Profmed is definitely one big ****!!!
I am totally disappointed in Profmed.
On 4 December I received approval for removing my wisdom teeth via email. Code - 08941 Code - 08007
The operation was done on 6 December. After submitting and waiting for 3 weeks I received an email that the operation was declined.
Reason - Authorisation needed for services rendered(448)
How can I receive approval for an operation and then decline the payout 3 weeks later?
I respond via email when I ask for feedback. They have never struggled to get their money out of me every month.
First I did an operation and used Promed. They showed their true colors.
Stay away from them. There are much beter medical aids out there.
Helpful (0)
Replies (10)0
Replies (10)
Profmed Medical Scheme's replyOfficial
29 Dec 2024, 12:48Hi Henk, we are so sorry about your experience. Thank you for 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.
Profmed Medical Scheme's reply29 Dec 2024, 12:48
Official
Hi Henk, we are so sorry about your experience. Thank you for 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.
's updateReviewer Update
31 Dec 2024, 09:27Thank you so much for getting in contact with me.
I appreciate it!
I appreciate it!
's update31 Dec 2024, 09:27
Reviewer Update
Thank you so much for getting in contact with me.
I appreciate it!
I appreciate it!
Profmed Medical Scheme's replyOfficial
16 Jan 2025, 10:04It's our pleasure, Henk!
Profmed Medical Scheme's reply16 Jan 2025, 10:04
Official
It's our pleasure, Henk!
's updateReviewer Update
17 Jan 2025, 07:01Good day
Once again profmed disappointed me.
That claim is still not being sorted.
It is 6 weeks after the operation and still not received the money.
Someone is handling my case, but doesn’t get feedback.
Once again profmed disappointed me.
That claim is still not being sorted.
It is 6 weeks after the operation and still not received the money.
Someone is handling my case, but doesn’t get feedback.
's update17 Jan 2025, 07:01
Reviewer Update
Good day
Once again profmed disappointed me.
That claim is still not being sorted.
It is 6 weeks after the operation and still not received the money.
Someone is handling my case, but doesn’t get feedback.
Once again profmed disappointed me.
That claim is still not being sorted.
It is 6 weeks after the operation and still not received the money.
Someone is handling my case, but doesn’t get feedback.
Profmed Medical Scheme's replyOfficial
17 Jan 2025, 11:36Hello Henk, we're so sorry to hear this. We have your details and will find out what is going on right this second!
Profmed Medical Scheme's reply17 Jan 2025, 11:36
Official
Hello Henk, we're so sorry to hear this. We have your details and will find out what is going on right this second!
's updateReviewer Update
17 Jan 2025, 11:46If this is not getting sorted today, I have to take further steps.
's update17 Jan 2025, 11:46
Reviewer Update
If this is not getting sorted today, I have to take further steps.
Profmed Medical Scheme's replyOfficial
17 Jan 2025, 11:59Hi Henk, we've made sure that your complaint has been escalated! It's being investigated and we will make contact with you today.
Profmed Medical Scheme's reply17 Jan 2025, 11:59
Official
Hi Henk, we've made sure that your complaint has been escalated! It's being investigated and we will make contact with you today.
's updateReviewer Update
17 Jan 2025, 16:51Nobody has contacted me yet.
Can someone phone me ASAP.
The only option is the ombudsman.
Can someone phone me ASAP.
The only option is the ombudsman.
's update17 Jan 2025, 16:51
Reviewer Update
Nobody has contacted me yet.
Can someone phone me ASAP.
The only option is the ombudsman.
Can someone phone me ASAP.
The only option is the ombudsman.
Profmed Medical Scheme's replyOfficial
19 Jan 2025, 14:46We're following up for you, Henk!
Profmed Medical Scheme's reply19 Jan 2025, 14:46
Official
We're following up for you, Henk!
Profmed Medical Scheme's replyOfficial
20 Jan 2025, 15:28Hello Henk, we believe that Obakeng contacted you, and that feedback was supp**** confirming that we have spoken to the practice and as per your request, the practice will refund you as soon as possible.
Profmed Medical Scheme's reply20 Jan 2025, 15:28
Official
Hello Henk, we believe that Obakeng contacted you, and that feedback was supp**** confirming that we have spoken to the practice and as per your request, the practice will refund you as soon as possible.