How do I check my gem benefits?

How do I check my gem benefits?

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 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.

Does GEMS medical aid cover braces in South Africa?

Benefit for orthodontic treatment 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.

Does GEMS have 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 do I access my gem medical aid 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

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 [email protected]….You can submit your claims by:

  1. Post: GEMS, Private Bag X782, Cape Town, 8000.
  2. Fax: 0861 00 4367.
  3. Email: [email protected]; or a.
  4. GEMS walk-in centre.

Does GEMS cover pap smear?

GEMS offers comprehensive screening and preventative care benefits to its members….Preventative care and screening benefit.

Cytology Screening (Pap smears) Once per annum Females 12-65 years

Does GEMS pay for a 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 Covid test?

How do I claim my GEMS back?

Which medical aid that covers pregnancy immediately?

Tell us about your pregnancy as soon as possible TFG Medical Aid Scheme covers the birth of your baby either in hospital or clinic with a doctor or a midwife or at home with the help of a midwife.

Does GEMS pay for Covid 19 testing?

What is gems medical aid scheme?

GEMS Medical Aid schemes: Get a detailed overview for 2021 Wednesday, March 31, 2021 at 3:58 PM by Tiffany Akwasi GEMS Medical Aid is a government health plan for its workers. The government employee medical scheme is meant to be affordable and one that most, if not all government workers can opt for as opposed to private covers.

What are the different gems medical aid plans 2021?

The benefits will be outlined based on the different GEMS Medical Aid plans 2021 available. 1. Tanzanite One – from R882 It is an entry-level benefit option. Previously known as Sapphire, Tanzanite One covers more areas.

Do you have to fill in more gems medical aid forms?

You may have to fill in more GEMS Medical Aid forms to complete your application. Even as you get the GEMS Medical Aid contact details for further clarifications, it is important for you to know and understand the different packages and benefits available on offer.

What is the government employee medical aid scheme?

GEMS (Government Employee Medical Scheme) is the official medical aid for government employees in South Africa. It was registered in January 2006 and has grown into one of the biggest medical schemes in South Africa understandably since the SA government is the single largest employer within the country.