VM
Verushka M

1 reviews | Active since Jan 2012

09 Sept 2016, 11:27

Poor Service

<p>My parents are dependants on my medical aid (GEMS), they are both receiving chronic medication and are pensioners. My father receives insulin for his diabetes, this is supposed to be sent every 2 months, but this year it has been sent every month. We have called Gems and the courier pharmacy as well as sent countless emails telling them to stop sending the insulin and to collect the extra insulin but received no response. The insulin comes with a levy, which i have paid, but there is now an outstanding levy due to them sending the insulin when they shouldn't have. And i am now being told that they will not deliver my parents chronic medication until i pay the levy. I fail to understand why my parents have to suffer due to the incompetence of Gems and the courier pharmacy. This is just the latest problem in my never ending sea of problems with Gems since i joined in 2010.</p>

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Replies (2)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply09 Sept 2016, 11:34
Official

Good day

Thank you for bringing your chronic medication concerns to our attention.

We are looking into your complaint and we will provide feedback.

Kind regards

The GEMS online team

Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply30 Sept 2016, 13:05
Official

Good day

Thank you for bringing your claim concerns to our attention.

We are pleased to confirm that we have resolved the chronic medication dispensing and delivery processes.

We can only confirm that the account for service dated 19 November 2014 was received and processed in line with your available benefits. A payment was generated in respect of this claim and the refund details are reflected on your remittance advice.

The account for services received on 28 October 2014 was unfortunately rejected as your maximum benefit for 2014 had been reached.

We trust the above is in order.

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


Kind regards

The GEMS online team