GEMS has a network of healthcare providers consisting of General Practitioners (GPs), specialists, pharmacies, dentists and optometrists who have promised to deliver quality healthcare at Scheme rates to our members. This means you will not have to pay any amounts above the set amount we have agreed with the healthcare providers.
Visiting a GEMS Network healthcare provider is one of the ways that we can ensure you receive proper care. In addition, there are many advantages to visiting a GEMS Network provider:
Enhanced fees: GPs on the Ruby, Emerald and Onyx (REO) GP network are profiled and based on their category, can qualify for an enhanced fee.
It is easy to identify a GEMS Network provider, as they will display a GEMS Network logo in their premises. You can also use the "Find a Network provider" tool to search for a GEMS Network provider in your town or call the GEMS Call Centre on 0860 00 4367 for assistance.
Please note
Remember
Your GEMS Network provider has agreed to provide you with excellent service and care. It is your right as a GEMS member to inform us if your service provider does not comply with the GEMS Network requirements (for example, if your Network provider makes you pay co-payments out of your own pocket).
These providers can be reported by calling the GEMS Fraud line on 0800 21 22 02, sending an email to [email protected] or sending a fax to 086 726 1681. Information can also be posted to: The Fraud Services Manager, PO Box 21076, Valhalla, 0137.