WORST SERVICE EVER!! STRESSING PREGNANT WOMEN OUT

They are useless!! I am 27 weeks pregnant and my gynae app**** for additional maternity benefits for me as I am high risk. They approved the PMB on 2 November 2022. Now with every invoice GEMS rejects it which causes me to have to pay the visits out of pocket. YET, I have the benefits as THEY approved it!!!

When I went for my Obstetric Ultrasound at 22 weeks, They rejected the claim saying I wasn't between 20 -24 weeks at the time, YET i was 22 weeks!!! How does that happen?? are your people competent??? It has been a non stop struggle to get GEMS to pay for my maternity appointments. They have caused me so much stress in my maternity time now than ever before.

When I call the customer care for them to try and assist me all I get is "we have escalated the matter" but since 12 January when the escalation occurred, PMB department has done NOTHING to fix this. Now I have to sit with Dr's bills but we paying for Medical Aid!!!!!!!!!!!!!

What is the point of us applying for high risk benefits if I must pay for it out of pocket?????!!!! Your claims department is useless!!

Now I have to go pay a Dr bill tomorrow & pay another one because being on GEMS means absolutely nothing - its just a colourful card in my wallet now.