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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 graduate professionals with a minimum of a four-year qualification.

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Choosing the right benefit option to match your needs

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Profmed medical aid scheme offers ten excellent options.

You can choose from one of our five Premium or one of our five Savvy hospital network options.

We provide affordable medical cover tailored to the unique needs graduate professionals at every state of their life journey.

Choose a benefit option tailored to you or your family, designed to align with your personal needs and financial situation

Click here to view/download the 2024 Schedule of Benefits

Click to view/download the 2024 Benefits at a Glance

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INTRODUCING PPS WALLET

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A flexible, intelligent savings account that lets you control how much you save and extends your medical scheme benefits.

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Unlike traditional medical savings accounts (MSAs), 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.

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Your savings, your choice

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Profmed believes in intelligent medical aid cover for graduate 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 medical scheme benefits.
  • And more...

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Download PPS WALLET documents

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ZERO FEES AND A SIMPLE CLAIMS PROCESS

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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

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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 your spouse under the same PPS GAP Cover policy, even if they have a separate Profmed medical aid membership.

No maximum entry age restrictions and cover continues for as long as you are a Profmed member.

Claims payment transactions are submitted on your behalf ensuring your claims experience is more efficient.

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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

Gap Disclaimer

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.

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Discover the MediClub plan

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Your ultimate healthcare solution. Crafted for individuals wanting top-tier cover at an unbeatable price. Enjoy extra peace of mind without stretching your budget.

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VIRTUAL GP CONSULTATIONS AND/OR IN-PERSON GP VISITS

Members can use any National HealthCare Group Network GP, either in-person or virtual. Benefits include unlimited consultations, when required. WhatsApp functionality for medical advice from qualified nurses is available within the 30-day waiting period and thereafter.

CLICK HERE TO DOWNLOAD THE MEDICLUB ICONNECT BROCHURE
CLICK HERE TO JOIN

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VIRTUAL GP CONSULTATIONS AND/OR IN-PERSON GP VISITS

Unlimited GP consultations of which six GP visits per policy holder per annum do not require WhatsApp Nurse pre-authorisation. Pre-authorisation is required for every GP visit from the seventh GP visit onwards by chatting to a nurse via WhatsApp on 072 815 8226. 

CLICK HERE TO DOWNLOAD THE MEDICLUB IPREMIER BROCHURE
CLICK HERE TO JOIN
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