SM
Sibongile M

1 reviews | Active since Dec 2018

13 Jul 2021, 22:20

GEMS more than 2 months to process a claim for R239

Worst service *********** useless. Entire GEMS. GEMS Bloemfontein GEMS Welkom. Xolani Myeza; Lwandile Mabusela ,Ruth Kafaar, Moroesi Mojakisane, Funeka Rorwane, kedibone serumula; Yasmin Hahajee.

Nobody want to help with anything just send people from pillar to post no accountability. Disgusting service

0
Replies (8)
SM
Sibongile M's update14 Jul 2021, 22:15
Reviewer Update
No this time deaf response make the situation even worse. I have been calling the number nobody can give clear answer. I sent more than 10 emails
I want to GEMS offices 3 times. Hence I even mentioned GEMS officials names. Everybody was useless and unhelpful for more that two months over a claim for R239 when I submitted all the proof of payments. Very disgusting behaviour by GEMS. Sies!!! N
SM
Sibongile M's update14 Jul 2021, 22:17
Reviewer Update
***(Members)
***(Healthcare Providers)
Calling this numbers I was in the pine for 45 minutes no clear answers were provided. GEMS even **** that Sonwabile would call me back nobody returned my call. I am highly disgusted
SM
Sibongile M's update14 Jul 2021, 22:18
Reviewer Update
GEMS is the worst service. Even the *******ion and whistles blowing hotline people were just aloof and useless. Just want to refer to the next person. No accountability. Playing with people's emotions.
SM
Sibongile M's update14 Jul 2021, 22:21
Reviewer Update
Nobody ever call back or provide thruthfull and reasonable explanation. GEMS just hide behind auto reply email with not real action or proper investigation. I have emails to prove everything I am writing here. The service by GEMS is disgusting and the GEMS officials lie to Scheme members!!!!!!!!
SM
Sibongile M's update15 Jul 2021, 10:08
Reviewer Update
Proof of payment and till slip was sent to GEMS numerous times in May 2021 and June 2021. Till today I am waiting for R239. And GEMS officials are playing games and I'd saying lying to me because someone messed up and they can't explain why. I even have a GEMS letter from Moroesi Mojakisane dated 28 June 2021 sayin' I would be paid the refund by 02 July 2021 and the Money would reflect I my account in 2 to 4 working days. Today is 15 July 2021. Just imagine the service date was on 10 May 2021 I don't see the money. Just LIES and **** Stories by GEMS people. Disgusting Service!!???
SM
Sibongile M's update16 Jul 2021, 12:39
Reviewer Update
Moroesi Mojakisane sent me another Time Deaf Auto reply letter/email not even making any effort to account for the correspondence she sent on 28 July 2021.

She just says My enquiry is a duplicate

Duplicate is a big under statement I have sent more than 10 emails about this very issue. GEMS must stop it with patronising automated response email. It's lazy and disgusting.

GEMS sent me an email with a letter of 28 July 2021 sayin' I would be paid my refund I Mahe been waiting on since May 2021 (R239) within 3 to 4 working days from 02 July 2021. Today is 16 July 2021 And we are back the the tone deaf automated response. Sies!!!!!
SM
Sibongile M's update16 Jul 2021, 17:02
Reviewer Update
Another Automated Response from GEMS. .....This is quoted directly from GEMS website "We are dependable, adhere to turnaround times and are cost conscious. We are effective in retaining existing members and communicate with our members regularly. We are flexible and adapt to changes in our member needs and desires." Sies disgusting Medical Aid. And PPL are being forced to use it.
SM
Sibongile M's update22 Jul 2021, 17:20
Reviewer Update
GEMS Admits that from 18 May 2021 they had written proof from the pharmacy that a total amount of R251 was received by the Pharmacy. And on 28 May 2021 GEMS went and paid the Pharmacy again (so Stupid). Whey they could have just contacted the Member if something or the other was unclear about the claim that was submitted. How *********** is that. 10 days between 18 May and 28 May. Today is 22 July GEMS!!!!!!!!!!! The refund is still not paid SIES!!!!!!