Unhappy and dissapointed

I am a long time member and fan of Profmed. Their service has always been so good, until about 2yrs ago when their service just fell off a cliff. Claims are now routinely declined for no good reason and I am constantly phoning and fighting with them. For example, I have a dental claim, where I sent through everything for pre-auth as requested, and then sent them all the necessary information. It has been declined now since January for no pre-authorization, and lacking a specific lab report, which happens to be page 2 of the claim. Every time I phone, I get, yes, it should of been approved, and nothing happens.

I have even been listed by a medical service provider, as Profmed took so long to pay, they eventually listed me. I then paid, and eventually Profmed paid as well, and now I can't get my money back.

I am so disappointed that what was such a good medical aid has become so bad. I see there was a change of leadership there just over 3 years ago. Maybe this is the cause, hard for me to say. Profmed, if you are reading this, please fix this. Your customers are graduate professionals, we don't have time for this.