Profmed’s vision is to address the healthcare needs of South Africa’s professionals. This is achieved through the tailored and comprehensive design of benefits that suit the specific requirements of professionals. With over 60 years’ experience, Profmed is one of the longest established medical schemes in South Africa but we are as relevant today as we were 60 years ago.
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.
Claiming for your medical expenses is quick and user-friendly.
Choose whichever method is easiest for you - in most cases no claim form is needed.
When submitting a claim you have already paid for, include a valid invoice and receipt, or clearly mark the invoice “PAID. PLEASE REIMBURSE MEMBER.” A receipt submitted without a valid invoice cannot be processed.
Claims not submitted within 4 months of the date of service are considered stale and cannot be paid.
In most cases your healthcare provider submits claims electronically. Please check your Claims Advice to confirm that only services rendered to you are being claimed for. If there are any discrepancies, contact the service provider or Profmed Client Services.
Once we have received your claim you will get an acknowledgement of receipt email, followed by a Claims Advice once the claim is processed. If you do not receive either of these, please query receipt of the claim by calling Client Services on 0860 679 200.
Claims payments to members and providers take place every week. If you bank with a different bank to Profmed, the payment will reflect in your account 3–4 days after the payment date.
Changed your banking details? Please remember to let us know so we can reimburse your claims without delay.


