VG
Viandi G

1 reviews | Active since Oct 2019

12 Jul 2023, 15:18

Worsre service. NO service

People at Gems really don't know what is going on there. I submitted a claim for A Dr I paid Cash 2023.06.22. To date NO feedback. An Additional plan was created for my partner "thyroid with complication" I am thankfully for the additional plan. Yet NO one working there seems to k ow this. Everything gets rejected. BLOOD TEST gets declined... Dr's visits, Medication... everything for the Thyroid seems to be rejected. Yet one has to phone and speak to 20 different people that still cannot assist. I want to know why the medication is declined... if there is an additional plan created under PMB. Why is the refund not settled.? Submitted 2023.06.22. Also why are the blood works not settled hnder this plan. And the member credited on day to day once the claims are actually settled under the additional plan. No one seems to respond unless one phones. And them still they just respond and say write an e mail. And still no feedback. I requested assistance with the medication that is declined. Requested it be approved for 6 months on PMB as it is life threatening if she does not take these tablets. To date NO FEEDBACK.

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Replies (1)
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Viandi G's update20 Jul 2023, 10:32
Reviewer Update
Good day on July 12th I posted a complaint to date NO feedback has been received? The member is still without medication!!!! There is still blood test that were rejected (because the member did not request Authorization) since when does a member need to request Authorization for Blood work?
Still NO payout received for the Claim I submitted?
I need the medication on Chronic FULLY Covered for 24 months. I spoke to the specialist and that is the ONLY Thyroid medication in the country. there is NO alternative.