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Pre-authorisation allows unlimited GP visits


The Sapphire and Beryl options offer unlimited annual Network GP visits, subject to Scheme Rules and pre-authorisation. While you are free to visit your Network GP as often as is medically needed, once you have used five appointments, all visits thereafter are subject to pre-authorisation. Pre-authorisation ensures that your benefits last and helps to curb abuse or overuse of benefits.

Your Network GP must obtain pre-authorisation for you. The GP can do so by calling GEMS on 0860 00 4367 with their practice number and the appointment ICD-10 code. It is important for the GP to call for authorisation before the appointment takes place.

If your GP fails to pre-authorise for your consultation, you may be liable for the cost of that appointment. GEMS Network GPs have been informed of this rule. You are therefore encouraged to discuss it with your GP the next time you visit.

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