PPS for Professionals

Clean office space, welcoming staff at the main entrance is commendable.

Terrible attitude and pathetic service. I lodged a complaint about the lack of professionalism of one of the managers, Lihle Nene. She then proceeded to send me a rude email in which she said that the matter is considered resolved on her side. Apparently when PPS asks for more information to help them with a case, they don't even care about that information because they've already decided that they're going to reject your claim since it's "already been resolved" months ago. Edit: You clearly don't take members' complaints extremely seriously since you're willing to dismiss appeals without even reading them (refer to my complaint about Ms Nene). Your "internal policies" contravene they HPCSA's guidelines since your "medical officers" practise anonymously, and as such, your claim that they are qualified is unverifiable. You should also probably question the quality of their medical judgement when everything they say contradicts literature and even the opinions of specialist Professors (who I can guarantee you are more qualified than your medical officers). You also haven't sent me any formal communication addressing my complaint. Ms Nene simply told me that you've rejected my claim, without actually addressing any points in my appeal. I tried to follow the next step in the complaints process, but your team refuses to give my appeal any consideration. Nowhere in your complaints process does it say "Take the matter to the arbitrator because Ms Nene refuses to do her job and our company ethos is to make your life as difficult as possible"

One of your so called internal controller by the name of joeshe motshele - one of the most incompetent person dealt with . Delaying processes and unreliable and unethical ..start employing professionals.

Excellent excellent service - timely, accurate and knowledgeable agents and representatives. Absolutely spot on every time, Thanks Tumelo for being so efficient and thoughtful (21 Oct query ending in 02267). A five point query was resolved within 2 minutes. Fabulous service!

Good service and special shout out to Vanessa Nyanisi who has gone above and beyond.

They act like they care about their members, but they are just a standard corporate money hungry company. They took months processing my wife's application which meant we missed our 10 months waiting period when we wanted to claim for an emergency 8 months later. We raised this with them and it took them a month to give us a cold BS corporate response telling us pretty much it was our own fault.

I moved to PPS after receiving poor service from other insurers, expecting better service. Definitely not the case. They will do anything to get out of paying for anything more than the bare minimum and don't explain what they won't be covering when you initially contact them asking for assistance. Just had a claim and it took nearly a whole day and multiple calls to find out I should have just gone and bought the parts and a ladder to do the repair myself. Worse, the plumber who did come out basically just said "it's broken" and left without telling me everything else would be at my cost and he left the geyser leaking so now I have water damage too. Needed a second plumber to come out at 01:00 in the morning to stop the leak that was dripping through the ceiling.

Most dishonest company I have had the displeasure to use. Stay away. You have been warned. They love your money as long as you are super healthy. The moment you get sick is when the issues start.

PPS has shown me, in the most painful and unethical way, that their so-called Critical Illness Cover is nothing more than a money-making scam. They are quick to take your premiums every single month, but when you need them the most — when you actually claim — they will dig for every excuse to avoid paying. My experience has been nothing short of traumatic. After submitting a legitimate claim, I was met with months of stalling, endless back-and-forths, and demands for medical records that were completely irrelevant to the claim. They went as far as requesting deeply personal history that had absolutely nothing to do with my policy — crossing the line both ethically and professionally. Despite multiple doctors submitting their expert reports and explaining my condition in detail, PPS decided to ignore medical professionals and rather try to build a case based on old, unrelated information. And after all of that? They had the audacity to retroactively cancel my policy, claiming they would have never approved it in the first place — only after I had submitted my claim and after months of silence. If this is not a clear example of bad faith insurance, I don’t know what is. This is how PPS operates: • Take your money for months or years. • Deny your claim when you need them. • Blame you for not disclosing things that are irrelevant or had no bearing on the claim. • Then cancel your policy as if it never existed. They pretend to be “for professionals,” but no professional should be treated this way. Their process lacks compassion, integrity, transparency, and fairness. This is not a company you can trust in your time of need — in fact, they will add to your stress and suffering. I am escalating this to the Ombudsman and will not stop until this matter is properly addressed. PPS must be held accountable for the way they treat their members. This entire experience has been manipulative, unethical, and emotionally damaging. If you are considering Critical Illness Cover with PPS — RUN. This is not protection. It’s a trap.

Had the worst insurance claim experience with PPS recently. Supposedly for professionals, but this was the most unprofessional service I’ve ever received. Their staff are not able to understand their own policies and are not able to handle things efficiently at all. Shocking service. Do yourself a favour and stay away from PPS.