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
Network hospitals only (Savvy Network)
Profmed Schedule of Benefits 2026, p4
Hospitals
Network hospitals only (Savvy Network)
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
Hospital outside the network
A co-payment of R14 000 if you choose a hospital outside the network for a planned admission.
Profmed Schedule of Benefits 2026, p4
Hospital outside the network
A co-payment of R14 000 if you choose a hospital outside the network for a planned admission.
Profmed Benefits at a Glance 2027, p2
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 (Savvy), 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
Voluntary use of a non-network hospital on the Savvy and ProSelect options will result in a co-payment of R14 000
Profmed Schedule of Benefits 2026, p4
Day procedures
Voluntary use of a non-network hospital for a specified day procedure on the Savvy and ProSelect options will result in a co-payment will be 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