CO
Carel O

1 reviews | Active since Jul 2015

23 Apr 2018, 13:29

Worst Medical Aid in AFRICA

If I could it would be below 0. How can a medical aid not Pay a sleep-study for Sleep apnea out of your in hospital if the tests are done in a hospital???? Really just shows you.....

0
Replies (3)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply23 Apr 2018, 17:07
Official

Good day

Thank you for the opportunity to respond. We are looking into this matter and will get back to you.

Kind regards

The GEMS online team

CO
Carel O's update24 Apr 2018, 12:58
Reviewer Update
when after I passed on because of no treatment
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply03 May 2018, 15:05
Official

Good day

Thank you for alerting us to your concerns.

We can confirm that sleep studies are funded from the day-to-day or savings benefit.

When clinically indicated, the Diagnostic Sleepstudy/Polysomnograms qualify retrospectively as a PMB should the diagnosis of Obstructive Sleep Apnea (OSA) be indicated as the cause of refractory hypertension. The reimbur*****t of sleep studies will only be considered as PMB should the afore mentioned diagnosis be confirmed.

We trust the above is order and wish to apologise for any inconvenience caused in this regard.

Kind regards
The GEMS online team