1 reviews | Active since Jan 2012
Bad and dishonest service
<p>I wrote my first review here on the 17th of February complaining about GEMS's treatment and the service they are giving to us poor citizen who happen to be government employyes but cannot afford a better medical aid for better services. What GEMS is doing to us as members its utterly disspointing and I wonder why did this medical aid even came to life if it only came to frustrate its members and ***** from us. I am personaly one of the government employees that will never recommend this medical aid to anyone. People rather work to pay more money on medical aids but get a sastisfcatory service. I have been in communication with this medical aid since 1 February 2017 having made a phone call prior seeking authorisation for my daughter's dental procedure and there was never a response but only that automated response that really means nothing because upon follow up the agents will confirm that nothing has been received and yet the response from the mail acknowledges the enquiry you sent. I cant really tell which or who is modt ineffective between these two I just mentioned. I ended up taking my daughter for treatment without a word of response from them to this day. Upon follow up on follow up week after week with GEMS it turns out that only 1 Claim is going to be processed and its the R480.00 one and the R2 580.82 has been declined because I proceeded without authorisation. Now if today its the 16 March 2017, how long would I have waited to get authorisation for a 10 year old that was in pain and needed her teeth removed and some fixed? The worst is GEMS agents advising that I should go back to get this and that for the claim to be processed, then I send whatever they want the next time the claim cannot be found and the next time its found has been submitted and payment date was promissed to be 3 March an I never saw payment. Then by copying their general enquiry email and complaints email there came a formal response with more requirement (E7581/T/ ********** 42319) and I comp****. Today upon making follow up, my claim has been declined because I proceeded without authorisation. Who's fault is it that work is not properly done by people employed to do? I feel abused by GEMS, going through all lenghts to provide what was necessary only to get a slap on my face, I need help on this</p>
Good day
Thank you for affording us the opportunity to respond to your concerns. We are investigating this matter and will provide feedback.
Kind regards
The GEMS online team
Good day
Thank you for affording us the opportunity to respond to your concerns. We are investigating this matter and will provide feedback.
Kind regards
The GEMS online team
Good day
I am still waiting for a reaponse on this matter. None of my claims have been paid as a matter of fact, even the one that was responded to through a letter that it was going to be paid on the 17th March 2017 has not been paid. I'm very mich interested in what are the new reasons for non payment and non response! What is worst is no matter how much you escalate your issues or complaints, you get the same level of treatment
Good day
I am still waiting for a reaponse on this matter. None of my claims have been paid as a matter of fact, even the one that was responded to through a letter that it was going to be paid on the 17th March 2017 has not been paid. I'm very mich interested in what are the new reasons for non payment and non response! What is worst is no matter how much you escalate your issues or complaints, you get the same level of treatment
Good day
I received payment for the R480 claim for 6 February, I am still waiting for a formal response for my R 2580.82 claim. I need a response on letter as they did with the 480 claim. The sms I received that the claim has be submitted for processing doesnt give me an idea of what id going to happen going forward as previously this was done.
Gems people need to do their work well and good enough. We cannot constantly write reviews to get assistance. I have numerous emails I have been sending with regards to my other claim of R480 (different from the one that finally got paid) and still there has been no reaponse. When we submitting claims its like we openning up a crimal case that takes 5 and half years to be investigated before it could even go to court. Please treat us with dignity and stick to your constitutional mandate. An organ of state with so much capacity and resources struggling to respond to enquiries and process claims? I'm sure there are people who can do better than this
Good day
I received payment for the R480 claim for 6 February, I am still waiting for a formal response for my R 2580.82 claim. I need a response on letter as they did with the 480 claim. The sms I received that the claim has be submitted for processing doesnt give me an idea of what id going to happen going forward as previously this was done.
Gems people need to do their work well and good enough. We cannot constantly write reviews to get assistance. I have numerous emails I have been sending with regards to my other claim of R480 (different from the one that finally got paid) and still there has been no reaponse. When we submitting claims its like we openning up a crimal case that takes 5 and half years to be investigated before it could even go to court. Please treat us with dignity and stick to your constitutional mandate. An organ of state with so much capacity and resources struggling to respond to enquiries and process claims? I'm sure there are people who can do better than this
