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jessica V

1 reviews | Active since Jan 2014

06 May 2022, 17:11

WORST MEDICAL AID EVER DO NOT JOIN

THE ABSOLUTE WORST MEDICAL AID EVER! I was on Pro-pinnacle and paid for 3 months on my waiting period. Fees increased by 2k (ended up paying 18k per month) {I Joined end of December for January, but notification of fee increases was sent in November, so sign up price is not the new price, which I should have known as it was communicated in NOV, although I signed up in DEC for JAN} . Within 15 days after my waiting period, it was apparent that the medicine they said in the email will be covered was not covered, also could not be registered as chronic after I checked that it is considered chronic before joining. Eye infection medicine could not be put through on the medical aid. I asked to downscale after 2 weeks of being part of medical aid, it took 3 weeks, and they could not make up their mind. I spent R66 000 with them to receive less than R10 000 of treatment in 4 months. They are hard to get a hold of. They lie to you, saying they have been investigating it, after which you find out the department that deals with the "special request" only found out that day. DO NOT JOIN!!!! Instead, stick with discovery. At least you know what you are getting into. I REPEAT, YOU DO NOT WANT TO JOIN THIS MEDICAL AID, TERRIBLE SERVICE, TERRIBLE MEDICAL AID. I ran out of medication, told them it was a matter of urgency, and could not care less. They are in it for the money, not to help!

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Replies (1)
Profmed Medical Scheme
Profmed Medical Scheme's reply19 May 2022, 15:14
Official
Hi Jessica,  thank you for raising this with us. We’re really sorry to hear you feel this way, and apologise for the inconvenience caused by the fee increase as well as it taking some time to downgrade your medical aid. We’d like to connect you with a consultant to discuss this further.