1 reviews | Active since May 2017
Poor Assistance
<p>I had a claim from Dr. Netshimboni on 03/04/2016 to 07/04/2016 to GEMS for my baby boy ATLEGANG after delivery he was admitted to ICU at medforum hospital. There has not been settled but on hold until this day. I have called GEMS on several occasions regarding this matter and the last time i got any progress on this claim was on the 25 JANUARY 2017 i spoke to Daphne ref MH ********** 3 she said my claim was sent for ”stale claim review “. my claim has not been paid, the main issue here is that the Dr. Creditors have started calling me demanding the money since GEMS has failed paying this amount.</p> <p> </p> <p> </p> <p> </p>
Good day
Thank you for giving us the opportunity to respond to your concerns. We are looking into this and will provide feedback.
Kind regards
The GEMS online team
Good day
Thank you for giving us the opportunity to respond to your concerns. We are looking into this and will provide feedback.
Kind regards
The GEMS online team
Good day
Thank you for bringing your concerns regarding your unpaid claim to our attention.
We can confirm that the account for services rendered from 4 to 7 April 2016 is accepted for payment for the next claims payment run on 30 June 2017.
Please note that the account will be settled at Scheme rates and in line with available benefits. Please note that in the event that the account is higher than the agreed Scheme rates or in the event that benefits are exhausted, the balance on the account will regrettably remain the responsibility of the member.
We apologise for the delay in resolving this matter and for any inconvenience caused as a result.
Kind regards
The GEMS online team
Good day
Thank you for bringing your concerns regarding your unpaid claim to our attention.
We can confirm that the account for services rendered from 4 to 7 April 2016 is accepted for payment for the next claims payment run on 30 June 2017.
Please note that the account will be settled at Scheme rates and in line with available benefits. Please note that in the event that the account is higher than the agreed Scheme rates or in the event that benefits are exhausted, the balance on the account will regrettably remain the responsibility of the member.
We apologise for the delay in resolving this matter and for any inconvenience caused as a result.
Kind regards
The GEMS online team