ZM
Zanele M

1 reviews | Active since Oct 2024

06 Nov 2026, 10:04

EXTREMELY DISAPPOINTED AND DEEPLY CONCERNED – 48 HOURS WITHOUT MEDICATION AUTHORISATION!

EXTREMELY DISAPPOINTED AND DEEPLY CONCERNED – 48 HOURS WITHOUT MEDICATION AUTHORISATION! I am absolutely appalled by the service we have received from GEMS. My mother urgently needs medication, yet we have been waiting for over 48 hours for authorisation, and nothing has been resolved. This is not a minor administrative inconvenience. We are talking about someone's life and health! How can a medical aid scheme take this long to authorise essential medication when a patient's condition is serious and time is critical? Families should not have to beg, make endless follow-ups or fight an administrative system just to ensure that their loved ones receive the treatment they desperately need. Every hour matters. These delays are causing unnecessary stress and putting my mother's health at risk. GEMS needs to take accountability and urgently review its authorisation processes. Members pay for medical cover because they expect support when they need it most, not silence, delays and frustration during medical emergencies. A patient's life should never have to wait for paperwork. I demand immediate intervention and authorisation of my mother's medication.

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Replies (4)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply06 Nov 2026, 11:08
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.

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 We look forward to receiving your positive feedback.

Regards, GEMS

ZM
Zanele M's update07 Nov 2026, 14:41
Reviewer Update
TITLE: 5 DAYS OF DELAY – MY MOTHER'S LIFE IS AT RISK WHILE GEMS FAILS TO AUTHORISE URGENT MEDICAL TREATMENT I am beyond disappointed and devastated by the way GEMS is handling my mother's medical treatment. It has now been FIVE DAYS, and we are still waiting for authorisation for her urgently required medication and treatment. My mother is critically ill and fighting for her life in hospital, yet we are still being subjected to endless delays and a lack of urgency from GEMS. How is it possible that a family has to spend days chasing a medical aid provider for authorisation while their loved one is lying in a hospital bed fighting for her life? We have repeatedly tried to get assistance, raised our concerns and explained the seriousness of her condition. Despite this, we have not received the urgent intervention we desperately need. This is no longer just about poor customer service. This is about a human life. Every delay is causing our family unimaginable distress, fear and emotional trauma. We pay for medical aid with the expectation that when emergencies arise, our loved ones will receive the necessary medical care without unnecessary administrative delays. I am demanding the following: 1. Immediate escalation of my mother's authorisation. 2. Urgent approval of the prescribed medication and treatment. 3. Direct communication with the treating medical team. 4. A clear explanation for why this matter has been delayed for FIVE DAYS. GEMS, please understand that this is someone's mother, someone's loved one and a human life. We cannot afford to keep waiting. We need action, not another request for information or another generic response. MY MOTHER NEEDS HELP NOW.
ZM
Zanele M's update10 Nov 2026, 10:29
Reviewer Update
I wish to formally place on record my dissatisfaction and concern regarding the continued delay in authorising my mother's Polygam treatment. Despite the seriousness of her medical condition and the urgency communicated by her treating doctors, we are still waiting for authorisation. This delay is unacceptable, particularly when her health and well-being are at stake. Please understand that I will not allow this matter to go unresolved. Should GEMS continue to delay or fail to fulfil its obligations, I will be taking further legal action against the scheme and pursuing all available legal avenues to protect my mother's rights. I expect this matter to be escalated urgently and a clear response regarding the authorisation to be provided without further delay. My mother's life and health are not matters that can be subjected to endless administrative delays.
ZM
Zanele M's update11 Nov 2026, 15:32
Reviewer Update
what's the update my mom's condition is worsening, if she dies her blood is in your hands