How do I check my funds on Gems medical aid?

How do I check my sms benefits from gems?

Type 00 if you are the main member. Step 5: Send the SMS to the SMS benefit lookup number, 33489. With the SMS benefit check service, you as the main member can find out about available benefits in the categories listed in the right-hand column of the table below.

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.

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.

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). …

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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.

Does GEMS cover C section?

Elective Caesareans are planned during pregnancy. However, if an elective caesarean section is chosen as a personal preference, without any medical reason for the surgery, GEMS will fund the hospital account up to the amount of a normal vaginal delivery.

Does GEMS pay for Covid testing?

“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.

Does Gems medical aid 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. You will enjoy free access to all services offered by the programme.

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 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.

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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.

What is the difference between gems emerald and ruby?

The first difference which comes to mind is that ruby is red in color and a emerald is green. … Emerald on the other hand is a variety of the mineral beryl and gets its green color from trace amounts of chromium and vanadium.

Does GEMS cover a dentist?

GEMS has designed the dental benefit to ensure that members have access to cost-effective, quality dental healthcare. It is important for you to have regular dental check-ups. What if I need dental treatment under general anaesthetic?

How does tanzanite aid work?

Introducing coordinated care:

You pay no out-of-pocket payments when you visit YOUR NOMINATED GP. You and each of your dependants need to nominate a GP. Your GP will coordinate all your specialist healthcare requirements through a referral. All our members on TANZANITE ONE have access to GEMS network of hospitals!

What is Emerald value?

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.

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