We received an authority from GEMS for my youngest for orthodontic repair, but as our required orthodontist is not one of GEMS's service providers we paid the orthodontist as well as the laboritory accounts. We then send a claim through to GEMS in order to get our money back. This all started on 5 ...
My name is Matsie Mtshali, medical aid no: 000991227 On 17th July 2013 I emailed GEMS asking them to cancel my medical aid, they neva responed till after 3 weeks i resend the cancellation letter and questioned if my case is been attended to, still it was quite, then sometimes in August i decided to ...
I sent in my membership application about a month ago and I didn't receive feedback. When I called the call center I was told that there were some documents missing, when I asked why I wasn't informed about them earlier I was told I should have called them. Now how am I suppose to know whats ...
It really is a curse being a member of the GEMS Medical Aid as you have to deal with ill equipped people. On the 7 November 2013 my wife visited their network doctor and was referred to a gynaecologist. In keeping with the GEMS rules on that very same day I called GEMS to inform them about this and ...
I was pregnant and had to pay all my consultations cash and claim it back. A year has now passed and I'm still struggling to get my money back. Gems had various excuses as to why they didn't pay out my claims from proof of payment not received to never receiving the claims even though I've ...
I was diagnosed with endometrial cancer which is a pmb condition. I needed a laparoscopic hysterectomy. The medical aid does not want to approve the procedure. One of the consultants claim it is not a life threatening disease and therefor it does not qualify for a pmb procedure. My operation is ...