How do I claim money from gems?

How do I claim money back from Gems medical aid?

Call us on 0860 00 4367. When you have paid a healthcare service provider for a service, you may claim a refund from the Scheme. Whether we pay the claim, and how much we pay, will be determined by the Scheme Rules.

How long does gems take to refund?

Once processed, refunds to your bank account can take up to five business days to show on your account. We can process a refund for any amount if we have your bank account details on file, and we have used the bank account details more than 30 days ago.

How do I check my gem benefits?

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.

How does Gems medical aid work?

GEMS Medical Aid is a government health plan for its workers. The government employee medical scheme is meant to be affordable and one that most, if not all government workers can opt for as opposed to private covers. The need for a reliable medical cover cannot be overemphasized.

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Who qualifies for GEMS subsidy?

Public service employees on salary level 1, 2, 3, 4 or 5 belonging to or joining GEMS on the Tanzanite One option (formerly Sapphire Option) are eligible for 100% of total monthly medical contribution, up to the maximum employer subsidy, provided the subsidy amount does not exceed the employee’s total monthly …

How long is the waiting period for GEMS medical aid?

There are two types of GEMS waiting periods: A general waiting period (GWP) of up to 3 months. A condition-specific waiting period (CSWP) of up to 12 months.

Does GEMS pay for plastic surgery?

GEMS does not pay for)

All costs for operations, medicines, treatments and procedures for cosmetic purposes (cosmetic refers to treatments or procedures that do not treat an illness), such as liposuction. Visits to specialists outside of the GEMS Network for Sapphire and Beryl beneficiaries.

Do GEMS cover pregnancy?

Benefits of joining the Maternity Programme

We will give you a GEMS pregnancy, birth and early parenting book when you register. We will send you a free maternity bag during your third trimester. This is a gift from us to you and your baby.

Does GEMS Emerald pay for braces?

GEMS does not have a separate benefit limit for orthodontic treatment; all claims are payable from the available dentistry limit. The benefit for orthodontic treatment is only available to GEMS beneficiaries under the age of 21 on the Ruby, Emerald, Emerald Value and Onyx options. This is a once in a lifetime benefit.

How do I view my gems statement?

To obtain your tax certificate from GEMS, contact our call centre’s 24-hour automated self-service facility on 0860-00-4367, or log on to Member Online on www.gems.gov.za.

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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.

How do I apply for medical aid gems?

For more information on how to join GEMS, please visit www.gems.gov.za, or call 0860 00 4367, or SMS “please call me” to 083 450 4367 and an agent will call you. Take Note: Adult dependant rates are payable for all eligible dependants who are 21 years of age or older.

Does gems have a hospital plan?

GEMS Hospital Plan – Access to Affordable Health Care

Their aim is to provide all employees in the public service with access to affordable health care benefits.