Bad service from GEMS

<p>On the 20th September 2016, my son was admitted at the hospital and discharged on the 23 Sept 2016. Few weeks ago i received an outstanding account from the Pathologist who took some tests on my son when he was in hospital in September. So i phoned Gems trying to find out why the Pathologist was not paid in full, i was told the matter will be escalated. It's been 2 weeks now without an update from Gems regarding the outstanding account. This morning, i received yet another email from the same Pathologist reminding me about the outstanding account. Look, i don't have energy to call Gems again because i know i would not get a clear answer as to why the account was not paid in full. It's so frustrating to call Gems and be put on hold for over 10 mnts without getting any help.</p> <p> </p> <p>The other issue is that of the new option called Emerald value, if i'm not mistaken if you select that option, you supposed to choose one GP for you and your dependants. To me it does not make sense why one should choose one GP for all family members, it means if my little one is sick, i have to take him to the GP first for referral letter to th Paeditrician. Do you realise that at the end of the day, i will end up paying double, first for the GP and secondly for the Paedetrician. The reason i'm raising this is that i'm currently on Emerald and i see if i decide to stay in this option, i will pay R962 pm more come the 1st Jan 2017 while your day-to-day benefit will increase by R553 per annum for the whole family. And if i choose to be on Emerald value, i will pay R196 more per month. Clearly Gems is trying to push me to opt for Emerald value of which m not happy with the T&C's that comes with the option. And you're saying if i don't use the nominated Gp, i will pay a 30% co-payment. Look i know i have an option to choose any option but the way things are, Gems is trying to push their members on Emerald option to use Emerald value option come the 1st Jan 2017. I know your argument will be, you have increased other benefits. But do you realise that the day-to-day benefits pay so many claims like pathologist, gyna,GP's,paedetrician, physio and that's why mine it becomes exhausted before the month of August. </p>