SV
Susan V

1 reviews | Active since Dec 2017

21 Sept 2018, 08:59

Poor service from Gems

I am rally upset about the service I am gedring from Gems. I have had numerous issues with them. I sent through a script for chronog authorisation on Monday 10 September and even received a confirmation email that they received it. When I enquired now what the progress is they told me they didn't receive it. How can a confirmation be sent and then they don't receive it?

Secondly I had a scan done in November last year and got authorisation for it but they never paid and I had to pay R8000 out of my own pocket because I got final notice from the provider.

Thirdly, I am on dialysis and since January have been trying to get authorisation for it on chronic but to no avail. I had to change service providers because my previous provider was not on the approved list of providers but even the new provider us struggling to get authorisation they keep asking for the same information which has already been provided. I have made countless enquiries to Gems but am getting nowhere.

This situation is unacceptable.

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Replies (2)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply21 Sept 2018, 13:49
Official

Good day

Thank you for affording us the opportunity to respond to your concerns. We are looking into this and will provide feedback.

Kind regards

The GEMS online team

Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply10 Oct 2018, 09:26
Official

Good day

Thank you for bringing your concerns to our attention.

Please note that as discussed with you, your chronic medicine script was received and has been updated on the system with the exception of one item.

With regards to the scan you refer to, no refund can be processed as we have not received an account for services rendered on 15 November 2017.

Your dialysis has been authorised up until 31 December 2018.

We trust the above is in order and apologise for any inconvenience caused.

Kind regards

The GEMS online team