KVDW
KAITLIN VAN DER WESTHUIZEN

1 reviews | Active since May 2024

07 May 2024, 12:00

PROFMED DISAPPOINTMENT

I am writing this review with great distain. I have just gone through the most terrible process with Profmed.

I have not claimed for anything like the prosthesis I am claiming for now and when I really need my medical aid- they have let me down. They only cover R55 000 per year per family for prosthesis, when a medical aid like Discovery covers almost R200 000 for the same level of plan I am on with Profmed!!!!! Profmed was made aware that the procedure was a two-stage procedure and yet only offer a mere R55 000 despite the doctor providing a sufficient motivation.

I have to now cancel my much-needed procedure that would have given me better quality of life because of Profmed’s terrible coverage.

Then I get told that I can “Appeal” the decision to just cover the minimum but I run the risk of having the R55 000 already granted withdrawn!!! How can they make that threat to their members.

I will be changing medical aids! Profmed is supposed to be the medical aid for professionals but their coverage is so pathetic!!

I have been with Profmed since I was an article clerk and I am very disappointed.

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Replies (1)
Profmed Medical Scheme
Profmed Medical Scheme's reply07 May 2024, 16:55
Official
Hi Kaitlin, we are so sorry about your experience. We appreciate you bringing this to our attention. We will pass your details on to our team and one of our consultants will reach out to you to discuss this further.