GB
Gerda B

1 reviews | Active since Oct 2022

13 Dec 2025, 07:28

What a disgrace that you do this to a member of years being part of you

Sort out this mess and pay the physio out of my daily limit.

We pay thousands and you service does not even deserve srar

Subject: Concern Regarding Medical Documentation

I hope this message finds you well. I am writing to express my concern regarding the recent document I received, which has left me rather surprised.

In November (already part of the medical aid as a member), Mike experienced a fall that resulted in an injury to his right arm, which I referenced in the document. I took him to the clinic for evaluation, as this arm occasionally exhibits symptoms of trembling WHICH I STATED IN ATTACHED DOCUMENT.

Although we did not fully comprehend the circumstances surrounding the fall, we were provided with pain medication and returned home. I thought it was a stroke not that I have any knowledge of a stroke and we stay in a rural area, but he said he is fine and we went home. Due to ongoing discomfort, I decided to consult a physiothe******, who informed us about a physician specialising in Botox treatments for the arm and shoulder. While I have not personally met this physician, he reached out to me, and I indicated that I would consider the treatment if it were covered by our medical aid; otherwise, we would continue with prescribed exercises at home.

Out of respect for the medical aid to which I have been a member for many years, I refrained from taking him to a physician. Therefore, I find it quite alarming that your actions suggest a cancellation of Mike’s medical coverage.

I would like to emphasise that I am not fami**** with his medical history, as he has always been physically fit and in good health. I kindly request that you review the information I have provided in the attached document.

Thank you for your attention to this matter.

Sincerely,

0
Replies (2)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply15 Dec 2025, 09:10
Official
 
Good day, 

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 

GB
Gerda B's update15 Dec 2025, 10:25
Reviewer Update
Thank you this must be sorted asap or here comes a massive law suit.

I also submitted a claim that must be paid out of my day to day to day limits that i do not use. I cannot even remember when last i used Gems. This is bad management and conduct from your side