PC
Peninah C

1 reviews | Active since Aug 2015

28 Sept 2015, 18:01

money was paid to DR and not MEMBER

On the 15/07/15 I submitted a claim for processing for a DR visit<br> I had visited the Gynea and paid upfront. <br> After submitting my claim I waited for payment. a Payment of R350 was received.<br> After calling the call centre they said that verification needed to be done on the other codes and I should hear from shortly. Two weeks passed and I called again,this time I was promised that monies will be paid into my account at the next pay date.<br> <br> The next date came and I received nothing. when I called again after a traumatic experience that required gems they said they will pay me.<br> I called again about 3 weeks ago and they said that they had paid the Dr by mistake even though I sent in proof of payment and will reverse that and pay me on the next payment date.<br> The next payment date came and I received nothing. I keep calling the call centre and no-ones knows what is going on, Don't they log each call and Query????<br> I just received my monthly statement and it shows that they duplicated the payment and have not reversed it meaning my DR has the extra R800<br> <br> This is such **** service and after two months of calling I still have no answers and no-one who checks my profile can tell me

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Replies (1)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply29 Sept 2015, 12:57
Official
Hello peninah,

Thank you for the opportunity given to GEMS to respond to your concerns.
A consultant will be in contact soon to provide you with the necessary assistance.

Please allow us a little time to investigate your complaint.


Kind Regards
The GEMS Online Team