Protect what is yours
Statistics show that at least 10% of medical scheme claims are fraudulent, which means that an estimated R60 billion in fraudulent claims are paid out yearly in the medical schemes industry. This has a direct impact on you as it is your contributions that fraudsters are draining.
According to the Ombudsman report released in March 2012, the highest number of fraud cases are for claims charged for services not rendered. As a member you need to be vigilant and constantly check if the claim statement sent to you on a monthly basis is accurate.
Do not be a statistic. If you become aware of any fraudulent activities being committed, report it immediately.
Click here to view our Fraud awareness poster.
Join the movement and protect your benefits. GEMS has a hotline where you can anonymously report suspected fraud on 0800 21 22 02. You can also send an email to [email protected] or a fax to 086 726 1681 or post your anonymous tipoff to The Fraud Services Manager, PO Box 21076, Valhalla, 0137.
0860 00 4367 (Call Centre) [email protected] More Contacts >