Profmed:
All the 2025 medical aid plans

Table of Contents:

Note: “Savvy” refers to plans that are networked, and that limit you to certain hospitals. They are cheaper than the regular Profmed plans.

Plans with Funds

Profmed ProPinnacle Premium:

Main Adult Child
2025 cost: R 13,309 R 12,346 R 3,992
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R20,203
  • Main+1= R29,830
  • Max per family= R38,820
Main Adult Child
2026 cost: R 14,634 R 13,574 R 4,390
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R21,100
  • Main+1= R31,200
  • Max per family= R40,600
Hospital Choice: Unlimited
Child rates: Child rates for Up to age 21yrs, unless student, then 28yrs; Only pay for 3 children
View all benefits for this plan
.

Profmed ProPinnacle Savvy:

Main Adult Child
2025 cost: R 12,192 R 11,310 R 3,658
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R20,203
  • Main+1= R29,830
  • Max per family= R38,820
Main Adult Child
2026 cost: R 13,534 R 12,554 R 4,061
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R21,100
  • Main+1= R31,200
  • Max per family= R40,600
Hospital Choice: Network
Child rates: Child rates for Up to age 21yrs, unless student, then 28yrs; Only pay for 3 children
View all benefits for this plan
.

Profmed ProSecure Plus Premium:

Main Adult Child
2025 cost: R 7,171 R 6,633 R 2,794
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R12,588
  • Main+1= R19,146
  • Max per family= R24,647
Main Adult Child
2026 cost: R 7,780 R 7,197 R 3,032
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R13,200
  • Main+1= R20,000
  • Max per family= R25,800
Hospital Choice: Unlimited
Child rates: Child rates for Up to age 21yrs, unless student, then 28yrs; Only pay for 3 children
View all benefits for this plan
.

Profmed ProSecure Plus Savvy:

Main Adult Child
2025 cost: R 6,453 R 5,972 R 2,516
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R12,588
  • Main+1= R19,146
  • Max per family= R24,647
Main Adult Child
2026 cost: R 7,002 R 6,479 R 2,730
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R13,200
  • Main+1= R20,000
  • Max per family= R25,800
Hospital Choice: Network
Child rates: Child rates for Up to age 21yrs, unless student, then 28yrs; Only pay for 3 children
View all benefits for this plan
.

Profmed ProSecure Premium:

Main Adult Child
2025 cost: R 5,874 R 5,439 R 2,296
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R12,588
  • Main+1= R19,146
  • Max per family= R24,647
Main Adult Child
2026 cost: R 6,314 R 5,847 R 2,468
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R13,200
  • Main+1= R20,000
  • Max per family= R25,800
Hospital Choice: Unlimited
Child rates: Child rates for Up to age 21yrs, unless student, then 28yrs; Only pay for 3 children
View all benefits for this plan
.

Profmed ProActive Plus Premium:

Main Adult Child
2025 cost: R 3,286 R 3,028 R 1,280
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R4,548
  • Main+1= R6,452
  • Max per family= R8,039
Main Adult Child
2026 cost: R 3,516 R 3,239 R 1,370
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R4,800
  • Main+1= R6,700
  • Max per family= R8,400
Hospital Choice: Unlimited
Child rates: Child rates for Up to age 21yrs, unless student, then 28yrs; Pay for all children
View all benefits for this plan
.

Profmed ProActive Plus Savvy:

Main Adult Child
2025 cost: R 2,957 R 2,724 R 1,154
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R4,416
  • Main+1= R6,264
  • Max per family= R7,805
Main Adult Child
2026 cost: R 3,164 R 2,914 R 1,235
Day-to-Day Benefit:
Savings: None None None
Fund:
  • Main= R4,800
  • Main+1= R6,700
  • Max per family= R8,400
Hospital Choice: Network
Child rates: Child rates for Up to age 21yrs, unless student, then 28yrs; Pay for all children
View all benefits for this plan
.

Profmed ProSelect Premium:

Main Adult Child
2025 cost: R 2,611 R 2,559 R 1,079
Day-to-Day Benefit:
Savings: None None None
Main Adult Child
2026 cost: R 2,754 R 2,700 R 1,138
Day-to-Day Benefit:
Savings: None None None
Hospital Choice: Network
Child rates: Child rates for Up to age 21yrs, unless student, then 28yrs; Pay for all children
View all benefits for this plan
.

Capitated Plans, by price

Below is a list of this scheme's capitated medical aid plans. With these plans, the less you make the less you pay for your medical aid. The benefits stay the same for all the income levels, only the price changes. We list all the capitated plans and explain them in more detail here.

Income Bracket: Main: Adult: Child:
ProSecure Savvy A R0-R11,000 R 3,803 R 3,803 R 1,724
ProSelect Savvy A R0-R7,000 R 1,022 R 1,284 R 782
ProSelect Savvy B R7,001-R11,000 R 1,751 R 1,926 R 783
ProSelect Savvy C R11,001+ R 2,348 R 2,170 R 915
.
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What does a “PMBs only” restriction mean?
In this case, the scheme will only pay for diagnosis, treatment and management of a claim for one of 270 pre-defined conditions (PMBs). Read more, and see full list of PMB conditions. 

What does “From Risk” mean?
The scheme will pay for this claim from its own funds, not from your savings or other day-to-day benefits. 

What is a DSP?
A Designated Service Provider. The scheme has a network of providers, and will often only pay claims in full if you use a DSP. If you choose another provider, you might have a co-payment, or even no cover. 

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