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New approved medical scheme subsidy


One of our objectives as GEMS is to ensure that member contributions remain affordable and the medical scheme subsidy provided by your employer plays an important role in ensuring the continued affordability of your medical benefits. We are therefore proud to announce that government has increased this subsidy backdated to January 2015.  According to the Public Service Co-ordinating Bargaining Council (PSCBC) Resolution 2 of 2015, the subsidy has been approved and increased by 28.5% for active employees. The subsidy will also increase by Medical Price Index in January every year.

 Please consult your employer regarding the subsidy increase implementation date as well as information on how this applies to you as an individual.

  • Employees on salary level 1 to 5 participating on Sapphire will continue to be subsidised at 100% up to the maximum amounts as indicated below.
  • In-service employees on GEMS will receive a subsidy of 75% of their total contribution up to the maximum as indicated below.

New subsidy for active employees

Family Structure  

Maximum subsidy

prior to 2015 

Maximum subsidy

effective 1 January 2015 

 Principal member without dependants

 R 720

 R 925

 Principal member with one dependant

 R 1440

 R 1850

 Principal member with two dependants

 R 1880

 R 2415

 Principal member with three dependants

 R 2320

 R 2980

 Principal member with four or more dependants

 R 2760

 R 3545

The new subsidy policy for pensioners is as follows:

  • Pensioner members who were on salary level 1 to 5 and on the Sapphire option while they were active employees, and retire on the same option, will now continue to receive a 100% subsidy for the member and up to one dependant (up to a maximum of R1850 as indicated in the table below)
  • Pensioner members on GEMS will receive 75% of their monthly contribution as a subsidy up to the following maximum:

New subsidy for pensioners

Family Structure  

Maximum subsidy

prior to 2015 

Maximum subsidy

effective 1 January 2015 

 Principal member without dependants

 R 720

 R 925

 Principal member with one dependant

 R 1440

 R 1850

FAQs

Have a subsidy question? View our 2015 subsidy FAQs.

 

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