GEMS HAD FORSAKE US!!!!

Why do we always needs to resovlve to media for services we paid for but fail to deliver,

GEMS were always by our(family) side as from 2006.Reading all this poor reviews further my agitation as to my current stand with a previously so exceptional medical aid to a medical aid that surely does not care as to the eminent wellbeing of their members or their families.These members surely pay faithfully for service rendered.

My agoining journey had started last week Friday(21 Feb 2020) when my wife was unable to go to walk as to excruciating pain whereby she had cried of the pain from her back.This problem she had encountered on and of and had been for the past year and half been seeing her nominated GP(Emerald Value option) who had refered her for Physio aswell treated her with antiinflamotries that was non effective.Her condition therfore had progress to a state wwhere she barely could walk ,bent or even sleep due to pain.

Therfore this particular early morning I decided to take her to a ER as her GP was closed. We were than referred to a Neurologist at Life Kingsbury who had ask us a prepayment for consultation of R1300 that we had paid just to have a consultation. The Neuro Surgeon during his physical assessment of my wife identified the extreme pain my wife was in and made a decision to admits her for two days(25 till 27 Feb 2020) as to treat her for severe chronic back pain and to do a MRI aswell as bloods to establish any spine pathology. This I agree are logical and understandable rationalization for admission. For me it was unbearable to see my wife in such a lot of pain that actually cripples her.Our 17 year old daughter were also very emotional to see her mother in such agony as she(my wife) are always the strong one.

On the admission day (Life Kinsgbury ) send through a authorization request that was decline via a insensitive SMS. Knowing that i'm stressed and emotional already of my wife's health and being a health professional myself I felt deserted by my medical aid. Not even a caring call as to why or what is decline. Excruciating pain like this and knowing that there was a history of long unresolved treatment surely indicates an medical emergency. But GEMS surely don't care about our members when it comes to hospitalization which is imperative for any member who needed that reassurance that we are in good hands.

We've been always told when we saw a specialist that how difficult our medical aid is and now surely can relate with them. Up till this writing we know wait for the new authorization for her the undergo a epidural which GEMS. My wife had been discharge and are still suffering due to this pain hanging on for her life until my medical aid decide to authorize. This is really disappointing as to many of the other negative reviews heard on this blog. My daughter is in tears as we she could not believe that the same medial aid who had always been with us through thick and thin had just forsaken us.

I plea and hope that someone with humanity from Gems will respond as we surely are paid up clients.