Profmed ProSecure Plus (Premium): 2027 contributions and benefits

At a glance

Plan type: Comprehensive plan
Hospitals: Any private hospital
Hospital and specialists: 200% of Scheme tariff
Day-to-day costs: Day-to-day benefits
Chronic conditions: 39
Cancer: R515 300 a year
Children you pay for: Up to 3
Children on the plan to age: 28

Plan type: Comprehensive plan
Hospitals: Any private hospital
Hospital and specialists: 200% of Scheme tariff
Day-to-day costs: Day-to-day benefits
Chronic conditions: 39
Cancer: R537 200 a year
Children you pay for: Up to 3
Children on the plan to age: 28

Monthly contributions

2027 rates take effect on 1 January 2027. You pay for up to 3 children.

Member	2026	2027	Change
Main member	R7 780	R8 480	+9.0%
Adult dependant	R7 197	R7 845	+9.0%
Child	R3 032	R3 305	+9.0%

Benefits

Profmed has published its full 2027 rules, but we hold only the main rows so far. A row without a 2027 entry shows the 2026 rule, marked.

Benefits in force for 2026.

In hospital

Hospitals

Any hospital

Hospitals

Any hospital

Profmed Benefits at a Glance 2027, p2

Specialists in hospital

200% of Scheme tariff. A specialist who charges more leaves a shortfall.

Profmed Information Guide, p4

Specialists in hospital

200% of Scheme tariff. A specialist who charges more leaves a shortfall.

Profmed Schedule of Benefits 2027, p6

Day procedures

A co-payment of R5 000 when done in an acute hospital instead of a day hospital.

Profmed Schedule of Benefits 2026, p4

Day procedures

A co-payment of R5 000 when done in an acute hospital instead of a day hospital.

Profmed Benefits at a Glance 2027, p2

Chronic and cancer

Chronic conditions

39 conditions (the 27 on the Chronic Disease List plus others the scheme adds).

Chronic conditions

39 conditions (the 27 on the Chronic Disease List plus others the scheme adds).

Profmed Benefits at a Glance 2027, p3

Cancer

Up to R515 300 a year.

Profmed Schedule of Benefits 2026, p11

Cancer

Up to R537 200 a year.

Profmed Schedule of Benefits 2027, p7

Dialysis

Through National Renal Care, Life Healthcare and Mediclinic.

Profmed Information Guide

Dialysis

2027 not in our records yet. 2026: Through National Renal Care, Life Healthcare and Mediclinic.

Profmed Information Guide (2026)

Day to day

Maternity

Maternity Programme, paid from the scheme’s risk benefits, not savings.

Profmed Maternity Benefits Brochure

Maternity

Maternity Programme, paid from the scheme’s risk benefits, not savings.

Profmed Schedule of Benefits 2027, p22

Children on the plan

As dependants up to age 28.

Children on the plan

As dependants up to age 28.

Profmed Benefits at a Glance 2027

GP visits

GPs: R630

Profmed Schedule of Benefits 2026, p20

GP visits

GPs: R650

Profmed Benefits at a Glance 2027, p2

Specialist visits

Specialists: R920

Profmed Schedule of Benefits 2026, p20

Specialist visits

Specialists: R960

Profmed Benefits at a Glance 2027, p2

Prescribed medicine (acute)

80% Single Exit Price plus dispensing fee

Profmed Schedule of Benefits 2026, p21

Prescribed medicine (acute)

80% Single Exit Price plus dispensing fee

Profmed Benefits at a Glance 2027, p2

Basic dentistry

135% Profmed Tariff

Profmed Schedule of Benefits 2026, p23

Basic dentistry

135% Profmed Tariff

Profmed Benefits at a Glance 2027, p2

Eyes (optometry)

100% Optical Tariff

Profmed Schedule of Benefits 2026, p22

Eyes (optometry)

100% Optical Tariff

Profmed Benefits at a Glance 2027, p2

Basic X-rays

80% Negotiated Tariff

Profmed Schedule of Benefits 2026, p21

Basic X-rays

80% Negotiated Tariff

Profmed Benefits at a Glance 2027, p2

Blood tests (pathology)

80% Negotiated Tariff

Profmed Schedule of Benefits 2026, p21

Blood tests (pathology)

80% Negotiated Tariff

Profmed Benefits at a Glance 2027, p2

Full benefit list

Every benefit we hold for ProSecure Plus (Premium), in Profmed’s own wording, from its 2026 documents. Profmed’s full 2027 list is not in our records yet.

In hospital

Hospital stay and theatre

100% Negotiated Tariff in general ward

Profmed Schedule of Benefits 2026, p10

Day procedures

Use of a non-network hospital for a day procedure on these options will result in a co-payment of R5 000

Profmed Schedule of Benefits 2026, p4

Surgery and anaesthetics

200% Profmed Tariff

Profmed Schedule of Benefits 2026, p10

Medicine on discharge

Paid from acute medicine benefit, subject to the availability of funds

Profmed Schedule of Benefits 2026, p10

MRI, CT and PET scans

100% Negotiated Tariff in-hospital

Profmed Schedule of Benefits 2026, p10

Cancer treatment

R515 300 per beneficiary

Profmed Schedule of Benefits 2026, p11

Specialised (biological) medicine in hospital

Subject to PMB legislation

Profmed Schedule of Benefits 2026, p11

Organ and stem cell transplants

100% Negotiated Tariff

Profmed Schedule of Benefits 2026, p11

Dialysis

100% Negotiated Tariff

Profmed Schedule of Benefits 2026, p11

Step-down and sub-acute care

R16 600 per beneficiary

Profmed Schedule of Benefits 2026, p12

Mental health admissions

R30 400 per family

Profmed Schedule of Benefits 2026, p12

Internal prostheses

100% Negotiated Tariff R59 300 per family

Profmed Schedule of Benefits 2026, p13

Birth (in hospital)

100% Negotiated Tariff in general ward

Profmed Schedule of Benefits 2026, p26

Travel cover

R5 million per beneficiary per journey

Profmed Schedule of Benefits 2026, p27

Planned PMB procedures

100% Negotiated Tariff

Profmed Schedule of Benefits 2026, p13

HIV/AIDS

HIV/AIDS

Profmed Schedule of Benefits 2026, p19

Fertility treatment

Not covered. Benefits for healthcare services related to infertility in respect of ART, IVF, GIFT, ZIFT and ICSI

Profmed Scheme Rules 2026, p55

Planned PMB procedures

R5 600 per beneficiary per eye

Profmed Schedule of Benefits 2026, p13

Day to day

GP visits

GPs: R630

Profmed Schedule of Benefits 2026, p20

Specialist visits

Specialists: R920

Profmed Schedule of Benefits 2026, p20

Psychologist and counselling visits

GPs: R630

Profmed Schedule of Benefits 2026, p21

Basic X-rays

80% Negotiated Tariff

Profmed Schedule of Benefits 2026, p21

Blood tests (pathology)

80% Negotiated Tariff

Profmed Schedule of Benefits 2026, p21

MRI, CT and PET scans

80% Negotiated Tariff out-of-hospital

Profmed Schedule of Benefits 2026, p21

Casualty visits

100% Negotiated Tariff

Profmed Schedule of Benefits 2026, p21

Prescribed medicine (acute)

80% Single Exit Price plus dispensing fee

Profmed Schedule of Benefits 2026, p21

Over-the-counter medicine

80% of cost

Profmed Schedule of Benefits 2026, p21

Medical appliances

100% Negotiated Tariff

Profmed Schedule of Benefits 2026, p22

Medical appliances

100% Negotiated Tariff

Profmed Schedule of Benefits 2026, p22

Hearing aids

Additional for Hearing aids only: R4 800

Profmed Schedule of Benefits 2026, p22

Physiotherapy and other therapists

100% Profmed Tariff

Profmed Schedule of Benefits 2026, p22

Auxiliary services

100% Profmed Tariff

Profmed Schedule of Benefits 2026, p22

Alternative healthcare

Not covered. No benefit

Profmed Schedule of Benefits 2026, p22

Eyes (optometry)

100% Optical Tariff

Profmed Schedule of Benefits 2026, p22

Basic dentistry

135% Profmed Tariff

Profmed Schedule of Benefits 2026, p23

Specialised dentistry

135% Profmed Tariff

Profmed Schedule of Benefits 2026, p23

Contraceptives

Maximum R2 100 per beneficiary

Profmed Schedule of Benefits 2026, p16

Maternity care (out of hospital)

100% Profmed Tariff

Profmed Schedule of Benefits 2026, p25

Chronic medicine (Chronic Disease List)

39 conditions covered and relevant DTPs

Profmed Schedule of Benefits 2026, p20

Chronic medicine (other conditions)

39 conditions covered and relevant DTPs

Profmed Schedule of Benefits 2026, p19

Care after a hospital stay

100% Profmed Tariff

Profmed Schedule of Benefits 2026, p13

Procedures in the doctor’s rooms

200% Profmed Tariff

Profmed Schedule of Benefits 2026, p10

Screening and prevention

Screening and prevention

100% Negotiated Tariff

Profmed Schedule of Benefits 2026, p15

Conditions

The Chronic Disease List conditions are Prescribed Minimum Benefits on every medical aid. How each one works on a medical aid:

Profmed also names these on ProSecure Plus (Premium)’s 2026 chronic list:

Others on its list have no page of ours yet.

Questions about ProSecure Plus (Premium)

Answered from Profmed’s documents.

How does Profmed describe ProSecure Plus (Premium)?

In Profmed’s own words (Profmed Benefits at a Glance 2027, p2): “Hospital and day-to-day benefits for the growing family”

How much does ProSecure Plus (Premium) cost in 2027?

From 1 January 2027: R8 480 a month for the main member, R7 845 for an adult dependant and R3 305 for a child. You pay for up to 3 children.

How much is ProSecure Plus (Premium) going up for 2027?

For the main member, from R7 780 to R8 480 a month, +9.0%.

What is the difference between ProSecure Plus (Premium) and ProSecure Plus (Savvy)?

ProSecure Plus (Savvy) uses Profmed’s hospital network; ProSecure Plus (Premium) lets you use any hospital. In 2027 the main member pays R8 480 on ProSecure Plus (Premium) and R7 630 on ProSecure Plus (Savvy).

Does ProSecure Plus (Premium) pay for GP visits and day-to-day costs?

It has day-to-day benefits; the fact sheet above lists what we hold.

How many chronic conditions does ProSecure Plus (Premium) cover?

39: the 27 on the Chronic Disease List and others the scheme adds.

Until what age can children stay on as dependants?

Up to age 28.

Will I have a shortfall if my specialist charges more?

ProSecure Plus (Premium) pays specialists in hospital at 200% of the Scheme tariff. If a specialist charges more than that, the difference is a shortfall. Gap cover is the product that pays shortfalls.

Compare my picks →On this plan? Get help with it →ProSecure Plus (Savvy) →All Profmed plans →Profmed 2027 price changes →Gap cover →

Factual information from Profmed Medical Scheme’s published documents. It is not advice. Compiled by Eldon de Waal, CFA, the licensed advisor behind AURA. Catalogue v175, built 2026-10-19.