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AM
Anchen Miles-Hope

1 reviews | Active since Dec 2017

23 Mar 2026, 12:32

GEMS COST ME MONEY!!!!!

I had a procedure done in hospital in August 2025. As it qualifies as PMB, GEMS had to pay for the hole procedure, anesthesia and hospital stay. GEMS didn't acknowledge the PMB as stipulated in there rules and regulations. Since then I'm trying to contact them. Neither by telephone, nor by email, anyone is assisting me. The anaesthetist wants to hand over my account, AND STILL NO FEEDBACK FROM GEMS. It's so frustrating to try and get feedback. It's pathetic!

0
Replies (20)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply23 Mar 2026, 15:22
Official
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
AM
Anchen Miles-Hope's update23 Mar 2026, 15:23
Reviewer Update
Another computer generated message. Means nothing!!!!!
AM
Anchen Miles-Hope's update23 Mar 2026, 16:30
Reviewer Update
Thank you... ANOTHER 7 WORKING DAYS
AM
Anchen Miles-Hope's update24 Mar 2026, 09:35
Reviewer Update
Thank you Luyanda for calling me and trying to see to my complain.
AM
Anchen Miles-Hope's update07 Apr 2026, 09:32
Reviewer Update
Luyanda, I am waiting for your reply
AM
Anchen Miles-Hope's update07 Apr 2026, 12:37
Reviewer Update
I haven't received any feedback
AM
Anchen Miles-Hope's update07 Apr 2026, 16:25
Reviewer Update
Thank you. It is nou 16:24.....no email yet
AM
Anchen Miles-Hope's update08 Apr 2026, 09:12
Reviewer Update
Back at step one. Luyanda, where are you now???? What does escalate even mean to you guys?
AM
Anchen Miles-Hope's update08 Apr 2026, 10:52
Reviewer Update
When will that happened? I'm sick and tired of GEMS. Always has some sort of excuse. In the meantime the monthly payments are sky high.
AM
Anchen Miles-Hope's update09 Apr 2026, 15:49
Reviewer Update
Yes thank you. Luyanda sent an email this afternoon, and I don't have a clue what it means. I asked him to explain to me. I haven't heard back as yet.
AM
Anchen Miles-Hope's update13 Apr 2026, 13:11
Reviewer Update
GEMS!!!!!! I need Luyanda to contact me😡
AM
Anchen Miles-Hope's update13 Apr 2026, 17:24
Reviewer Update
Computer generated!!!!!! HELP ME WITH MY ENQUIRY!!!!!!
AM
Anchen Miles-Hope's update14 Apr 2026, 10:08
Reviewer Update
As Luyanda is contacting me, here are the most recent update that GEMS refuses to do. The claim is PMB related. GEMS doesn't want to review it as PMB and therefore my gap cover, SIRAGO, is also not interested in paying the account. Hello Peter, PLEASE ASSIST ME IN FINDING A SOLUTION
AM
Anchen Miles-Hope's update14 Apr 2026, 10:08
Reviewer Update
Luyanda is not contacting me, here are the most recent update that GEMS refuses to do. The claim is PMB related. GEMS doesn't want to review it as PMB and therefore my gap cover, SIRAGO, is also not interested in paying the account. Hello Peter, PLEASE ASSIST ME IN FINDING A SOLUTION
AM
Anchen Miles-Hope's update14 Apr 2026, 11:57
Reviewer Update
Thank you for the call, Luyanda. I'm waiting for your feedback by the end of the week.
AM
Anchen Miles-Hope's update14 Apr 2026, 12:17
Reviewer Update
Thank you, Luyanda
AM
Anchen Miles-Hope's update20 Apr 2026, 09:22
Reviewer Update
Good day, feedback would have been given on Friday, 17 April 2026. Nothing!
AM
Anchen Miles-Hope's update20 Apr 2026, 12:00
Reviewer Update
Since 23 March 2026??????
AM
Anchen Miles-Hope's update20 Apr 2026, 15:55
Reviewer Update
Thank you
AM
Anchen Miles-Hope's update21 Apr 2026, 13:12
Reviewer Update
Thank you very much Luyanda and GEMS for sorting it out.