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rsmvubu R

1 reviews | Active since May 2016

06 Dec 2025, 11:24

I am extreme frustration and disappointment with the service I've received from Gems this year

I am extreme frustration and disappointment with the service I've received from Gems this year. Despite my ongoing struggles with recovery from being shot and multiple surgeries, I've had to fight tooth and nail to get the support and claims paid that I'm entitled to. My mental health has suffered significantly, and it's disheartening to feel like I'm battling Gems instead of them being a partner in my care. Specifically, I have outstanding claims, including medicines prescribed in hospital, that remain unpaid. To add insult to injury, my option plan was changed without my consent or consultation, despite my numerous attempts to reach out and discuss my options. Given my history with Gems and the authorization obtained, I expect better service and support. I urge Gems to take ownership of these issues, process the outstanding claims, and contact me to discuss the plan change. I'm exhausted and frustrated, and I hope we can resolve these matters promptly.

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Replies (1)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply08 Dec 2025, 11:18
Official
Good day,

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