Pathology and radiology tests (blood tests and x-rays) must be referred by your nominated GP. These tests must be in line with the GEMS formulary (list of approved tests or services) for Beryl.
What does Gems medical aid cover?
You need to get pre-authorisation for all your hospital visits, out-patient visits to a hospital, MRI scans, CT scans or radio-isotope studies, in-hospital physiotherapy, ambulance transportation and specialised dentistry.
Does GEMS pay for Covid 19 test?
“GEMS members will be serviced and should not be requested to pay for COVID-19 testing upfront. The testing of members where guidelines are not met is not considered as PMB level of care as it is regarded as not clinically appropriate.
What does GEMS Ruby cover?
The Ruby option includes a PMSA that consists of 20% of your contribution that is allocated to a savings account held in your name. This account will pay for your out-of-hospital or day-to-day medical expenses. Once you’ve depleted your PMSA, your out-of-hospital claims will be paid from the limited block benefit.
Does GEMS pay for prevention?
Preventative care and screening benefit
GEMS offers comprehensive screening and preventative care benefits to its members. These benefits are available on all options and payable from the risk benefit for eligible members and beneficiaries as per criteria contained herein.
How do I check my gems for medical aid?
To send an SMS request, you follow these easy steps: Step 1: Type in the keyword Benefit. Step 2: Next to the word Benefit, type in your GEMS member number. Step 3: Next to your member number, type in the benefit category you want to find out about.
Is Gems medical aid only for government employees?
As GEMS is a restricted scheme for Government employees, only those employed within public service can become members.
How much is a Covid test at Ampath?
Our laboratory provides COVID-19 PCR testing at R850 (incl. VAT) if we perform the collections of the swabs, and includes the cost of the PPE. If the samples are collected by your staff, we will be able to provide the testing at a discounted rate – please confirm which scenario will be most convenient for you.
What are the first few symptoms of Covid?
The most common symptoms are:
- Fever or chills.
- Shortness of breath or difficulty breathing.
- Muscle or body aches.
- Sore throat.
- New loss of taste or smell.
Is runny nose a symptom of Covid?
“The most common symptoms of COVID-19 are fever, tiredness, and dry cough,” according to the World Health Organization (WHO) . “Some patients may have aches and pains, nasal congestion, runny nose, or sore throat.”
What is the difference between Ruby and emerald GEMS?
The first difference which comes to mind is that ruby is red in color and a emerald is green. A stone is a ruby when it is colored a certain number of ways ‘“ ranging from pure red to a bluish shade inherent in the stone. … A ruby is priced for its color while an emerald commands a premium for its color and transparency.
Does GEMS pay for Gynaecologist?
The Specialist Network provides you with access to Physicians, Paediatricians, Obstetricians and Gynaecologists at a set tariff for both in- and out-of-hospital ensuring that you will not be liable for a co-payment (subject to your option’s benefit limits). …
How long does it take for GEMS medical aid to be active?
There are two types of waiting periods that GEMS may apply. These are: A General Waiting Period (GWP) of up to 3 months; and/or • A Condition-Specific Waiting Period (CSWP) of up to 12 months.
How does GEMS emerald value work?
You must nominate a GP, who must be a part of the GEMS network, as your first-line of consultation when you seek medical care. A 30% co-payment applies on all GP claims received from a non-nominated GP. You must choose a hospital from the Emerald Value hospital network for your in-hospital needs.
Does medical aid cover pap smear?
What we cover. This benefit pays for certain tests that can detect early warning signs of serious illnesses. We cover various screening tests at our wellness providers ,for example, blood glucose, cholesterol, HIV, Pap smear or HPV test for cervical screening, mammograms and prostate screenings.