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Chriszelda.Antoni Chriszelda.Antoni

1 reviews | Active since Jan 2017

04 May 2017, 14:01

I am so so so tired of GEMS

<p> </p> <p>On 28 February 2017 I visited a doctor. After their submission of a claim to the medical aid, was I informed that the medical did not paid the whole amount. I contacted the call centre and was informed that the doctor was not nominated. I regard this as false, as I submitted a nomination form on 23 January 2017. This nomination was rectified on 6 April 2017 but the outstanding amount to the doctor was not settled.</p> <p> </p> <p>I hereby request that the outstanding amount be paid before it incur interest as I am not responsible for this outstanding amount. I submitted the nomination form well in advance and GEMS failed to update my details accordingly. It is now almost 2 months that I am calling and emailing in this regard.</p> <p> </p> <p> </p> <p>Furthermore, in January 2017 did I changed options from Ruby to Emerald Value and was I informed that savings from the previous year will be paid to me after 4 months. The 4 months passed end of April 2017 and no payment was made. When I called the call centre was I told it will take 6 months. I am very very very disturbed by this!!! I would like to get a payout of my savings as a matter of urgency with nu further delay and new information!!!!</p> <p> </p>

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Replies (6)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply04 May 2017, 14:17
Official

Good day

Thank you for affording GEMS the opportunity to look into your concerns. We will review your account and provide feedback.

Kind regards

The GEMS online team

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Chriszelda.Antoni Chriszelda.Antoni's update08 May 2017, 11:51
Reviewer Update

I am still awaiting a direct response from Gems. I need direct answers as a matter of urgency

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Chriszelda.Antoni Chriszelda.Antoni's update16 May 2017, 16:04
Reviewer Update

Thank you, my savings has been paid out. However, the outstanding amount for the doctor has not been settled yet!

Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply23 May 2017, 11:34
Official

Good day

Thank you for bringing your concerns regarding your unpaid claim and savings benefits to our attention.

We can confirm that the account is accepted for payment for the next claims payment run of 2 June 2017. Furthermore, the savings benefit was paid into your bank account on 15 May 2017.

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

Kind regards

The GEMS online team

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Chriszelda.Antoni Chriszelda.Antoni's update23 May 2017, 11:58
Reviewer Update

Thank you for your prompt assistance...I am totally satisfied with the manner you resolved my complaint. However, I would like to suggest that GEMS consider an online submission of forms technique. This will eliminate the communication barriew between the client and GEMS.

Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply23 May 2017, 12:20
Official

Thank you for your feedback Chriszelda!