1 reviews | Active since Member
I have been a member of Profmed (Member 68112) for about 40 years. I currently belong to their ProActive Plus Savvy fund. PROFMED changed the names of their "hospital cover" some time ago and I upgraged to said scheme a year or two ago. I knew from the onset that I have to contribute to hospital costs should I not choose a hospital defined as a Savvy listed hospital. However, PROFMED's website disclose that said fund cover ALL costs of procedures done in a hospital. I have sent e-mails to PROFMED since 27/10/2025, requesting information on said plan, as the pre-authorization mandated by PROFMED indicated that PROFMED would cover only 34% of the costs carried out in hospital and would not cover the costs of a "*****th" machine to be utilized by the doctor during the procedure on my wife. Needless to say, PROFMED has not responded to my requests for information, despite disclosing to them that I have to take a decision before 17/12/2025 given PROFMED's deadline to move to another scheme. I am terribly disappointed in PROFMED for not responding to my questions nor, given their refusal to cover the costs of the procedure to be done in the hospital, to possible misleading information published on their website. My take is that PROFMED MUST disclose the procedures NOT covered by their hospital plans to afford members an opportunity to take informed decisions. If PROFMED discloses they cover 100% of procedures in hospitals, they must do so, otherwise they mislead people who think they are covered, only to find out they are NOT covered. At this stage, it seems that I may have no other option to reconsider being a member of PROFMED, despite to it not being my first choice, given the fact that I have been a member of PROFMED since 1990.
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