Question: Can anyone join Gems medical aid?

So, who can join the scheme? Any employer group approved by the Scheme (a list of these employers is available in Annexure A of the Scheme Rules).

Can anyone belong to GEMS medical aid?

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

How do I join the GEMS medical scheme?

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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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.

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.

Does GEMS pay for Covid 19 testing?

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.

Which is the cheapest GEMS option?

Tanzanite One is the most affordable of the scheme’s options for low-income earners. Members on the Tanzanite One option are provided full access to private and public facilities, awarding them much-needed dignity.

Can I join GEMS medical aid while pregnant?

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. You will enjoy free access to all services offered by the programme.

Can I put my parents on my GEMS medical aid?

You can only register your parents as adult dependants on your medical scheme if you can prove that they are factually dependent on you. Parents who are financially self-sufficient may not be registered as dependants on your scheme.

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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 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).

How much does GEMS medical aid cost?

Emerald Value – from R1,859

The Emerald Value option is a high-level benefit option. It offers: Comprehensive in and-out-of-hospital cover at more affordable rates. Get specialist referrals from your nominated GP.

Is there a waiting period with GEMS?

There are two types of waiting periods that GEMS may apply. These are: A General Waiting Period (GWP) of up to 3 months; and/or • A Condition-Specific Waiting Period (CSWP) of up to 12 months. … These are the monthly contributions (how much you pay each month to be a member of GEMS) for 2021.

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.

How do I check my GEMS for medical aid?

We look forward to giving you instant access to up-to-date information about your available benefits, as well as to our Friends of GEMS database, to make those benefits stretch further. Please remember to SMS your requests to 33489.

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