Member refund process

When you have paid a healthcare provider for a service, you may claim a refund from GEMS. Whether we pay the claim, and how much we pay, will be determined by the Scheme Rules. We make refund payments to members electronically, so you need to make sure that we have your updated, correct banking details.

If your banking details have changed, please provide the following to us:

• Account holder
• Account number
• Bank name
• Branch code
• Account type (cheque/current or savings).

Accompanied by these required FICA documents:

• A certified copy of your identity document (ID)
• A bank account statement, crossed cheque or letter from the bank either signed or stamped (not older than three months)
• Proof of your residential address, which can be in the form of a utility bill such as your municipal account (not older than three months).

Please fax this information to 0861 00 4367 or send an email to [email protected], using your membership number as a reference. You can also deliver the information to one of our walk-in