IF
Ilse F

1 reviews | Active since Jun 2017

14 Jun 2017, 12:04

Gems Medical Aid (Wrong Information Given by consultants)

<p>I have a serious complaint regarding Gems. I requested to add dependents on my medical aid. I contacted Gems regarding the waiting period stated in the application forms to confirm whether it stand for dependents moving from their medical aid to mine without any break in medical coverage. The consultant assured me that there would not be a waiting period and I received a reference number (MH ********** 0).</p> <p> </p> <p>I contacted Gems once I submitted the application to follow up. The consultant then informed me that the dependents were added but there will be a 3 month waiting period. I queried this as they ensured me that there would not be a waiting period. The consultant said that they would look into the matter.</p> <p> </p> <p>Gems contacted me back stating that they had made a mistake by saying there was no waiting period as there is. The consultant gave me another reference number (MH ********** 5).</p> <p> </p> <p>I informed the consultant that I was not pleased about this as I contacted them to ensure no waiting period and they ensured me no waiting period because they are currently on a medical aid. The consultant said that they would contact me back once again. I am still waiting to receive a call back.</p> <p> </p> <p>I decided to email them and phone then for a third time only to be told again that there should not be a waiting period for the new added dependents. I received another reference number (MH ********** 6).</p> <p> </p> <p>I believe that this is a huge error on Gems side and that Gems need to waiver the 3 month waiting period as they informed me that there would not be a waiting period and because I was wrongfully informed by Gems consultants I proceeded with the application.</p> <p> </p> <p>I am still waiting for Gems to contact me back regarding this serious matter (mistake on their side).</p> <p> </p> <p>Gems: Emerald</p> <p>Member no: ********** 09</p>

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Replies (2)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply14 Jun 2017, 14:49
Official

Good day

Thank you for affording us the opportunity to respond to your concerns.

We are looking into this matter and will provide feedback.

Kind regards

The GEMS online team

IF
Ilse F's update29 Jun 2017, 13:25
Reviewer Update

Good Day

After phoning continiously escelating the matter to management. I still have not gotten any feedback regarding this matter. Turn around time according to Gems is 48 Hours. The last response was on 20 June 2017 saying they are looking into the matter. I am still waiting. This is rediculous and unprofesional. The current medical Aid of the dependants added will be terminated on 30 June 2017. This matter needs to be sorted ASAP.