KP
Karabo P

1 reviews | Active since Nov 2019

09 Feb 2026, 09:35

Clarity on a code for a claim

I had raised a concern about a claim that got rejected, and I got a response here that there will be an investigation, and I will get feedback, which I never did. I have tried calling multiple times and will be waiting for the call to be connected to a consultant. All I want to find out is the correct code to be used for the claim.

0
Replies (8)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply09 Feb 2026, 10:04
Official
Good day,

Thank you for engaging with us.  We are following your message, and feedback will be provided. If you have an urgent query, please contact us on  ***(members Toll-free number) & ***(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 receiving your positive feedback. 

Regards, GEMS 
KP
Karabo P's update11 Feb 2026, 07:59
Reviewer Update
May I please get feedback this time around?
KP
Karabo P's update17 Feb 2026, 07:49
Reviewer Update
Good morning,

Is it 7 days from the day the complaint was posted or on the day of the response?
KP
Karabo P's update22 Feb 2026, 13:18
Reviewer Update
Good day,

I didn't receive anything.

Regards,
Karabo
KP
Karabo P's update25 Feb 2026, 08:27
Reviewer Update
Hi,

Thank you.
KP
Karabo P's update28 Feb 2026, 13:12
Reviewer Update
Hi,

Nothing in the mailbox even now.
KP
Karabo P's update16 Mar 2026, 09:46
Reviewer Update
I have said multiple times that I have not received anything. I'm starting to feel like I am given that response to discourage me from getting help, and there is no willingness to assist, which frustrates me. It's been weeks of me saying the same thing. What is this? There is no email, and I can't get answers from the call centre agents either. There is an option to respond privately and you can use it
KP
Karabo P's update19 Mar 2026, 09:10
Reviewer Update
Till today, nothing, as expected