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gothyang M

1 reviews | Active since Feb 2013

05 Apr 2016, 17:11

Claims not processed

I sustained injury on duty early February, started PEP at hospital level and got side effects, later went to a GP to change my treatment,the kind that the hospital does not supply, I was charged 1700, I had to buy them but the next day I asked my GP to activate my PEEp on my medical aid, he did so, I later called Gems to ask how do I claim my money back they said email your proof to claims department, because my medical aid takes from my payslip, I also then provided bank statement as proof together with the reciept, I get automated mails saying they will contact me in 48hrs but they never do, I have resent the mail 4 times with no response.<br> I don't get subsidy because I'm a doctor, so I expect if I am to raise my voice I should be heard and be given what is due to me..<br> I am ashamed to say I am a member because the service in claims department is slack, it's as if they don't want to pay, hoping I will keep quiet.<br> <br> Dear GEMS Please Pay me Back my dues.<br> <br> Regards<br> Dr G Makuya<br> *** (maternity department<br> [Email Removed]

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Replies (1)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply06 Apr 2016, 10:39
Official
Hello Gothyang,

Thank you for bringing your concerns to our attention.

We will investigate and provide feedback as soon as possible.

Kind regards
The GEMS Online Team