How do I apply for medical aid gems?

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 …

Does GEMS medical aid have a waiting period?

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.

How much is a GEMS medical aid?

Emerald Value – from R1,859

The Emerald Value option is a high-level benefit option. It offers: Comprehensive in and-out-of-hospital cover at more affordable rates. Get specialist referrals from your nominated GP.

How do I submit a claim to gems?

If you have any questions or queries call us on 0860 00 4367 or send an email to

You can submit your claims by:

  1. Post: GEMS, Private Bag X782, Cape Town, 8000.
  2. Fax: 0861 00 4367.
  3. Email:; or a.
  4. GEMS walk-in centre.
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How do I add newborn to GEM medical aid?

Submit the completed application form to GEMS in any of the following manners: Via fax to 0861 00 4367, or Via email to, or Post to GEMS, Private Bag X782, Cape Town, 8000. If you fail to do this, we are unable to register your child/ren as a dependant/s on the Scheme from date of birth.

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.

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.

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.

Who can I put on my Gems medical aid?

Cover for eligible dependants: You can add your parents, grandparents, in-laws, nieces and nephews to your GEMS medical aid if they depend on you financially (other medical schemes have exceptions).

How do I register for gems maternity program?

Registering on the programme

You need to complete an enrolment form and fax, email or post the completed form to 0861 00 4367, or GEMS Maternity Programme, Private Bag X782, Cape Town, 8000.

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How do I get pre authorization for gems?

Before you are admitted to hospital, or make an out-patient visit to a hospital, have a CT scan, MRI scan or Radio-Isotope study, you need to get a Pre-Authorization number (PAR) from GEMS by contacting 0860 00 4367.

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 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.

How do I add a child to my gem medical aid?

Submit your completed form in any of the following ways:

  1. Email: • Fax: 0861 00 4367 • Post: GEMS at Private Bag X782, Cape Town 8000. …
  2. Eastern Cape. …
  3. Shopping Centre, c/o Gillwell Road and Fleet Street. …
  4. Free State. …
  5. Maxeke Street. …
  6. Gauteng. …
  7. (opposite Civic Centre), Braamfontein.