JW
Johann W

1 reviews | Active since Jul 2016

26 Oct 2018, 11:58

Client service poor

As I understand medical aids should take care of themselves when it comes to ********** people, but in my case its just bad client service. I went to the doctor on the 15 th of October for a knee injury I pick up refereeing the 8-9 of September. With this I’m in allot of pain when running and exercising. After the appointment the doctor recommended a small surgery to fix this problem. As the medical aid should do they asked for a report from my physio and also the doctor to make sure it wasn’t a pre-existing injury as I’m new to the medical aid. This I understand.

We send through all the necessary document and postponed the operation from the 23 of October to the 30th because we were waiting for authorisation. Come today they still have not given me any word on this process. They said last week this will take 48 hours and still a week later I still don’t know if I have the ok to go for a very important procedure, as this will affect my ability to do my job as a referee. I’m very disappointed in the medical aid. This is my livelihood that they have no consideration for. We have very important fitness test in the beginning of January 2019 . This means that I have to recover get the necessary physio treatment and regain my fitness before that time to continue doing my job.

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Replies (2)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply29 Oct 2018, 11:45
Official

Good day

Thank you for the opportunity to respond to your concerns. We are looking into this and will provide feedback.

Kind regards

The GEMS online team

Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply15 Nov 2018, 12:10
Official
Good day


Thank you for bringing your authorisation concerns to our attention. 

Please note that your authorisation was loaded for 30 October 2018 and an approval letter has been sent to you.

We apologise for any inconvenience caused by the delay. 

Kind regards
The GEMS online team