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Benefit Options
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ProActive Plus

Benefit Option

ProActive Plus & ProActive Plus Savvy

Profmed’s ProActive Plus and ProActive Plus Savvy are medical aid options for young professionals that offer hospital benefits and extra day-to-day benefits. Profmed’s ProActive Plus Savvy option offers the same benefits as ProActive Plus through a wide range of network hospitals, delivering affordable benefits for the professional, with additional day-to-day benefits. For both ProActive Plus and ProActive Plus Savvy, benefits paid from risk include hospitalisation with no deposits or co-payments, Amplifire health booster benefit, preventative care for early detection of dread diseases, and specified vaccinations, contraceptives, chronic medication, WHISPA Trauma, and HIV Assistance and GBV support, Profmed WellBeing, Tums2Tots Baby and Toddler programme and International Travel Medical Assistance. Day-to-day benefits include doctors’ consultations, physiotherapy, acute medication, optometry and dentistry. Optional benefits include the PPS Wallet, a flexible savings account that allows you to control how much you save and extends your medical benefits. Members also have access to PPS Gap Cover, an independent benefit that helps you manage medical expense shortfalls. Doctors’ consultations and procedures are paid at 175% Profmed Tariff in hospital and out-of-hospital. Doctors’ consultations and procedures are paid at 100% Profmed Tariff.

Benefits Paid From Risk

  • Hospitalisation - no deposits or co-payments for hospitalisation.

    • A large selection of network hospitals on the Savvy options (a co-payment applies for voluntary use of a non-network hospital)
    • Doctors’ consultations and procedures paid at 175% Profmed Tariff
    • See the list of Savvy network hospitals
  • Preventative Care for early detection of dread diseases, and specified vaccinations
  • Amplifire health booster benefit
  • Contraceptives
  • Chronic medication - cover for the 26 CDL conditions.

    • Plus relevant DTPs
    • Per formulary, algorithm and protocols
  • WHISPA

    • GBV support
    • Trauma, and HIV Assistance
  • Tums2Tots Baby and Toddler programme
  • International Travel Medical Assistance
  • Healing@home - medical treatment in the comfort of your home
  • Profmed WellBeing - support on your mental health journey

Day-to-Day Benefits

  • Doctors’ consultations

    • GPs paid at R630.
    • Procedures: 100% Specific Tariff*
  • Physiotherapy
  • Acute medication
  • Radiology and pathology
  • Out-of-hospital MRI and CT scans
  • Over-the-counter medication
  • Optometry
  • Dentistry

    • Dentists’ consultations paid at 135% Profmed Tariff
    • Dentists’ procedures paid at 135% Profmed Tariff
  • Maternity programme

    • Covers 6 ante-natal consultations.
    • 2 x 2D scans
    • 2 GP or paediatrician consultations and maternity pathology tests, all paid from risk

*Procedures: Paid at code-specific Rand values

Optional Benefits

PPS Gap Cover is an independent benefit that helps you manage medical expense shortfalls.

PPS Wallet is a flexible savings account that allows you to control how much you save and extends your medical benefits.

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