BM
Busisiwe M

1 reviews | Active since Jun 2018

28 Feb 2026, 19:08

High risk maternity care.

I had an unpleasant experience with GEMS! I am under the maternity program (high risk pregnancy) they sent me confirmation that I am registered under it. However when I tried to collect my pills (including hypertension) pills which is what made my pregnancy high risk in the first place! They don’t want to pay. When I called them they transferred me from one department to another no one wants to take accountability, no one knows what to say to me whereas when I called last week an agent told me that I would need to give them a call when I fetch my pills so that they can register those pills and yet yesterday I spoke to more than 7 agents and nobody could help me! I am fearing for myself and my baby I ask myself whether they will pay when it’s time for me to give birth or will they give me problems like they’re doing now! I even sent an email to the complaints department no one has responded yet

0
Replies (2)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply02 Mar 2026, 10:22
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. 

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Regards, GEMS 

BM
Busisiwe M's update30 Mar 2026, 09:36
Reviewer Update
So after I came back on here to say that I was happy with how you resolved my query, you guys decided to drop me again! You declined my pills again reason being “waiting period app****” what waiting period when I joined GEMS in April 2025? Your agents can’t explain anything the only thing that they told me is that should it happen that I have an emergency regarding hypertension you will not pay the full amount. Thank you very much for adding onto my list of problems during my pregnancy, much appreciated!