Monthly Costs:
R2,091 Pay for all children
No savings account option on this planThe scheme might still cover some or all day-to-day claims. See below, and see benefits.
Main= R12,221 Main+1= R18,588 Max per family= R23,929
Child rates up to age 21yrs, unless student, then 28yrs Pay for all children
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
.
Dentistry benefits (2024):
Assume scheme pays all these costs, unless otherwise stated
Standard Dentistry:
R6,367 per person and R12,837 per family
Shared with Standard dentistry, Specialised dentistry and Orthodontics
Paid by scheme
Specialised Dentistry:
R6,367 per person and R12,837 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: PMBs only
Orthodontics:
R6,367 per person and R12,837 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):
Wellness/Preventative benefits (2024):
Other benefits for 2024:
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