Disappointing Experience with ProfMed

I’ve been with ProfMed for 8 years, on the ProActive Plus plan, and have only needed to claim 4-6 times, including twice in 2024. My recent experiences, however, have been frustrating.

In January, after a head injury requiring emergency care and stitches, I paid upfront, expecting a straightforward claim process through ProfMed. Despite submitting my claim 5 times via the app and following up with emails for over a week, my attempts were met with silence until they finally requested detailed information like ICD-10 and tariff codes, which I promptly provided. Yet, I received no response after submitting the required information on 02/02/2024.

Adding to my disappointment, after tearing my ligaments in a padel match in February and being prescribed a moon boot for 6 weeks, I was informed by the hospital that ProfMed would not cover the cost.

These experiences are pushing me to look for alternative medical aid options. For a service touted for professionals, the lack of professional management is evident. I expected better service and communication from ProfMed.