This page has information on: Costs, Dentistry , Optometry Wellness and Preventative and Other benefits for Profmed ProActive Plus Premium
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Monthly Costs (2025)
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
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- R1,280
- Pay for all children
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- No savings account option on this plan
- The scheme might still cover some or all day-to-day claims. See below, and see benefits.
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- Main= R4,548
- Main+1= R6,452
- Max per family= R8,039
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- Up to age 21yrs, unless student, then 28yrs
- Pay for all children
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- Exclusions: Note that all schemes have extensive exclusions. We've tried to list the major ones, but you must consult with your scheme to get the full list.
- All treatments and procedures are subject to authorisation and protocols
- All benefits are listed as an indication only. Please verify with your broker and scheme
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View all the other benefits for this plan:
In-hospital |
Out-of-hospital |
Medication |
Maternity
Cancer |
Mental Health |
Dentistry |
Optometry
Other/Extra Benefits |
Wellness |
Prosthetics
You can also:
Compare any two plans, side by side |
View all the Profmed plans, with costs and brief summary.
Find all other open medical aid plans here.
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Dentistry benefits (2024):
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
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Assume scheme pays all these costs, unless otherwise stated
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Main Member: |
Adult: |
Child: |
- No savings account option on this plan
- The scheme might still cover some or all day-to-day claims. See below, and see benefits.
|
- Main= R4,548
- Main+1= R6,452
- Max per family= R8,039
|
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| Standard Dentistry: |
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| Specialised Dentistry: |
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| In-Hospital Dentistry: |
- Wisdom teeth and treatment for children <8yrs: 100% scheme rate
- Orthognathic surgery: PMBs only
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| Orthodontics: |
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| Note: |
- PMBs: Prescribed Minimum Benfits. To read more about PMBs click here
- DSPs: Designated Service Provders. Where stipulated, you must use specific specific providers to get full benefit.
- Co-payment: Paid out of pocket, or out of savings account. Sometimes this is refundable to you if you have a gap product
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View all the other benefits for this plan:
In-hospital |
Out-of-hospital |
Medication |
Maternity
Cancer |
Mental Health |
Dentistry |
Optometry
Other/Extra Benefits |
Wellness |
Prosthetics
You can also:
Compare any two plans, side by side |
View all the Profmed plans, with costs and brief summary.
Find all other open medical aid plans here.
|
Optometry benefits (2024):
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
|
Assume scheme pays all these costs, unless otherwise stated |
|
Main Member: |
Adult: |
Child: |
- No savings account option on this plan
- The scheme might still cover some or all day-to-day claims. See below, and see benefits.
|
- Main= R4,548
- Main+1= R6,452
- Max per family= R8,039
|
|
| Optometry: |
- 1 eye exam, from day-to-day benefit
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- This section does not apply to opthamology benefits, which fall under "in-hospital" benefits. Some of those are PMBs, and are paid for in full by your scheme. You can read more about PMBs here.
|
View all the other benefits for this plan:
In-hospital |
Out-of-hospital |
Medication |
Maternity
Cancer |
Mental Health |
Dentistry |
Optometry
Other/Extra Benefits |
Wellness |
Prosthetics
You can also:
Compare any two plans, side by side |
View all the Profmed plans, with costs and brief summary.
Find all other open medical aid plans here.
|
Wellness/Preventative benefits (2024):
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
Other benefits for 2024:
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
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