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Benefit Options
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ProPinnacle

Benefit Option

ProPinnacle & ProPinnacle Savvy

Profmed ProPinnacle and ProPinnacle Savvy are medical aid options that offer comprehensive hospital and day-to-day medical aid benefits for professionals and their families. Profmed’s ProPinnacle Savvy option offers the same benefits as ProPinnacle through a wide range of network hospitals, delivering affordable benefits for established professionals with day-to-day benefits. Benefits include hospitalisation in private wards with no deposits or co-payments, preventative care for early detection of dread diseases, and specified vaccinations, Amplifire health booster benefits, 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 cover both doctors’ consultations and specialist consultations, acute medication, radiology and pathology, over-the-counter medication, optometry, dentistry and a maternity programme. 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 300% Profmed Tariff in hospital and out-of-hospital. Doctors’ consultations and procedures are paid at 300% Profmed Tariff. Dentistry is paid at 135% 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)
    • See the list of Savvy network hospitals
    • Doctors’ consultations and procedures paid at 300% Profmed Tariff
    • Private wards for all hospitalisation, including maternity ante-natal and post-delivery
  • Preventative Care for early detection of dread diseases, and specified vaccinations
  • Amplifire health booster benefits
  • Contraceptives
  • Chronic medication – cover for 58 chronic conditions plus relevant DTPs, with no benefit limit
  • Out-of-hospital MRI & CT scans – 80% of cost, paid from risk, subject to pre-authorisation
  • Tums2Tots Baby and Toddler programme
  • WHISPA

    • GBV support
    • Trauma, and HIV Assistance
  • 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 and procedures paid at 300% Profmed Tariff
  • Acute medication
  • Over-the-counter medication
  • Radiology and pathology
  • Optometry
  • Dentistry

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

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.

GET THE PROFMED APP

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