Profmed ProSecure Savvy B medical aid plan: 2019

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Always consult with your broker before making final decisions regarding your healthcare cover.

ProSecure Savvy B
2019 Costs:
Total Cost pm:

Main member:

R3,155

Adult:

R2,921

Child: (Pay for all)

R1,232
Savings (per year):
  • No savings option on this plan
Extended Fund: RM=R11,125
M1=R16,910
M1+=R21,805
R R
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In brief (2018):
  • Scheme rate is generally 120%, and most day-to-day expenses are paid from fund
  • Some specialised radiology out of hospital paid by scheme, with a co-payment
  • Preventative benefits such as mammograms and pap smears
  • R422,000 cancer cover
  • 39 chronic conditions covered
  • Travel insurance benefit
  • Diagnosis and treatment of the 270 PMBs is always paid by scheme, in and out of hospital, according to protocols.
See full benefits below

IN HOSPITAL PROCEDURES:
ProSecure Savvy B
Scheme Benefits: Notes and Links:
Specialists: 2019 Benefits coming soon! Gap Cover
  • Gap cover is available for this plan. Budget about R350 for a fully comprehensive gap cover that will increase the scheme rate to 500% and pay most co-payments and increase sublimits.
Hospital Choice: 2019 Benefits coming soon!
Specialised Radiology:
  • 2 per family, in or out of hospital
Supplementary Services: (Physio, etc) 2019 Benefits coming soon!
Transplants: 2019 Benefits coming soon!
Co-payments: 2019 Benefits coming soon!
Alternatives to hospitals: 2019 Benefits coming soon!
Casualty: 2019 Benefits coming soon!
Other: 2019 Benefits coming soon!
Note:
  • Gap cover is an add-on to your medical aid, not a stand alone product
  • Gap cover has a maximum benefit payout of R150,000 per person per year for all gap benefits (except dread disease and premium waiver benefits which do not count towards the R150,000 limit)
  • Gap only supplements payment for procedures approved or authorised by your medical aid, and does not cover “penalties” (such as if, for example, you choose a non-DSP doctor for your procedure when the plan required a DSP doctor)
What next?
We will email you a quote for this and two other comparable plans. No phone calls.

Together with a financial advisor, we can help you with unpaid claims, findinging a gap cover, general advice, plan changes, cheaper options and more. FREE.

All benefits, including gap benefits, are subject to treatments and procedures being authorised by medical scheme.
The gap benefits listed are for AskAdam gaps, unless otherwise stated. Actual benefits depend on gap choice option.

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OUT OF HOSPITAL BENEFITS (non-PMB):
ProSecure Savvy B
Scheme Benefits Notes and Links:
Main Member: Adult: Child:
Savings /yr: No savings option on this plan
Extended Fund: RM=R11,125
M1=R16,910
M1+=R21,805
R R
General info: 2019 Benefits coming soon!
GP consultations: 2019 Benefits coming soon!
Childcare: 2019 Benefits coming soon!
Specialists consultations: 2019 Benefits coming soon!
Pathology: 2019 Benefits coming soon!
General radiology: 2019 Benefits coming soon!
Specialised radiology: 2019 Benefits coming soon!
Supplementary Services: (Physio, etc) 2019 Benefits coming soon!
What next?
We will email you a quote for this and two other comparable plans. No phone calls.

Together with a financial advisor, we can help you with unpaid claims, findinging a gap cover, general advice, plan changes, cheaper options and more. FREE.

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MATERNITY BENEFITS:
ProSecure Savvy B
Scheme Benefits Notes and Links:
Hospital stay: 2019 Benefits coming soon!
Consultations: 2019 Benefits coming soon!
Scans: 2019 Benefits coming soon!
What next?
We will email you a quote for this and two other comparable plans. No phone calls.

Together with a financial advisor, we can help you with unpaid claims, findinging a gap cover, general advice, plan changes, cheaper options and more. FREE.

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CANCER (ONCOLOGY):
ProSecure Savvy B
Scheme Benefits Notes and Links:
Overall coverage (in and out of hospital): 2019 Benefits coming soon!
What next?
We will email you a quote for this and two other comparable plans. No phone calls.

Together with a financial advisor, we can help you with unpaid claims, findinging a gap cover, general advice, plan changes, cheaper options and more. FREE.

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DENTISTRY:
ProSecure Savvy B
Scheme Benefits Notes and Links:
Standard Dentistry: 2019 Benefits coming soon!
Specialised Dentistry: 2019 Benefits coming soon!
In-Hospital Dentistry: 2019 Benefits coming soon!
Orthodontics: 2019 Benefits coming soon!
Maxillo Facial Surgery: 2019 Benefits coming soon!
What next?
We will email you a quote for this and two other comparable plans. No phone calls.

Together with a financial advisor, we can help you with unpaid claims, findinging a gap cover, general advice, plan changes, cheaper options and more. FREE.

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MEDICATION:
ProSecure Savvy B
Scheme Benefits: Notes and Links:
Chronic: 2019 Benefits coming soon!
Acute (presrcibed) medication: 2019 Benefits coming soon!
Over-the-counter: 2019 Benefits coming soon!
Birth Control: 2019 Benefits coming soon!
On Discharge: 2019 Benefits coming soon!
Biological: 2019 Benefits coming soon!
What next?
We will email you a quote for this and two other comparable plans. No phone calls.

Together with a financial advisor, we can help you with unpaid claims, findinging a gap cover, general advice, plan changes, cheaper options and more. FREE.

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OPTOMETRY:
ProSecure Savvy B
Scheme Benefits: Notes and Links:
Optometry: 2019 Benefits coming soon!
What next?
We will email you a quote for this and two other comparable plans. No phone calls.

Together with a financial advisor, we can help you with unpaid claims, findinging a gap cover, general advice, plan changes, cheaper options and more. FREE.

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MENTAL HEALTH:
ProSecure Savvy B
Scheme Benefits Notes and Links:
In-hospital: 2019 Benefits coming soon!
Out-of-hospital: 2019 Benefits coming soon! /td>
Trauma: 2019 Benefits coming soon!
What next?
We will email you a quote for this and two other comparable plans. No phone calls.

Together with a financial advisor, we can help you with unpaid claims, findinging a gap cover, general advice, plan changes, cheaper options and more. FREE.

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OTHER BENEFITS:
ProSecure Savvy B
Scheme Benefits Notes and Links:
General Appliances: 2019 Benefits coming soon!
  • No benefit
1.1. Hearing Aids: 2019 Benefits coming soon!
1.2. Wheelchairs: 2019 Benefits coming soon!
Dialysis: 2019 Benefits coming soon!
HIV: 2019 Benefits coming soon!
Emergency Transport: 2019 Benefits coming soon!
International Insurance: 2019 Benefits coming soon!
Other: 2019 Benefits coming soon!
What next?
We will email you a quote for this and two other comparable plans. No phone calls.

Together with a financial advisor, we can help you with unpaid claims, findinging a gap cover, general advice, plan changes, cheaper options and more. FREE.

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WELLNESS/PREVENTATIVE BENEFITS:
ProSecure Savvy B
Scheme Benefits: Notes and Links:
Flu vaccination: 2019 Benefits coming soon!
Pneumonia vaccines: 2019 Benefits coming soon!
Back Rehabilitation Programme: 2019 Benefits coming soon!
Biometric Screening: 2019 Benefits coming soon!
Child Immunisation: 2019 Benefits coming soon!
Pap Smear: 2019 Benefits coming soon!
Mammogram: 2019 Benefits coming soon!
PAS Test: 2019 Benefits coming soon!
HIV Test: 2019 Benefits coming soon!
Other: 2019 Benefits coming soon!
What next?
We will email you a quote for this and two other comparable plans. No phone calls.

Together with a financial advisor, we can help you with unpaid claims, findinging a gap cover, general advice, plan changes, cheaper options and more. FREE.

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PROSTHETICS:
ProSecure Savvy B
Scheme Benefits: Notes and Links:
Overal Limit: 2019 Benefits coming soon!
Sub-limits: 2019 Benefits coming soon!
What next?
We will email you a quote for this and two other comparable plans. No phone calls.

Together with a financial advisor, we can help you with unpaid claims, findinging a gap cover, general advice, plan changes, cheaper options and more. FREE.


    Important!
  • Unless specified, assume that all benefits are paid are paid at 100% scheme rate
  • No limits or co-payments can apply to treatment of PMBs, which is always unlimited, although subject to strict protocols and scheme rules.
  • “Unlimited” benefits are still subject to authorisation, protocols and sublimits
  • Assume that all benefits need to be pre-authorised