MN
Mpho N

1 reviews | Active since Mar 2021

09 Feb 2026, 10:24

Gems medical aid, poor service delivery. Very disappointing service

I am so dissatified with Gems Medical aid, I had a procedure and authorisation was approved, but the invoice is short paid, I have sent numerous emails queries and contact them directly, they are not willing to assist and not responding to my emails. Their agents are unprofessional and dismissive. I am so disappointed with their service. I have escalated the complaint to Medicalscheme for assistance. words cannot explain how frustrated and disappointed I am with Gems medical aid, they are quick to debit but not willing to assist with any outstanding invoices. My contact number is *** in case they view my complaint, which I doubt since they were not able to get back to me even after lodging numerous complaints.

0
Replies (4)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply09 Feb 2026, 10:29
Official
Good day,

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 
MN
Mpho N's update12 Feb 2026, 13:35
Reviewer Update
Good day

I am making a follow up regarding my above complaint, is the feedback?

MN
Mpho N's update18 Feb 2026, 11:54
Reviewer Update
Good day

Kindly provide feedback, since TAT has passed but I still have not received feedback


MN
Mpho N's update18 Feb 2026, 13:54
Reviewer Update
We have not received feedback.