tP
thembisile P

1 reviews | Active since May 2013

18 Aug 2016, 08:47

bad service

<p>On the 10 August I have published a review about gems but i didn't get any feedback. On the 26 May 2016 my child went for appendix oparation. Now i am recieving statement from Dr Gorny whose account is not paid some of the codes. I enquired to Gems about that i was tols that doctor need to submit modify paper claim. when i phoned doctor's room lady there told me that Gems is full of strories when it suppose to pay. There is nothing wrong with their claim. I am sick and tired because Iam spending my airtime at the end I dont get any help. Gems is treating me like a person who is on last option.I contribute everymonth I dont come with strories why when i suppose to get help i struggle. it's too much R 2955.57. in one account and they will hand the account soon ,worse I am havin medical aid emerald option.</p> <p> </p>

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Replies (2)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply30 Aug 2016, 16:54
Official

Good day

Thank you for bringing your concerns regarding your claims to our attention.

We are looking into your complaint and we will provide feedback.

Kind regards

The GEMS Online Team

Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply05 Sept 2016, 11:59
Official

Good day

Thank you for affording GEMS the opportunity to respond to your concerns regarding your claim.

Further to our correspondence with you, please note that in order for us to review the payment of services rendered on 26 May 2016, we require a fully specified paper claim.

Our sincere apologies for the delayed response on our part. We look forward to receiving your claim so that we may resolve your query.

Kind regards,
The GEMS online team