1 reviews | Active since Oct 2018
Gems high risk maternity care plan
Hallo I am by Gems emerald value and on the high risk maternity care plan for my pregnance. So everytime I go to my OB they need to take it off my maternity high risk careplan benefits and they do not do that. They take it off my day to day and busy exhausting my medical aid. Some of the people working there have no clue how the maternity high risk care plan works and say that my medical aid needs to be exhausted for the maternity careplan to take effect. But why then apply for the maternity care plan. On the 13 January 2025 I went for my first OB visit and also took it off my day to day. I have phoned and they have fixed it and took it off my maternity care plan. On the 17 February I went to my OB again and again they took it off my day to day refusing to change it to my maternity careplan. I went to dr Kekana. I am getting sick of phoning in the whole time for them to fix their mess. Asif i need to do their work. If hallo peter can please step in and help me in my case with the high risk maternity careplan and to make sure my benefits for the maternity care plan is being used for my high risk pregnancy and not to use my day to day. I am allowed to see the OB 9 times during my pregnance which is not suppose to go off my day to day but my maternity careplan. I also have the correct ICD 10 codes and tarriff codes and also proof of my maternity careplan. Really get sick of this incomptence. On the 13 March I need to see dr Kekana again and on the 25 March I need to see dr Foolchand. They also took dr Foolchands consultation off my day to day which was also suppose to be taken off my high risk maternity careplan. I saw dr Foolchand on the 3 February 2025. By the time the baby is born and I really need to see a dr I would not have any medical aid the way they are caring on. They told me all my OB visits and 4 scans etc needs to be taken off the maternity high risk careplan with the correct ICD 10 codes and tarriff codes which are used. Gems just does not want to help. And now the accounts are settled while im still fighting it.
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) & ***(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
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) & ***(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
