gP
gino P
1 reviews | Active since Sept 2014
04 Nov 2025, 16:59
GEMS refusal to contact us to clarify MEDIA-12657
I’m writing now for the second time because Gems refuses to contact us in relation to the authorisation for my wife’s MRI scans related to her Ms condition.
They merely sent authorisation not dealing with the issue at hand which is why have there app**** this authorisation as part of the annual basket for the family and not the PMB basket.
We want clarity. I have asked on my complaint to be contacted and explained but to date not one person has phone me. Previous reference : MEDIA-12657
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Gems (Government Employees Medical Scheme)'s replyOfficial
05 Nov 2025, 09:12Good 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)
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
Gems (Government Employees Medical Scheme)'s reply05 Nov 2025, 09:12
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)
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
gP
gino P's updateReviewer Update
05 Nov 2025, 10:06I had to call now and the issue at hand is getting worse.
The medical advisor is saying that we must submit the report after the scan to see if it will covered under the PMB basket.
The whole point of the scan is an annual mri in relation to the ms condition for disease management? Therefore what needs to be confirmed? Ms is not a disease that goes away. So what exactly do they have to check to see if it falls within the PMB basket
The medical advisor is saying that we must submit the report after the scan to see if it will covered under the PMB basket.
The whole point of the scan is an annual mri in relation to the ms condition for disease management? Therefore what needs to be confirmed? Ms is not a disease that goes away. So what exactly do they have to check to see if it falls within the PMB basket
gP
gino P's update05 Nov 2025, 10:06
Reviewer Update
I had to call now and the issue at hand is getting worse.
The medical advisor is saying that we must submit the report after the scan to see if it will covered under the PMB basket.
The whole point of the scan is an annual mri in relation to the ms condition for disease management? Therefore what needs to be confirmed? Ms is not a disease that goes away. So what exactly do they have to check to see if it falls within the PMB basket
The medical advisor is saying that we must submit the report after the scan to see if it will covered under the PMB basket.
The whole point of the scan is an annual mri in relation to the ms condition for disease management? Therefore what needs to be confirmed? Ms is not a disease that goes away. So what exactly do they have to check to see if it falls within the PMB basket