TW
Tanya W

1 reviews | Active since Apr 2013

20 Oct 2015, 14:26

UNBELIEVABLE! SHOCKING!

This is the second complaint on hello peter. I've registered on the maternity program on 24 June 2015. After numerous promises I have still not recieved my welcome pack. <br> Claims are not being paid from the maternity benifits! What is the use of such a program? All my statements shows limit reached. The call centre agents are useless! I've phoned several times and ever time I receive different responses. I get put on hold for 20 mins onwards, GEMS do not cover my cellphone account. <br> <br> The Gynecologist are not being paid and GEMS can't give me reasons why. My lancet acount for services rendered on 29/07 has not been paid. The wrong ICD10 code was used but Lancet have resubmitted the claim and again no response. <br> <br> It is so frustrating dealing with this mess while pregnant. Clearly GEMS do not care about the wellbeing of their paying clients. <br> Together with all the phone calls to the call centre, I've sent numerous emails to enquiries and complaints departments and guess what...NO RESPONSE! <br> <br> I have submitted a complaint to the Medical Aid Ombudsman. <br> <br> I would like to speak to someone who can give me answers. Anybody but a call centre agent. Someone in higher authority. <br>

0
Replies (1)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply20 Oct 2015, 15:06
Official
Hello TanyavonWilligh,

We are terribly sorry that you have been experiencing difficulties regarding your payment claims.

A consultant will be in contact soon to provide you with the necessary assistance.

Please accept our sincere apologies for the inconvenience caused.

Yours in service
GEMS Online Team