jC
johann C

1 reviews | Active since Oct 2018

03 Oct 2018, 08:15

GEMS (worst medical aid ever)

So my wife is pregnant and we have to pay the gyni out of our own pocket and then claim back from Gems ourselfs, but we are struggeling for about 3 months for our claims from Gems.They are the worst medical aid ever. When we contact them to find out when are they going to pay out our claims, they start with any excuses. It takes about 10min just to get hold of a consultant, we have send numerous emails etc. They tell you that they will phone you back but never do. We cant phone them every day due to they dont pay my phone bill. We are sick and tired of waiting for our money! I mean whats the use of having a medical aid with gems if you have to pay everything out of youre own pocket, and when you submit the claims they do not pay you back.

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Replies (3)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply03 Oct 2018, 10:42
Official

Good day

Thank you for affording GEMS the opportunity to respond. We are looking into this and will provide feedback soonest.

Kind regards

The GEMS online team

Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply15 Oct 2018, 12:28
Official

Good day

Thank you for bringing your concerns regarding your refund to our attention.

We can confirm that the third maternity scan was approved and accepted for payment, as part of our claims payment run of 12 October 2018.

We apologise for the delay in resolving this matter and for any inconvenience caused as a result.

Kind regards

The GEMS online team

jC
johann C's update16 Oct 2018, 07:07
Reviewer Update
Thank you for the 1 out of 4 payouts. But where is the rest of them? All the other claims that we have submitted over and over again?