JM
Jaco M

1 reviews | Active since Jan 2015

21 Oct 2025, 08:48

GEMS Contact Centre Insufficiently Resourced/Staffed

GEMS Contact Centre for provider claim queries is not properly and sufficiently resourced/staffed, since more often than not the agents answering the calls confirms that "due to high call volumes we are unable to attend to calls at the moment and we will call you back if you leave a message and your contact details". If this was the exception, it would be something providers could live with. However, it has become the new norm for the scheme when providers need to enquire regarding non-payment or short-payment on claims and other queries. THIS IS UNACCEPTABLE!!! It needs to be addressed without delay.

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Replies (1)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply21 Oct 2025, 15:58
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