mF
martin F

1 reviews | Active since Sept 2013

26 Nov 2018, 09:09

Gems 3 month

Why does my fiancé when I add her to my medical aid because we are getting married in December have a 3 month waiting period when she has been on medical aid for all her life non stop and most of her life she was ons gems. And now i have to pay contributions for her when she is not covered for the three months

0
Replies (3)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply26 Nov 2018, 10:51
Official
Good day

Thank you for the opportunity to respond. We will be in touch shortly to explain the Scheme rules. 

Kind regards
The GEMS online team
mF
martin F's update26 Nov 2018, 10:58
Reviewer Update
I have been waiting since last week
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply03 Dec 2018, 12:42
Official
Good day

Thank you for alerting us to your concerns. 

Kindly be advised that the Scheme imposed a three-month general and/or twelve-month condition-specific waiting period from 1 October 2016 on the following member categories: 
 
-Principal members who resign from the Scheme with their dependants (without also resigning from the Public Service) and then re-join the Scheme at a later stage.
-Dependants who are resigned from the Scheme and who are then re-registered by the principal member at a later stage.
-Dependants who join GEMS on a different date from the principal member (excluding new-born babies and newly-adopted children).
 
In this case, the dependent was active on GEMS but resigned in 2016 to join Medihelp until November 2018. Therefore,  a three-month general waiting period applies.     

We apologise for any inconvenience caused.  

Kind regards
The GEMS online team