Quick Answer: What is needed to join Gems medical aid?

What do I need to apply for Gems medical aid?

You must provide proof of dependency of all dependants over the age of 21 every year. Proof of eligibility may be required, for example proof of student registration. Declaration* – A declaration may be a letter, email, or telephone call from the main member.

Can anyone join Gems medical aid?

Member enrolment

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

How do you apply gems?

Scan the signed application form together with your supporting documents and email to enquiries@gems.gov.za; or 4. Fax the signed application form together with your supporting documents to 0861 00 4367.

How do I get a gem membership certificate?

You can obtain the Scheme rules on the GEMS website at www.gems.gov.za.

Membership cards and membership certificates

  1. We issue a membership card to every Principal Member. …
  2. We will issue extra cards for dependants should you request it.
  3. Only you and your registered dependants may use your membership card.
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How much do you pay for GEMS medical aid?

Cost of membership

Salary band Member Adult
Salary band Member Adult
R0-R11 892 R2 066 R1 498
R11 892.01-R20 538 R2 287 R1 682
R20 538.01 + R2 563 R1 870

What is the 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.

Is Gems a good medical aid?

The South African healthcare insurers obtained significantly higher overall scores than the US. “While GEMS is performing at the lower end of the scale, the other South African healthcare providers compare favourably with their counterparts in the US and Singapore,” the study found.

How much does GEMS Emerald Cost?

How much does it cost?

Salary band Principal Member Additional adult member
R0 – R14650 R2852 R2172
R14650.01 – R25301 R3157 R2440
R25301.01 + R3539 R2713

Does GEMS pay for gynecologist?

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). …

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.

Where do I send my gem claims?

You can submit your claims by:

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Post: GEMS, Private Bag X782, Cape Town, 8000. Fax: 0861 00 4367. Email: enquiries@gems.gov.za; or a.

How do I contact gems?

Contact Us

  1. GEMS Call Centre: 0860 436 777 (Click here to view the Call Centre IVR Flow Chart for Providers)
  2. Fax: 0861 00 4367.
  3. Email: enquiries@gems.gov.za.

Does Gem medical aid pay braces?

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.

Are gems under medscheme?

Government Employees Medical Scheme (GEMS) | Medscheme.

Do Gems Pay mammograms?

From 1 January 2021 an additional benefit for vaccinations has been made available on all GEMS Options.

Preventative care and screening benefit.

SCREENING SERVICES
Mammography Screening Once per annum Females 40 years and older (earlier?)
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