The registered Rules of GEMS provide that the business of the Scheme shall be managed by a Board of Trustees consisting of 12 (twelve) persons who are fit and proper to be trustees.
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Prescribed Minimum Benefits (PMB) is a set of defined benefits to ensure that all medical scheme members have access to certain minimum health services, regardless of the benefit option they have selected. The aim is to provide people with continuous care to improve their health and well-being and to make healthcare more affordable.
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GEMS makes use of a Medicine Exclusion List. The objective of the MEL is to protect the Acute Medicine Benefit through the exclusion of certain medicines from payment. The list is updated and communicated to providers on a regular basis.
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