How do you nominate a doctor for gems?

Nominations can be made by contacting the GEMS call centre on 0860 00 4367. In order to avoid having to pre-authorise a specialist consult, and/or avoid a 30% co-payment, GEMS beneficiaries on the Tanzanite One and Emerald Value options require a referral from their nominated network FP.

How do I get gems authorization?

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.

How do I claim my gems from medical aid?

If you have any questions or queries call us on 0860 00 4367 or send an email to enquiries@gems.gov.za.

You can submit your claims by:

  1. Post: GEMS, Private Bag X782, Cape Town, 8000.
  2. Fax: 0861 00 4367.
  3. Email: enquiries@gems.gov.za; or a.
  4. GEMS walk-in centre.

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 do I join medical 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 pay for Covid 19 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.

Is there a 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.

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 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.

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.

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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?

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.

Do gems cover bloodwork?

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.

Can I add my girlfriend to my Gems medical aid?

Yes. If your boyfriend or girlfriend is living with you, you will be able to add them as an adult dependant to your medical aid – just as you would if they were your spouse.

How do you add a dependent on gems?

Submit your completed form in any of the following ways:

  1. Email: enquiries@gems.gov.za • 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.

How do I add someone to my gem medical aid?

Submit the completed form to GEMS via any of the following channels: 0861 00 4367 enquiries@gems.gov.za GEMS, Private Bag X782, Cape Town 8000 Page 2 2 of 7 ID/Passport no. nnnnnnnnnnnnn Initial Provide the details of all the medical schemes that your dependants previously belonged to, if applicable.

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