How do I claim my gems back from medical aid?

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 funds on Gems medical aid?

We look forward to giving you instant access to up-to-date information about your available benefits, as well as to our Friends of GEMS database, to make those benefits stretch further. Please remember to SMS your requests to 33489.

How do I check 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

Does gems 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.

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Does GEMS pay for Covid test?

Members should take solace in knowing that testing for COVID-19 will be covered, provided it is clinically appropriate. Ideally, beneficiaries should ensure they are screened first by a nurse/doctor who will then determine if a test is required. Once tests are done, both negative and positive tests will be paid as PMB.

Does GEMS pay for gynecologist?

The GEMS Specialist Network now gives you access to Physicians as well as Paediatricians, Obstetricians and Gynaecologists. … If you do not obtain a pre-authorisation number via your GEMS FP Network doctor, the Scheme will not pay for your Specialist’s account.

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 cover already pregnant woman?

If you are already pregnant before joining a medical aid then the pre-existing waiting period will apply to you. … GEMS (Government Employee Medical Scheme) was one of the last medical schemes to allow pre-existing pregnancy to be covered in new members.

Is GEMS for government employees only?

As GEMS is a restricted scheme for Government employees, only those employed within public service can become members.

How do I apply for medical aid gems?

For more information on how to join GEMS, please visit, 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.

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How much do you pay for Gems medical aid?

How much does it cost?

Salary band Principal Member Additional adult member
0 – R14870 R2588 R1977
R14870.01 – R25681 R2864 R2220
R25681.01 + R3209 R2467

What is Gems medical aid?

The mission of the Government Employees Medical Scheme (GEMS) is to provide all public service employees with equitable access to affordable and comprehensive health care benefits.

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 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.

Does GEMS pay for flu vaccine?

Every GEMS beneficiary is eligible for one flu vaccine for per year. GEMS HAS YOU AND YOUR DEPENDANTS COVERED FOR THE FLU VACCINE.