Who can join GEMS?

You can join GEMS if you are employed in or are a pensioner of: • A National Department listed in Schedule 1 of the Public Service Act; • A Provincial Department listed in Schedule 2 of the Public Service Act; • A Provincial Administration listed in Schedule 2 of the Public Service Act; • Organisational components …

How do you become a gem member?

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.

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 …

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Who can you add on 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).

Can pensioners join GEMS?

Pensioner members on GEMS will receive 75% of their monthly contribution as a subsidy up to the following maximum of R1 526 for a member without dependants and R3 052 for a member with dependants.

What is Gems beneficiary?

The Government Employees Medical Scheme (GEMS) [Registration Number 1598] is a restricted medical scheme registered in terms of the Medical Schemes Act 131 of 1998 (the Act), to provide qualifying public service employees and their families with equitable access to affordable and comprehensive healthcare benefits.

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). …

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.

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, enquiries@gems.gov.za or GEMS Maternity Programme, Private Bag X782, Cape Town, 8000.

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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 long does it take to join GEMS?

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 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.

Can I join GEMS if I dont work for government?

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

How do I register for Chronic on GEMS?

How do I apply for chronic medicine?

  1. Call GEMS on 0860 00 4367 and ask for a chronic medicine application form or download one here.
  2. Your treating doctor must complete the form.
  3. A separate form must be completed for each member or dependant who needs chronic medicine.

What happens when GEMS main member dies?

Death while in service:The benefit paid is based on the member’s period of pensionable service. … If the member dies within this period, his or her beneficiaries receive the balance of the five-year annuity payments – excluding the annual supplement, in a once-off cash lump sum.

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