about proactive & proactive savvy 2021 · 2020. 10. 21. · savvy hospitalisation at network...

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The ProActive options provide hospital benefits and day-to-day dentistry benefits at affordable rates for young aspiring professionals. If you need cover for planned and emergency hospital admissions and chronic medication, consider one of the ProActive options. Savvy hospitalisation at network hospitals. PROFMED BABY PROGRAMME: Expectant mothers have access to the baby programme via the Profmed App. You can also register your baby on the Scheme via the App. We’ll support you with helpful information during this special time and you’ll receive a special gift from us for your baby. ENJOY THESE PROACTIVE & PROACTIVE SAVVY BENEFITS All benefits are subject to the availability of funds, Scheme rules and protocols. Doctors’ fees in- and out-of-hospital paid at 100% Specific Tariff 1 Dentists’ fees in- and out-of-hospital paid at 135% Profmed Tariff Unlimited private hospitalisation Rich oncology cover Transplants, donor costs and dialysis 2 MRI and CT scans in-hospital only Rehabilitation Internal surgical devices Preventative care for early detection of high-risk diseases Trauma and HIV assistance Contraceptives Child immunisations and pneumococcal vaccine Chronic medication restricted to 26 CDL conditions Day-to-day dentistry cover, not subject to the day-to-day limit International travel emergency medical assistance up to R2.5 million per beneficiary, per journey. Out-of-hospital limit of R10 000, co-payment of R2 000 Emergency ambulance services Profmed Baby programme Sabbatical benefit of no longer than 3 years with lenient underwriting on return to South Africa. Available after one year of membership Multiply Wellness and Rewards Programme PROACTIVE MONTHLY CONTRIBUTIONS ADULT: R1 923 ADULT DEPENDANT: R1 777 CHILD: R749 PROACTIVE SAVVY MONTHLY CONTRIBUTIONS ADULT: R1 730 ADULT DEPENDANT: R1 599 CHILD: R674 1 Specific Tariff - Procedures: 120% of Profmed Tariff; Consultations: R502 for GPs and R754 for specialists; or paid at code-specific Rand values ABOUT PROACTIVE & PROACTIVE SAVVY 2021

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Page 1: ABOUT PROACTIVE & PROACTIVE SAVVY 2021 · 2020. 10. 21. · Savvy hospitalisation at network hospitals. PROFMED BABY PROGRAMME: Expectant mothers have access to the baby programme

The ProActive options provide hospital benefits and day-to-day dentistry benefits at affordable rates for young aspiring professionals.

If you need cover for planned and emergency hospital admissions and chronic medication, consider one of the ProActive options.

Savvy hospitalisation at network hospitals.

PROFMED BABY PROGRAMME:

Expectant mothers have access to the baby programme via the Profmed App. You can also register your baby on the Scheme via the App. We’ll support you with helpful information during this special time and you’ll receive a special gift from us for your baby.

ENJOY THESE PROACTIVE & PROACTIVE SAVVY BENEFITS

All benefits are subject to the availability of funds, Scheme rules and protocols.

Doctors’ fees in- and out-of-hospital paid at 100% Specific Tariff1

Dentists’ fees in- and out-of-hospital paid at 135% Profmed Tariff Unlimited private hospitalisation Rich oncology cover Transplants, donor costs and dialysis

2 MRI and CT scans in-hospital only Rehabilitation Internal surgical devices Preventative care for early detection of high-risk diseases Trauma and HIV assistance

Contraceptives Child immunisations and pneumococcal vaccine Chronic medication restricted to 26 CDL conditions Day-to-day dentistry cover, not subject to the day-to-day limit International travel emergency medical assistance up to R2.5 million per beneficiary, per journey. Out-of-hospital limit of R10 000, co-payment of R2 000 Emergency ambulance services Profmed Baby programme Sabbatical benefit of no longer than 3 years with lenient underwriting on return to South Africa. Available after one year of membership

Multiply Wellness and Rewards Programme

PROACTIVE MONTHLY CONTRIBUTIONS ADULT: R1 923 ADULT DEPENDANT: R1 777 CHILD: R749

PROACTIVE SAVVY MONTHLY CONTRIBUTIONS ADULT: R1 730 ADULT DEPENDANT: R1 599 CHILD: R674

1 Specific Tariff - Procedures: 120% of Profmed Tariff; Consultations: R502 for GPs and R754 for specialists; or paid at code-specific Rand values

ABOUT PROACTIVE & PROACTIVE SAVVY2021

Page 2: ABOUT PROACTIVE & PROACTIVE SAVVY 2021 · 2020. 10. 21. · Savvy hospitalisation at network hospitals. PROFMED BABY PROGRAMME: Expectant mothers have access to the baby programme

All benefits are subject to the availability of funds, Scheme rules and protocols.

JOIN PROFMEDCall: 0800 DEGREE (334 733)Email: [email protected]

CHRONIC MEDICATION BENEFIT Subject to Profmed formulary and strict reference price.

DAY-TO-DAY DENTISTRY LIMITS PER BENEFICIARY: R612 MAXIMUM: R1 748 PER FAMILY

Not subject to day-to-day limit

CLIENT SERVICES Call: 0860 679 200Email: [email protected]: [email protected] Private Bag X1031, Lyttelton, 0140

OPTION LIMITS