

Preventative Care from designated service providers
Post-trauma and HIV Exposure Management from designated service providers
| ** Consultations: | GPs = R290 |
| Specialists = R390 | |
| Procedures: | Profmed Tariff plus 20% for GPs and specialists. |
Click on the '+' to reveal the current available downloads. Click again to hide.
|
This list outlines the medication covered by Profmed medical aid scheme in respect of the Chronic Disease List (CDL) conditions. It is important that your doctor or pharmacist authorises your condition and the medication by calling SwiftAuth on 0800 132 345. Benefit rules and conditions apply. Click here to utilise the search functionality or to download the medicine list for your specific condition. |
|
|
When travelling outside South Africa, members have access to international medical cover knowing that all emergency and unexpected medical expenses are taken care of. This international cover includes cover in the SADC region and is provided by International SOS and underwritten by ACE Insurance Limited. Members requiring medical assistance outside the borders of South Africa should call International SOS on the international emergency number +27 11 541 1225. If circumstances permit, International SOS will arrange for a suitable, appropriate, local emergency transport organisation to assist you or you will be referred to a local suitably equipped and appropriate medical facility. If suitable facilities are not available where you are situated, appropriate emergency transport will be despatched to evacuate you to the closest most appropriate medical facility. Members on the ProSecure Plus, ProSecure, ProActive Plus and ProActive options are entitled to R5 million cover, while members on the ProPinnacle option are entitled to cover of R10 million. Cover is limited to a maximum travel duration of 90 days. At no additional cost, pre-existing conditions are covered for a travel duration of up to 31 days. Thereafter, pre-existing condition buy-up cover is available. Cover must be activated by calling 011 541 1225. You will be provided with a policy document containing the terms, conditions and exclusions applicable. Optional baggage and inconvenience cover may be purchased directly from ACE at the member's expense. |
|
The Multiply Wellness Programme encourages members to lead a healthy lifestyle by providing incentives (such as discounts on gym membership, points for undergoing preventative medical tests etc.), and rewarding members when certain levels of fitness or wellness are achieved. All Profmed members have automatic access to Base Multiply, at no cost, which offers a number of exciting rewards and discounts on certain products. Members have the option to upgrade to Full Multiply, which offers a wider range of benefits and rewards at a nominal monthly fee. Click here for more information or call 0861 100 789. |
As part of our commitment to your wellbeing, this benefit encourages the early detection of the most frequently diagnosed high-risk diseases. Early treatment reduces the risk of complications and is more likely to secure a better prognosis for the patient. The benefit provides cover for specified consultations, pathology and radiology. This benefit includes the vaccine for influenza, and testing for the following dread diseases:
Pre-authorisation is not required, except in the case of mammography for women under 40 years. The Scheme’s pathology designated service providers must be utilised to avoid co-payments. This benefit is available to members who fall in the high-risk age categories |
This new benefit provides funding up to a maximum of R100 per beneficiary per month and is paid from risk, not from the member’s day-to-day benefits. This benefit covers only oral contraceptives or the injection or the patch, but does not cover intra-uterine devices. Oral contraceptives used for any other purpose than contraception will not be funded. |
Click here to view the 2011 Conversion factor for Medical Practitioners
|