2011 December - Red Pages

Member refunds on claims ›

When submitting claims for refunds, it is important that the practice stamp which indicates that you paid the acocunt appears on the claims.
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Clinical motivation for optical services ›

Some optical procedures and products have clear clinical benefits, while others depend on the member's particular health status and require clinical motivation.  
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Receive and take care of your medicine ›

The GEMS Chronic Medicine Designated Service Provider (DSP) is dedicated to ensuring that GEMS members receive the right medicine at the right place and time.
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Avoid co-payments on medicine claims › 

Ensure you get cost effective medicine and avoid out-of-pocket (co-payment) expenses on your medicine claims.
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Fast track your hospital claims ›

The efficient and effective resolution of your hospital accounts matters to us.
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Use your membership card the right way › 

The latest fraud activity on the rise involves members being asked to present their GEMS membership cards to loan companies for surety.
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Crestor change in formulary › 

At the heart of what we do in providing access to equitable and comprehensive healthcare, GEMS strives to make the cost of healthcare affordable for all members.  
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Expose fraudulent optometry screenings › 

The Scheme has received a number of fraudulent claims for services provided by mobile optometric clinical services.
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Deactivation of practice numbers › 

The Board of Healthcare Funders (BHF) manages the Practice Code Numbering System (PCNS) as determined by the Council for Medical Schemes.   
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