1 reviews | Active since May 2022
WOW!!! TO MY GEMS!!!
When everyone was complaining about GEMS I was praising GEMS because it was there when my late mother was in hospital. They never disappointed BUT yoooo, I am currently disappointed.
In 2020, gems authorized the dental procedure that was to be done on my daughter's teeth, briefly (braces). They mentioned that they were not going to pay full amount, I understood that part. I was told that I can claim the portion that they approved to pay, which was about R10 000.
The braces costed almost R25 000.
I made an arrangement at the dentist to pay that amount monthly until I was done paying the full amount. I finished paying the whole amount at the dentist last month.
I then forwarded the invoice to GEMS so that I can be reimbursed as our initial arrangement. I received an email with a reference number and a message that they will call within 48hrs, however, that never happened until I called after two weeks or so. I was assisted by Mr. Themba Mahlangu, he confirmed that he can see on the system that there is money due to me but they failed to transfer it as I needed to send certain documents(bank statement, ID Copy and proof of address). He gave me his direct email and I forwarded the documents and he later confirmed receipt.
Two weeks past and there was no word from GEMS. I called them again, they told me that they will call me back and that never happened. After about a week I called again, this time I was told that they cant pay as I was suppose to claim within four months.
I then explained that I only finished paying the doctor just last month and I could not claim every month as I was paying the dentist because that was the arrangement between myself and the dentist and the treatment is still continuing because the braces will be removed only this month. This is the reason I am claiming now because I am done paying and i can be able to submit the full invoice with a proof of all the visits to the doctor.
Now I am told I forfeited the money I had to get back from GEMS.
I need to pay R5000 extra to remove the braces and I was hoping that with the money that GEMS is owing me I was going to pay for this final procedure.
Today I spoke to the lady named Nomsa at the dental section of GEMS and sited my story. she said sorry we cant reimburse you. I then asked to speak to the manager, she said she was transferring me....yooooo, i kept on holding for almost 15 min until i hanged up.
I later shared this story with my colleague who advised me to register on this site and maybe I can get advise on how to proceed with this matter.
PLEASE ADVISE.
BUT THE GEMS THAT WAS SO DEAR TO ME LEFT ME SPEECHLESS THIS TIME.
In the past, Gems has done a lot for my family members, thus I am afraid to join other medical aid companies that I do not have experience with though due to my last experience i was at the verge of knocking at other doors. I will keep crossing my fingers until I get a light on my matter.
Highly appreciated.
In the past, Gems has done a lot for my family members, thus I am afraid to join other medical aid companies that I do not have experience with though due to my last experience i was at the verge of knocking at other doors. I will keep crossing my fingers until I get a light on my matter.
Highly appreciated.
After I sent my piece of frustration to hellopeter, GEMS called me.
This morning when I woke up GEMS deposited just above half of the money they owed me. I received R 5 472 instead of R10 000. Thank you for that, however, I still don't understand why you did not pay the full amount that was due to me.
Further engagement with GEMS on the same issue will be appreciated so as to put this matter to rest.
For the fact that GEMS still has an office that looks into the complains and queries of its members, that gives hope.
Regards
After I sent my piece of frustration to hellopeter, GEMS called me.
This morning when I woke up GEMS deposited just above half of the money they owed me. I received R 5 472 instead of R10 000. Thank you for that, however, I still don't understand why you did not pay the full amount that was due to me.
Further engagement with GEMS on the same issue will be appreciated so as to put this matter to rest.
For the fact that GEMS still has an office that looks into the complains and queries of its members, that gives hope.
Regards
