MD
Mandls D

1 reviews | Active since Apr 2018

03 Apr 2018, 18:40

Priority not given to urgent matters for authorisation

# Gems must fall of lately terrible service and turnaround time to attend to your urgent matter while patient is in terrible pain seeking for authorisation still not approved,my 3 year old fell over the weekend for stairways and hurt her self on the mouth,and 2 front teeths went inside the gums today went to the Dentist surgeons and advice need to take her to theatre tommorow 04/04/2018 in order to remove them but unable to do so without authorisation from gems due to such condition he can only write motivation with xray pictures and all supporting documents you might think of went to gems berea centre got superb service from their supervisor who tried all her best to treat the matter as urgent only the Dental/Hospital authorisation let us down tried to phoned them several times they pick the phone and put it down and they didn't get to the bottom of my problem, such terrible service. I feel like they useless sometimes and my medical aid is not value for money as we speak i feel like cancelling my medical aid since it's not helping me either my child is in pain and im on medical aid but I'm not getting help timeously i must wait dor the turn around time while my child is suffering for servier pains also need to report this to medical ombunsment to take this further

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Replies (2)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply04 Apr 2018, 13:31
Official

Good day

We are so sorry to hear about your experience. Thank you for giving us the opportunity to respond. We have escalated your complaint and will get back to you soonest.

Kind regards

The GEMS online team

Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply06 Apr 2018, 16:32
Official

Good day

Thank you for bringing your authorisation concerns to our attention.

Our records show that the hospital event was approved on 3 April 2018 and the authorisation was sent to the main member and the service provider.

Please let us know if there is anything else we can assist with.

Kind regards

The GEMS online team