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Get ZA GEMS Membership Application Form 2020-2024
Dical Schemes Act 131 of 1998 (the Act), to provide qualifying public service employees and their families with equitable access to affordable and comprehensive healthcare benefits. GEMS offers six excellent healthcare benefit options: Tanzanite One, Beryl, Ruby, Emerald Value, Emerald and Onyx. For more information on how to join GEMS, please visit www.gems.gov.za, or call 0860 00 4367, or SMS please call me to 083 450 4367 and an agent will call you. Compulsory documentation required fr.
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Tanzanite FAQ
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prosthetics, subject to formulary and managed care protocols and processes. and/or device(s) being related to the admission diagnosis and procedure. o One (1) CPAP device of up to R10 955 per Beneficiary every thirty six (36) months of month of receipt of device.
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Medical appliances that require pre-authorisation The reason for this is that GEMS wishes to assist members in avoiding unforeseen co-payments, specifically where benefit sub-limits apply. The following categories of appliances require pre-authorisation from GEMS: Blood pressure monitors.
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If the cost of crutches or a wheelchair on the claim is above the capped fee, GEMS will only pay up to the maximum limit (subject to available benefits and limits) and the shortfall will need to be paid by the member from their own pocket.
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