How do I check my gem claims?

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

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.

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.

Does GEMS pay for Gynaecologist?

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.

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What GEMS bank details?

Please note that for GEMS to change or update your banking details, you are required to submit the following documents: • A certified copy of your identity document (ID); • A bank account statement, crossed cheque or letter from the bank either signed or stamped (not older than three months); and • Proof of your …

Does GEMS pay for Covid 19 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.

How do I claim money from GEMS?

If you have any questions or queries call us on 0860 00 4367 or send an email to

You can submit your claims by:

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

What are day to day benefits?

Day-to-day benefits refer to out-of-hospital care that happens on a more frequent basis which may include dentistry, optometry, GP visits and medication. Day-to-day benefits differ from one scheme to the other. Many healthcare providers offer little to no day-to-day cover with greater focus on in-hospital treatment.

What is GEMS block benefit?

benefits. Paid from out-of-hospital GP services for. non-PMB and unauthorised events. Paid from out-of-hospital GP services for. non-PMB and unauthorised events.

How do I claim money back from medical aid?

You can normally do this via email, fax or post. There are generally two ways to claim for medical aid: either you can do it yourself, or your healthcare professional can do it on your behalf. Many healthcare providers ask that you settle with them first and then claim the money back afterwards.

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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.

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.

Is GEMS for government employees only?

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

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 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.