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LESEGO Z

1 reviews | Active since Mar 2023

15 Aug 2025, 13:17

Pre authorisation for BP machine

I am a Gems member and also on the maternity programme. I have development High Blood Pressure during pregnancy. The doctor has prescribed that I get. Blood pressure monitor also as to monitor my blood pressure on weekly basis. We have submitted all the documentation for Gems to approve the appliance however they keep finding reasons to to approve the authorisation. We attached the equation of the monitor as well as the prescription letter from the Gynaecologist. After a full month of back and forth gems. We still have not received pre authorisation. Today they sent an email saying they need more information. The follows countless attempts and back and forths with the medical scheme.

It’s unfortunate that as pregnancy women my needs and health are not taken into cognisance by the medical scheme. The experience has been horrible.

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Replies (1)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply15 Aug 2025, 14:49
Official
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