BZ
Bongi Z

1 reviews | Active since May 2018

11 Nov 2020, 10:18

GEMS MEDICAL AID_CHARGED BUT DENIED MEMBERSHIP

To say I'm defeated by GEMS would be an understatement. I don't know whether their staff just generally do not want to help or don't know how to resolve complex cases.

We have been to GEMS offices 3 times, called countless times, still no resolution. Matter? Well, My late father was on GEMS Med Aid till he retired in 2008 and did not continue with GEMS. In 2019 he re-app**** for Medical Aid and was accepted, issued with a membership card with my mother as a dependant.

GEMS then sent a letter saying there was outstanding documents, before he could submit the required documents he fell ill and passed. He couldn't use the Medical Aid to even get proper Medical attention.

The problem comes when we have to apply for my mother to carry-on, on the Med Aid as main member. We were told my father cancelled therefore had no cover or benefits, but there is no proof because we know he did not cancel though he never used the Med Aid, just didn't get to submitting the outstanding documents before falling ill. Fine, we forget about GEMS after not receiving help and kept getting told it was cancelled before it even started! HOW? WHY? We move on found alternatives for my mother to be covered. Now GEMS sends us a message saying that we owe R4880..for Medical Aid, which one? The one he CANCELLED according to you? The one they never used?

Can we please get a resolution on this matter, it's dragging too long and just adding salt to the wound.

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Replies (2)
BZ
Bongi Z's update24 Nov 2020, 17:48
Reviewer Update
Gems,
The aforesaid 7 days has lapsed, you have not reverted back with feedback as promised.

The matter is rather very urgent.
I need to know the outcome in order to better pan a way forward.

I trust you do know that the service you provide is crucial and therefore such queries should be treated with urgency.
Lives and the wellbeing people are involved.

BZ
Bongi Z's update25 Nov 2020, 11:19
Reviewer Update
You are still not answering my most important questions and/or providing necessary policies which govern such cases.

1.Why was he not subsided, given that he received approval for subsidy?!!!

2. He didn't sign any termination.
We were told he canceled every time we went to Gems offices. Which he didn't. Worse you said in your reply it was terminated, which one is it?

3. What really happened to his medical aid cause all he was being told was that there is an outstanding document therefore its not active?

Please kindly refrain from pushing us into paying without an in depth explanation into what happened and what we need to pay for. We need answers first, please!