****tiest medical aid. Do not ever join Gems if u end up working for Government.

So nothing has really changed from my last review on Gems. I thought il give them a chance but these ******* people that work at Gems are ***ards. Instead of claiming for my gynae consults from my high risk maternity plan they are claiming it from my day to day benefit!!!! I have decided to take legal action and with the help of the ombudsman. Gems has caused me alot of stress. I mean what is the point of having medical aid. My bp keeps fluctuating due to the stress of what this medical aid is doing to me. I called the call centre numerous times to resolve this matter all they do is give me reference numbers but never resolve the issues. They even arguing with me that the icd 10 code Z35.9 which means supervised high risk pregnancy. They keep telling me its wrong. Do you think the gynae will be dumb to put a code she does not know. I decided to hire a lawyer and now im seeking legal advice. For everything Gems is doing to me i have a strong case. I have call recordings, emails statements etc to sue them.