Profmed · Mental health

Mental Health Benefit (incl. Drug & Alcohol Rehabilitation — SANCA)

In- and out-of-hospital psychiatry and clinical psychology, and drug/alcohol dependency rehabilitation via SANCA.

Pre-authorisation requiredAuthorisation must be obtained before the treatment, not after. Afterwards is usually too late.

How: Preauth 0860 776 363; drug/alcohol rehab via SANCA

“In hospital benefits are subject to pre-authorisation and use of the appropriate DSP.”

At a glance

Scheme: Profmed
Benefit area: Mental health ⚠️ our best match, not the scheme’s own label
Who it is for: Every Profmed option
Limit: The scheme states a limit without a rand figure · out-of-hospital MH limit per option (Comprehensive); PMBs only (Hospital options)
Who qualifies: Drug/alcohol rehab gate: 'If a member does not complete the full 21-day rehabilitation programme, the Scheme might not fund the admission.'
Where you may go: MH hospitalisation: Akeso, Crescent, Denmar, JMH, NHN, Life Healthcare; Drug & Alcohol rehab: SANCA — co-payment for voluntary non-DSP use; possible letter of liability

“Should the limits be depleted ... contact the Call centre on 0860 776 363 for assistance.”

“Voluntary use of a non-DSP may incur a co-payment.”

Which plans carry it

Every Profmed option.

The scheme states every option.

“Consultations are funded from the out-of-hospital mental health benefit, subject to available limits, per benefit option; Hospital options subject to PMBs only.”

Where this comes from

Profmed-Psychiatry-Benefits-Brochure.pdf · benefit_guide. Read from that document on 2026-08-29 for the 2026 plan year.

Every statement on this page is read from a Profmed document and quoted so you can check it. Where a document says nothing, this page says so rather than filling the gap.

Check what your own plan leaves you to pay Your plan, your family, your conditions — the shortfall in rands before you choose a gap policy.

Programme rules are set by the scheme and change at renewal. This page renders what Profmed’s own documents say, with the wording quoted so you can check it. Confirm with the scheme before you rely on it.