1 reviews | Active since Jan 2021
Waiting for claim to be processed
I was hospitalized 18 March 2023 and prior to admission I paid a refundable R1712.00 to the Mediclinic Medforum. on 28 March 2023 I emailed GEMS with supporting documents to enable my reimbur*****t however, my inquiry was never attended too. I made a follow up on 12 April 2023 and the consultant (Michael) said that I must wait for the SMS regarding payment, my request will be attended to and it will be on the next run reference no: MH***.
On 21 April 2023 I made a follow-up and consultant (Palesa) said she will refer the matter back to be scanned and batched for payment processing and will e included on the next payment run. she further said that the next run will take approximately two weeks. two weeks and more passed and nothing was done Ref no: MH***
On 8 May 2023 I made another follow-up and consultant (Siyabonga) said they are waiting for the back office to capture and process and prefers not to escalate the matter because should he escalate it, there will be a delay. Ref no: MH***.
On 12 May 2023 I made another follow-up and consultant (Rachel) said she is going through her correspondence and she is not getting any feedback. the consultant then said that I must call after 7 working days as if I have the airtime to keep calling. and ask if she should escalate it, I mean I don't know how they work Siyabonga said the reescalation will cause a further delay this consultant is saying something else. YOU PAY MEDICAL AID MONTHLY ONLY TO PAY AGAIN FOR HOSPITALISATION AND GEMS WILL SEND YOU FROM PILLAR TO POST. Ref no: MH***
To date I'm still waiting and knowing GEMS, soon ill be told that 3months has passed and the case has been closed.
