MM
Munewazwo M

1 reviews | Active since Apr 2018

08 Feb 2023, 12:49

Appalling service, if you can even call it service

I cannot believe I have to go through this with this medical scheme again. in Jan I called Gems to ask for authorisation to get a Gastro scope done, 18 Jan I receive a letter saying that I have been authorised to get the procedure done on 31 January. I get the procedure done and all of a sudden I am getting calls from my done saying that the medical aid is refusing to pay. I called Gems and I am told that they decided to revoke the approval, no one communicated this to me and now I am owing doctors, I fail to see how its my problem that your employees are ****en *********** to add the cherry on top of the **** your consultants are rude, this lady had the nerve to make me hold and as soon as I asked to speak to her supervisor she went dead silent until I gave up and hung up the phone 21 minutes later. I wouldn't have gotten the procedure done if you did not send me the letter to say I have been approve, weeks later after the procedure was done you want to tell me that it was approved by mistake?? I need you to pay the doctors or refund me all my premiums back.

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Replies (3)
MM
Munewazwo M's update09 Feb 2023, 08:10
Reviewer Update
Are you really just gonna give me a generic response, I have already called the above numbers and I was ill-treated I swear the only way to deal with you guys is with the ombardsmen
MM
Munewazwo M's update09 Feb 2023, 08:11
Reviewer Update
For everyone else to see since they made the response private, this is what they said to me.

Good day,

Thank you for engaging with us. We are attending to your message and feedback will be provided. If you have an urgent query, please contact us on: ***(members) & ***(providers).

Call Centre Hours: Monday - Friday: 8h00 - 17h00 & Saturday: 8h00 - 12h00. Emergency number: ***(available 24 hours)

If you wish to submit a compliment, please email us on at ***. We look forward to receive your positive feedback.

Regards,

GEMS
MM
Munewazwo M's update13 Feb 2023, 10:01
Reviewer Update
Still waiting for a call even today, not surprising at all