RT
Rudzani T

1 reviews | Active since Oct 2018

04 Jul 2025, 17:18

Poor client service and lack of accountability

MS I am now fed up with the service that I am receiving from your call center agents. Spoke to 9 different people and no one seems to have an answer. One of your rude agents by the Name of Zinhle who speaks isiXhosa even ended up hanging up on me as she couldn't provide answers to my questions. I paid cash for my consultation, now when I claim back the claim gets rejected with a reason code 8057 saying "Authorisation required for a treatment code" but when I call the call center I am told I don't need Authorisation on the option that I am on. 1hour on the line but not even a single person out of the 9 people could help. Everyone shifting me from one department to the other. Documents sent on the 06/06/2025 for a service date of 03/06/2025

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Replies (1)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply07 Jul 2025, 12:39
Official
Good day,

Thank you for engaging with us. We confirm receipt of your message and apologise for the delay in acknowledging your message.

If you have an urgent query, please contact us on:  ***(members) & ***(providers).
 
 Call Centre Hours: Monday - Friday: 8h00 - 17h00 & Saturday: 8h00 - 12h00. Emergency number: ***(available 24 hours)
 
 If you wish to submit a compliment, please email us on at ***. We look forward to receiving your positive feedback. 
 
Regards,

GEMS