, DVT, pulmonary embolus, capsular contracture) within 45 days of surgery at accredited facilities.

Quantifiable outcome

• $17,000,000+ in claims paid to date
• +5 more outcomes

Named customers8 records

Segments3 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Five partnerships are on record, tiered core and secondary.

• American Society of Plastic Surgeons (ASPS)coreStrategic or Co-development PartnerASPS is the most significant partnership for CosmetAssure. The company is the only complications insurance endorsed by ASPS, enabling it to exclusively serve ASPS member surgeons. ASPS endorsement provides credibility, access to a filtered network of board-certified plastic surgeons, and serves as the primary go-to-market channel. ASPS members and candidate members who have passed their written boards are pre-qualified to enroll in the CosmetAssure program.
• The American Society for Aesthetic Plastic Surgery (ASAPS)coreStrategic or Co-development PartnerCosmetAssure is an Alliance Partner of ASAPS, the leading professional society for aesthetic plastic surgery. ASAPS member surgeons are also eligible to enroll in the CosmetAssure program, expanding the distribution network alongside ASPS membership. The Alliance Partner status indicates a strategic mutual relationship supporting CosmetAssure's reach into the aesthetic plastic surgery community.
• Lone Star Alliance, Inc. (LSA)coreStrategic or Co-development PartnerLone Star Alliance, Inc. is a Risk Retention Group that serves as the underwriter for CosmetAssure insurance policies. LSA provides medical professional liability insurance to physicians nationwide and is operated by Texas Medical Liability Trust (TMLT). Both LSA and TMLT are rated 'A' (Excellent) by A.M. Best Company. This partnership enabled CosmetAssure to move from surplus lines to admitted paper, eliminating surplus lines tax and implementing flat pricing across tiers.
• Gallagher Bassett Services, Inc.secondaryImplementation/ SI/ Consulting PartnerAward-winning claims processor for CosmetAssure, handling procedures performed prior to January 1, 2017. Gallagher Bassett's dedicated claims staff walks surgeons through the claims process for pre-2017 procedures.
• IntercaresecondaryImplementation/ SI/ Consulting PartnerClaims adjuster for CosmetAssure, processing procedures performed on or after January 1, 2017. All claims (regardless of procedure date) are submitted through CosmetAssure Member Services (CMS). Intercare's involvement, combined with the new online claims submission system, improved claim processing times.

Scale indicators11 records

Recent moves4 records

Expansion highlights5 records

Direct peers

• Lone Star Alliance: Risk Retention Group that actually underwrites the CosmetAssure policy paper. Lone Star Alliance is the closest peer because it is the insurance entity bearing the risk and administering the product — operationally intertwined with CosmetAssure's go-to-market.

Broad incumbents

• Texas Medical Liability Trust (TMLT): Operates Lone Star Alliance (the underwriter of CosmetAssure policies) and provides medical professional liability insurance to physicians statewide. TMLT is a broad medical-liability incumbent whose RRG subsidiary underwrites the CosmetAssure book, making it a structural partner and comparable medical professional insurance carrier.
• The Doctors Company: Largest physician-owned medical malpractice insurer in the U.S. Comparable to CosmetAssure as a specialty insurance carrier serving physicians, with overlapping claims-administration infrastructure and physician-customer base, though broader in scope (med mal rather than cosmetic complications).
• Medical Protective: Long-standing medical professional liability insurer owned by Berkshire Hathaway. Comparable to CosmetAssure as a specialty carrier focused on healthcare professionals, with sophisticated claims handling and risk-management services tailored to surgical specialists.
• NORCAL Group: Medical professional liability insurer serving physicians and healthcare providers. Comparable as a specialty insurer with surgical-practice customers, claims-management capabilities, and society-level endorsements in the medical community.
• ProAssurance: Healthcare professional liability insurer with significant exposure to surgical specialists. Comparable as a specialty insurance carrier offering claims defense and risk services to physicians, operating at a larger scale but in the adjacent med-mal space.
• Coverys: Medical professional liability insurer providing claims management and risk solutions to physicians, hospitals, and healthcare providers. Comparable to CosmetAssure in serving surgical specialists with claims-driven insurance products and underwriting expertise.
• MagMutual: Physician-owned medical professional liability insurer offering risk-management, claims, and insurance products. Comparable as a specialty carrier serving surgical practices with society-level relationships and bundled risk services.

Emerging players

• HPSO (Healthcare Providers Service Organization): Provides professional liability and supplemental insurance products to individual healthcare practitioners, including specialty malpractice coverage. Comparable as a specialty insurer selling directly to medical professionals with bundled liability and ancillary products.

Others

• Gallagher Bassett Services: Third-party claims administrator that previously handled CosmetAssure claims (pre-2017 procedures). Comparable as an adjacent claims-processing services provider in the specialty medical insurance value chain.

Market position

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/CosmetAssure
• Facebookfacebook.com/CosmetAssure-1660163497547812
• LinkedInlinkedin.com/company/cosmetassure
• Pinterestpinterest.com/cosmetassure

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about CosmetAssure