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About Profmed medical aid scheme
Profmed's medical and healthcare benefits, coupled with excellent service and attention to detail, are offered at affordable rates. Low rates are also available to eligible students.
Profmed is a restricted medical aid scheme for professionals with a minimum of a four-year qualification.
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Choosing the right benefit option to match your needs
Profmed medical aid scheme offers ten excellent options.
You can choose from one of our five Premium options or one of our five Savvy hospital network options.
We provide affordable medical cover that is designed for the unique needs of the professional and your particular life stage.
Choose a benefit option that suites you or your family and that takes into consideration your personal needs and your financial position.
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INTRODUCING PPS WALLET
A flexible, intelligent savings account that lets you control how much you save, and extends your medical scheme benefits.
Unlike traditional medical savings accounts (MSA's), PPS WALLET gives you the flexibility to choose how much you want to save each month, starting from R300 per month. Profmed's PPS WALLET is a new-to-market, independent savings account that is separate from your medical scheme contributions.
- You simply choose an amount starting from R300
- Your PPS WALLET account is debited
- Take control of your medical expenses
Profmed believes in intelligent medical aid cover for professionals and PPS WALLET puts the control in your hands.
- Pay for additional day-to-day healthcare expenses such as co-payments and over-the-counter medicines.
- Save for future planned medical expenses not covered by their medical scheme benefits.
- And more...
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Download PPS WALLET documents
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ZERO FEES AND A SIMPLE CLAIMS PROCESS
There are no transaction fees, and PPS WALLET funds can be used to pay for claims for you or any dependents registered on your Profmed medical scheme membership. Plus, claims are submitted and paid via the normal claims process. Pharmacy claims that are submitted in real-time by the pharmacy will automatically use your available funds to pay for co-payments, making the process seamless and efficient.
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INTRODUCING PPS GAP COVER
To help you manage medical expense shortfalls, and to ensure you can rest easy knowing you are covered, Profmed has introduced PPS GAP cover.
Insure yourself against medical expense shortfalls at an affordable monthly premium starting at just R536 per month for a full family under the age of 65.
Profmed members are covered up to a medical expense shortfall limit of R212 500 per year.
Cover for individuals or all beneficiaries registered on your Profmed membership.
Cover for spouses under the same PPS GAP Cover policy who have their own separate Profmed medical aid membership.
No maximum entry age restrictions and cover continues for as long as you are a member of Profmed.
Claims payment transactions are submitted on your behalf ensuring your claims experience is more efficient.
WORRIED ABOUT COSTLY OUT-OF-POCKET HOSPITAL EXPENSES? PPS GAP COVER HAS YOU COVERED.
Profmed provides unlimited benefits for hospitalisation, but the tariffs charged by some surgeons, anaesthetists and other specialists may be higher than the tariffs covered by Profmed.
This results in shortfalls that can be costly.
Medical expense shortfalls can range from R37 000 for a caesarean section childbirth up to R100 000 for shoulder surgery, cancer treatment and heart surgery.
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For more information on pps gap cover, download the brochure or FAQs. Alternatively, e-mail [email protected] or call 0800 334 733
PPS Gap Cover is underwritten by Guardrisk Insurance Company Limited, a Licensed Non-life Insurer and Authorised Financial Services Provider. FSP no. 75. Administered by Zestlife, an Authorised Financial Services Provider. FSP no. 37485.
