DF
David F
1 reviews | Active since Jul 2022
14 Apr 2026, 11:04
Rejected Claim
Useless institution. I went for a procedure 6 months ago, they rejected all the claim. The ones they paid, they didn't pay in full. Now I have to pay the Doctor, 3 different Doctors amounting to R7000. My monthly contribution to this medical aid is R9400, I have savings of R13 000 on this medical aid. And I am expected to pay the Doctors that amount. This medical aid don't care about its members, they just want the contributions. Their staff is useless, ***********. I didn't get any assistance from them other done excuses. Useless and uncaring institution.
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Replies (1)Gems (Government Employees Medical Scheme)'s replyOfficial
14 Apr 2026, 12:17Thank you for engaging with us. We are following your message, and feedback will be provided. If you have an urgent query, please contact us on ***(members Toll-free number) & ***(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
Gems (Government Employees Medical Scheme)'s reply14 Apr 2026, 12:17
Official
Thank you for engaging with us. We are following your message, and feedback will be provided. If you have an urgent query, please contact us on ***(members Toll-free number) & ***(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
