Profmed ProActive Plus Premium:
dentistry, optometry and wellness (2025)

This page has information on: Costs, Dentistry, Optometry, Wellness and Preventative and Other benefits for Profmed ProActive Plus Premium

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Terminology:

• PMBs: Prescribed Minimum Benefits. You can read more about PMBs, see a list of all PMB conditions or read more what "PMB only" benefit means.
• DSPs: Designated Service Providers. Where stipulated, you must use 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.
• All schemes have extensive exclusions. We've tried to list the non-common ones here, but please consult your scheme or broker to get the full list.

Monthly Costs (2026)

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Dentistry benefits (2025):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Profmed: ProActive Plus Premium
Assume scheme pays all these costs, unless otherwise stated
Main Member: Adult: Child: Savings (per year): No savings account option on this plan The scheme might still cover some or all day-to-day claims. See below, and see benefits. Extended Fund: Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account Main= R4,800 Main+1= R6,700 Max per family= R8,400 Other Day-to-Day Funds: Amplifire: R2,500 per family when you complete preventative screening Benefit can be used for: GP consults, dental consultations, supplementary services, wellbeing assessment
Standard Dentistry:	From day-to-day benefit
Specialised Dentistry:	From day-to-day benefit	Gap Cover: Can cover most co-payments and increase sublimits (Plans coming soon)
In-Hospital Dentistry:	Wisdom teeth and treatment for children <8yrs: 100% scheme rate Orthognathic surgery: PMBs only	Gap Cover: Can cover most co-payments and increase sublimits (Plans coming soon)
Orthodontics:	From day-to-day benefit

Optometry benefits (2025):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Profmed: ProActive Plus Premium
Assume scheme pays all these costs, unless otherwise stated
Main Member: Adult: Child: Savings (per year): No savings account option on this plan The scheme might still cover some or all day-to-day claims. See below, and see benefits. Extended Fund: Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account Main= R4,800 Main+1= R6,700 Max per family= R8,400 Other Day-to-Day Funds: Amplifire: R2,500 per family when you complete preventative screening Benefit can be used for: GP consults, dental consultations, supplementary services, wellbeing assessment
Optometry:	1 eye exam, from day-to-day benefit
Note:	This section does not apply to ophthalmology 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.

Wellness/Preventative benefits (2025):

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Profmed: ProActive Plus Premium
Assume scheme pays all these costs, unless otherwise stated
Flu vaccination:	Covered
Pneumonia vaccines:	Covered
Biometric Screening:	Covered
Child Immunisation:	Covered
Pap Smear:	Covered
Mammogram:	Covered, for 40yrs+, every 2 years
PAS Test:	Covered
HIV Test:	PMBs only
Other:	Malaria: R460 per person Tobacco and Alcohol counselling: 2 sessions per family Bone density test: 65yrs+, every 5 years Fecal occult test: 50yrs+
View 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.

Other benefits for 2025:

ProActive Plus Premium
International Insurance:	In and Out of hospital emergencies: R2.5 million per person per trip
Other:

Important!
• Unless specified, assume that all benefits are paid at 100% scheme rate.
• No limits or co-payments can apply to treatment of PMBs, which is always unlimited, although subject to strict protocols and scheme rules.
• "Unlimited" benefits are still subject to authorisation, protocols and sublimits.
• Assume that all benefits need to be pre-authorised.