lL
lootsria L

1 reviews | Active since Mar 2017

06 Mar 2017, 16:06

No response

<p>I've send my first claim to GEMS via Email 3 August 2016. I didn't get any feedback. I contacted them again 16 September 2016 still no feedback. Again 2 November 2016. Inbetween I got feedback once. Then I heard nothing again even though I contacted them again via on Email on 24 Noveber 2016, 12 January 2017 and 23 January 2017. I tried to phone the call centre numerous times on Friday 3 March, Saturday 4 March and Monday 6 March the line stayed busy and I was unable to get through.</p> <p> </p> <p>Please get this sorted as I have been waiting 7 monthes to get this claim resolved.</p> <p> </p>

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Replies (8)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply06 Mar 2017, 16:22
Official

Good day

Thank you for allowing GEMS the opportunity to respond to your concerns. We are investigating this matter and will respond as soon as possible.

Kind regards

The GEMS online team

Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply07 Mar 2017, 10:25
Official

Good day

As per our earlier communication with you, kindly provide us with the name of the service provider/s as well as the dates of service.

We look forward to receiving this information and assisting you.

Kind regards

The GEMS online team

lL
lootsria L's update07 Mar 2017, 10:36
Reviewer Update

All the required information is on the attachments that I forwarded...

The medical provider was Dr WS VAN NIEKERK

The date was 28/07/2016

I am on the Emerald plan

Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply09 Mar 2017, 14:49
Official

Good day

Kindly be advised that the account for services rendered on 28 July 2016 is unfortunately stale.

Please provide proof that the account was submitted to GEMS within the four month claiming period so that we can find a way to assist you.

We apologise for any inconvenience caused in this regard.

Kind regards

The GEMS online team

lL
lootsria L's update09 Mar 2017, 15:04
Reviewer Update

I did sent the proof to Carlos Titus early this morning... Please follow up with him.

lL
lootsria L's update10 Mar 2017, 12:45
Reviewer Update

Thank you, I got an sms this morning that says the service has been rendered.

Now I want to know to whom must I send my second claim? I did not send it yet because I did not get feedback.

lL
lootsria L's update13 Mar 2017, 16:43
Reviewer Update

Still no feedback on my question of 10 March...

Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply31 Mar 2017, 15:07
Official

Good day

Thank you for bringing your unpaid claim concerns to our attention.

We can confirm that the account for services rendered on 28 July 2016 has been approved for payment and has been sent to the claims department for processing.

Please accept our sincere apologies for the delay in resolving this matter.

Kind regards

The GEMS online team