MB
Marthie B

1 reviews | Active since Feb 2019

12 Feb 2019, 09:59

GEMS LACK TO GIVE AUTHORIZATION

My Mother in law is on the medical aid since 1 July that we are paying for. From 1 October the waiting period was over. She is now admitted in hospital and her galbladder must be removed. The medical aid do not want to give the authorization number for the simple reason that they have to establish that it was not a pre-existing condition. Since her retirement she never had a medical aid and all her conditions and croninc script were attached to het application. THIS CAN NOT WAIT AS HER INFECTION COUNT IS VERY HIGH.

WE NEED ANSWERS ASAP.

Dis speak to numerous agents an was on the line for more than 2 hours on the 11 February. Spoke to Keiser, Tshepiso, Tebogo, Dennis and Cindy at escalations with no results.

Surely there must be a qualified doctor on the panel that have the knowledge of medical procedures that is of high importance.

0
Replies (1)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply12 Feb 2019, 10:21
Official
Good day

Thank you for the opportunity to respond. We are looking into this and will provide feedback. 

Kind regards
The GEMS online team