RB
Richelle B

1 reviews | Active since Apr 2018

04 Apr 2018, 13:17

GEMS Claims department. Terrible service!!!!

For the duration of my pregnancy, GEMS claims department has failed to perform simple tasks.

1. My 20 week scan claim after submitting and following up on them monthly has still not been tended to. 2. The birth of my son which should have been paid from my in hospital benefit. GEMS claimed that the member reference was incorrect, no authorization number and once all those claims were resubmitted the latest is that no follow up was made for December 2017 and January 2018 despite all the claims being followed up FROM July 2017 - November 2017. Another reason to not pay the claim in my opinion. 3. Follow up consultations like Doppler consultations for preventative measures to indicate possible cancer, yet they indicate they put emphasis on preventative treatments. lies lies lies

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Replies (1)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply04 Apr 2018, 13:48
Official

Good day

Thank you for alerting us to your concerns and for the opportunity afforded to GEMS to respond. Please send us a private message with your membership number so that we can look in to your complaint.

Kind regards

The GEMS online tea,