Monthly Costs:
No savings account option on this planThe scheme might still cover some or all day-to-day claims. See below, and see benefits.
Main= R19,615 Main+1= R28,961 Max per family= R37,690
Child rates up to age 21yrs, unless student, then 28yrs 3
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
♦️View all the other benefits for this plan:♦️
Inhospital |
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
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Dentistry benefits (2024):
Assume scheme pays all these costs, unless otherwise stated
Standard Dentistry:
R7,497 per person and R14,994 per family
Shared with Standard dentistry, Specialised dentistry and Orthodontics
Paid by scheme
Specialised Dentistry:
R7,497 per person and R14,994 per family
Shared with Standard dentistry, Specialised dentistry and Orthodontics
Paid by scheme
In-Hospital Dentistry:
Wisdom teeth and treatment for children <8yrs: 100% scheme rate
Orthognathic surgery: R38,298 per family
Orthodontics:
R7,497 per person and R14,994 per family
Shared with Standard dentistry, Specialised dentistry and Orthodontics
Paid by scheme
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
♦️View all the other benefits for this plan:♦️
Inhospital |
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
.
Optometry benefits (2024):
Assume scheme pays all these costs, unless otherwise stated
Optometry:
Paid from day to day benefit, every 24 months. Sublimits below
Frames: R1,437
Contacts: R3,389
Refractive surgery: R3,902 per person , paid by scheme
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:♦️
Inhospital |
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
.
Wellness/Preventative benefits (2024):
Other benefits for 2024:
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